Innovating Long-Term Care Provision in Mediterranean Welfare States


Social innovations in long-term care (LTC) may be useful in more effective responses to the challenges of population aging for Western societies. One of the most investigated aspects in this regard is the role of family/informal care and strategies to improve its integration into the formal care system, yielding a more holistic care approach that may enhance opportunities for aging in place. This article reports the findings of a comparative research focusing on the Italian and Israeli LTC systems as representative of the Mediterranean “family-based” care model. To analyze the innovative solutions that have been adopted or are needed to improve LTC provision in these two contexts, focus groups and expert interviews have been carried out in both countries to identify the most relevant challenges and responses to them and to highlight promising policies and strategies to be adopted or up-scaled in the future. These include multidisciplinary case and care management, a stronger connection between prevention and LTC provision, and more systematic recognition of the role and limits of informal caregivers’ contributions.

Casanova G., Tur-Sinai A., Lamura G. (2019) Innovating Long-Term Care Provision in Mediterranean Welfare States: A Comparison Between Italy and Israel, Journal of Ageing & Social Policy, 32(1): 55-82

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Director of Centre for Socio-Economic Research on Ageing, Italy’s National Institute of Health and Science on Ageing, Ancona, Italy

Giovanni Lamura leads the Centre for Socio-Economic Research on Ageing at INRCA (Italy’s National Institute of Health and Science on Ageing). He graduated in Economics, achieved a PhD in “Life course and social policy” (University of Bremen, Germany), and was visiting fellow at University of Hamburg-Eppendorf (Germany) and the European Centre for Social Welfare Policy & Research (Austria). Research interests: international research on family and long-term care; migrant care work; interdisciplinary research on ageing.