This paper evaluates the effects of a professionally assisted consumer-directed program (Personal Budgets) compared to the standard home care programs of the German long-term care insurance. The evaluation makes use of a long-run social experiment at seven different sites with a random...

Population aging and changing family patterns have made elder care an important issue. In 1994, German law-makers enacted a major reform in the country' s long-term care policy, the Dependency Insurance Act (DIA). How, and in what way, will the relative use of formal and informal long-term care...

This paper deals with the public acceptance of policies that pave the way for a more active role of family care assistants in long-term care provision. Family care assistants, i.e. non-relatives providing homecare services in the own private home of the care recipient, provide valuable help for...