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Assessing Needs of Care in European Nations (ANCIEN)

Completed Project


Public Economics

Project Management

Erika Schulz

Project Period

January 1, 2009 - August 31, 2012

Commissioned by

EU-7.Framework Programme

The post-war baby boom is turning into a grandparent boom, putting a triple stress on long-term care (LTC) provisions: increased numbers of elderly, increased survival of these elderly and increased survival of frail, disabled elderly through improved care and health care. Epidemiological trends such as smoking cessation and obesity will increase care dependence. At the same time the supply of labour is affected by the ageing of the EU population. This is likely to cause an increasing discrepancy between the developments in the need for care and in the number of persons available to supply it. It also puts a strain on the financial sustainability of LTC systems. These developments call for an analysis of the factors that determine the need for care and of the systems that are used for the provision of LTC, as well as the link with the health care system and prevention activities.

Main objectives of this project are:

- to analyse the effect of demography and lifestyle on the need for care;
- to analyse developments in the supply of informal and formal care, and the choice between the two;
- to give specific attention to the potential role of technology in solving LTC problems;
- to analyse efforts to improve the quality of LTC;
- to project the use of LTC on the basis of developments in needs and supply; and
- to analyse the performance of different types of LTC systems.