tailieunhanh - SOCIAL EXCLUSION OF THE ELDERLY A COMPARATIVE STUDY OF EU MEMBER STATES

This includes being at risk for all medical and long term care costs. A health center taking on this program must be comfortable assuming significant financial risk as well as be able to assume the significant regulatory requirements for PACE that parallel much larger Medicare Advantage health plans. Despite the risk, PACE is one of the few accepted models for fully integrating health and long term care services for disabled elders and is a very significant resource for communities that have the programs. PACE began as a Medicare waiver program but is now a full Medicare benefit. Since it integrates Medicaid. | European Network of Economic Policy Research Institutes Social Exclusion of the Elderly A comparative Study of EU Member States Gerda Jehoel-Gijsbers and Cok Vrooman ENEPRI research report no. 57 aim September 2008 A A A ENEPRI Research Reports publish the original research results of projects undertaken in the context of an ENEPRI project. This paper was prepared as part of the Adequacy of Old-Age Income Maintenance in the EU AIM project - which has received financing from the European Commission under the 6th Research Framework Programme contract no. SP21-CT-2005-513748 . The views expressed are attributable only to the authors and not to any institution with which they are associated. ISBN 978-92-9079-814-9 Available for free downloading from the ENEPRI website http or the CEPS website Copyright 2008 Gerda Jehoel-Gijsbers and Cok Vrooman Social Exclusion of the Elderly A Comparative Study of EU Member States ENEPRI Research Report No. 57 September 2008 Gerda Jehoel-Gijsbers and Cok Vrooman Abstract Combating social exclusion is one of the key objectives of pension systems. This report focuses on social exclusion among the elderly defined as the 55 age group in the EU s member states. Social exclusion has been conceptualised as a state of individuals in relation to four dimensions. Two of these dimensions - material deprivation and social rights - are of a structural nature. The other two - social participation and normative integration - pertain to social settings and subcultural factors. Theoretically and empirically the dimensions refer to one latent underlying social exclusion variable. The original method for measuring social exclusion was devised and tested for the Netherlands making use of a dedicated dataset. In this study the measuring instrument has been extended to EU member states performing secondary analyses of various surveys. These datasets do not contain information about normative integration but for each of the

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