Autori
Ranci, Costanzo
Arlotti, Marco
Parma, Andrea

Titolo
Politiche di LTC e disuguaglianze nel caso italiano: evidenze empiriche e ipotesi di riforma
Periodico
Politiche Sociali
Anno: 2020 - Fascicolo: 1 - Pagina iniziale: 125 - Pagina finale: 148

In the international literature about long term care policies, Italy is a well known case inwhich care needs of dependent elderly people are covered to a large extent by families andinformal networks, partially supported by cash for care schemes, especially the AttendanceAllowance (a universalistic, unconditional cash for care scheme). On the other hand, inkindservices are very residual. The increasing recent expansion of a private market basedon a massive involvement of migrant care workers directly recruited (mostly in an irregularway) by families is also recognized as a distinctive feature of the Italian case. However howthis care system impacts on socio-economic inequalities is currently under-investigated.Against such background the article’s goals is to analyze how the care needs of dependentelderly people are unequally met across different social groups, considering both the accessto informal networks, private care market and public services. The results show theexistence of deep socio-economic inequalities in how care arrangements are organized.The structural features of the public long term care system contribute to radicalize suchinequalities. To tackle such issue a radical reform of the Italian long care system is proposed.In such process, a reform of the Attendance Allowance is suggested as the mostimportant change to be pursued.



SICI: 2284-2098(2020)1<125:PDLEDN>2.0.ZU;2-I
Testo completo: https://www.rivisteweb.it/download/article/10.7389/97338
Testo completo alternativo: https://www.rivisteweb.it/doi/10.7389/97338

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