Table of contents | Key data
Country notes and highlights | How to obtain this publication
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As life expectancy pushes into the late 70s for men and well into the 80s for women, ever more people want help in order to be able to live their lives to the full for as long as possible. How will demographic and labour market trends affect the supply of family and friends available to care for us? Can we rely on family carers as the sole source of support for frail seniors? Should family carers and friends be better supported, and if so how? Can we attract and retain care workers -- is it just a matter of paying them better? Will public finances be threatened by the cost of providing care in the future? What should be the balance between private responsibility and public support in care-giving? Can we reduce costs by improving efficiency of long-term care services?
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ISBN: 978 92 64 0975 82 (print)
ISBN: 978 92 64 0977 59 (pdf)
336 pages, 20 tables, 56 graphs
Publication date: June 2011
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8-page policy brief (disponible en français) Summary and conclusions
Available in French, under the title "Besoin d'aide ? La prestation de services et le financement de la dépendance".
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This report received financial assistance from the European Commission

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Download the Executive summary (anche in italiano)
Table of contents
“WHO recognizes that long-term care represents a major challenge for all countries in the world, with important implications for economic development and for the health and well-being of older people. This well-documented book provides a comparative analysis of the common challenges and diverse solutions OECD countries are adopting to respond to the growing demand for long-term care services, and particularly its implications for financing and labour markets. It provides much needed evidence to guide policy makers and individuals.”
Dr. John Beard, Director, Department of Ageing and Life Course, World Health Organization
“This carefully researched book offers invaluable data and insights into the organization and financing of long-term care in OECD countries. The book is an indispensable resource for anyone interested in international long-term care.”
Dr. Joshua M. Wiener, Distinguished Fellow and Program Director of RTI’s Aging, Disability, and Long-Term Care Program, United States
Key data on long-term care
Click on the graph to open data sheets.
Public and private LTC expenditure in the OECD, 2008 and 2050

Note: Private LTC spending is unavailable for some OECD countries
Source: Help Wanted Policy Brief, © OECD 2011
Country notes and highlights
Overviews of the long-term care situation in most OECD countries are available here. The notes are available in PDF format, in English unless mentioned otherwise.
How to obtain this publication
Readers can access the full version of Help Wanted? Providing and Paying for Long-Term Care choosing from the following options:
- Subscribers and readers at subscribing institutions can access the online edition via OECD iLibrary, our online library.
- Non-subscribers can purchase the PDF e-book and/or paper copy via our Online Bookshop.
- Government officials with accounts (subscribe) can go to the "Books" tab on OLIS.
- Access by password for accredited journalists.
Permanent URL: http://www.oecd.org/health/longtermcare/helpwanted
Related Documents
Long-Term Care
Doing Better for Families
Pensions at a Glance 2011: Retirement-Income Systems in OECD and G20 Countries
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