Suchergebnisse

The essay offers an overview of the international and Italian literature that, in recent years, has studied how to measure and to evaluate the results and the performance achieved by health care systems. The analysis shows which are the principal theoretical and methodological issues in the comparative studies, as well as the difficulties that still nowadays are inherent these measurement attempts.

This is the first English-language book to take a comparative look at the Italian welfare state as a whole since the 2008 economic crisis and will be a valuable resource for academics and researchers as well as students.

Within the scientific literature and debate on social investment, public childcare provision plays a pivotal role. At the same time, critics have argued that social investment is often unable to reduce social inequalities and, to the contrary, tends to reproduce them (the so-called 'Matthew effect'). The article focuses on a specific facet of social investment policies: their capacity to support mothers' employment and its effect on social inequality, by investigating empirically to what extent an expansion of public childcare can help to increase women's labour market participation and how this eventual support is homogenously distributed among different mothers' profiles. To give a convincing answer to such a question requires careful attention to methodology, in order to avoid drawing the wrong conclusions. Whereas existing research has predominately focused on cross-national variation and has often been static in nature, the present study assesses the effects of public childcare expansion on women's labour market participation and employment by examining region-specific within-variation over time of public childcare coverage. The study relies on data from the European Social Survey (2002–2018) that were integrated with an original collection of regional-level information on public childcare. It finds a positive association between increases in public childcare coverage and mothers' labour market participation. Furthermore, it shows that public childcare helps to fight social inequalities among households with young children. Low-educated mothers are the ones who profit most from an increase in public childcare, and positive employment effects are most pronounced at lower levels of childcare coverage. Therefore, this contribution highlights the importance of public childcare policies as an equalizer in society, especially in contexts in which an intervention is most needed, because expanding childcare fosters mothers' labour market participation

This article explores changes that took place in long-term care (LTC) policies during the last two decades in six European welfare states. In this regard, it addresses three issues: (1) why reforms took place, (2) the main actors and coalitions driving this process and the institutional mechanisms at work and (3) the main outcomes of reform processes. In order to analyse the development of LTC policies, the article applies theoretical concepts of historical institutionalism. Our interpretation is that institutional change in LTC policy has taken place through a protracted institutional dynamic in which continuity and discontinuity are inextricably linked and where tensions and contradictions have played a crucial role. With regard to outcomes, the article analyses coverage and citizens' social rights, working conditions in the care sector and trajectories of de-/re-familization of care. The final impact is that the level of universalism has generally increased in Europe, but that in part it has adopted a new form of 'restricted universalism', characterized by universal entitlements to LTC benefits constrained by limitations in provision due to financial constraints and budget ceilings.