The paper defines the broader context of reforms in long term care in Austria in the last two decades. The essay focuses on the 1993 «cash for care» reform, looking at the content of the reform, at the concrete mechanisms that have allowed institutional change, and at the coalitions of actors who have pushed for change. In recent years a new major reform has been introduced, focusing exclusively on the regularization of personal care in the private household without touching upon the broader Ltc context: the last part of the paper describes this innovation by considering the drivers of the growing migrant care market, the mechanisms that have allowed institutional change, and the role of government, media, and disability movement in this change.only subscribers can see the full article

In 2006 Spain introduced a new public long-term care programme regarding the Promotion of Personal Autonomy and Care for Dependent Persons. The paper develops an analysis of the main social and political factors and mechanisms driving this importantreform. The factors of innovation are identified, by considering cultural changes related to responsibility for care, new facts emerging in the organisation and provision of are, the policy legacy factors. In the second part the institutional mechanism of decision making and implementation is described and the new model of Ltc provision that have been established in Spain is described, focusing on the extension of coverage, the intensity of protection offered, and the sharing of responsibilities between central and local authorities.only subscribers can see the full article