Care and Demographic Change: Old and New Directions for the European Care Strategy
Copyright (c) 2025 Tóth Tibor

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Abstract
The phenomenon of an aging society is a complex issue in the European Union, resulting in an increasing number of elderly people relying on the financial and social support of a shrinking working-age population. This recognition highlights the need to develop shared strategic directions for care, particularly in the field of long-term care, that can be implemented in practice. Since care falls under the jurisdiction of Member States, the lack of a unified approach and the diversity of existing operational practices necessitated the adoption of the European Care Strategy in September 2022. Based on relevant international literature and policy documents, including the European Care Strategy issued by the European Commission, this study argues that the effective and sustainable functioning of care, encompassing multiple policies with differing impacts and perspectives, requires identifying points of connection and synergies. This points toward the creation of a holistic care policy based on an integrated approach.
Keywords:
How to Cite
References
ANDERSON, Alice (2012): Europe’s Care Regimes and the Role of Migrant Care Workers Within Them. Journal of Population Ageing, 5(2), 135–146. Online: https://doi.org/10.1007/s12062-012-9063-y
ARIAANS, Mareike – LINDEN, Philipp – WENDT, Claus (2021): Worlds of Long-Term Care: A Typology of OECD Countries. Health Policy, 125(5), 609–617. Online: https://doi.org/10.1016/j.healthpol.2021.02.009
CASANOVA, Georgia (2024): Long-Term Care Needs and the Risk of Household Poverty Across Europe: A Comparative Secondary Data Study. BMC Geriatrics, 24(101), 1–10. Online: https://doi.org/10.1186/s12877-024-04687-x
COLOMBO, Francesca (2012): Typology of Public Coverage for Long-Term Care in OECD Countries. In COSTA-FONT, Joan – COURBAGE, Christophe (szerk.): Financing Long-Term Care in Europe: Institutions, Markets and Models. London S.L. UK: Palgrave Macmillan, 17–40. Online: https://doi.org/10.1057/9780230349193_2
COPELAND, Paul (2020): Governance and the European Social Dimension: Politics, Power and the Social Deficit in a Post-2010 EU. Abingdon: Routledge. Online: https://doi.org/10.4324/9781351001762
COSTA-FONT, Joan – COURBAGE, Christophe (2012): Financing Long-Term Care in Europe: Institutions, Markets and Models. Basingstoke: Palgrave Macmillan. Online: https://doi.org/10.1057/9780230349193
DALY, Mary (2023): Long-Term Care as a Policy Issue for the European Union and United Nations Organisations. International Journal of Care and Caring, 20(20), 1–16. Online: https://doi.org/10.1332/239788221X16887213701095
Emberi Erőforrások Minisztériuma (2021): Tartós ápolás-gondozásra vonatkozó stratégia 2030. Online: https://cdn.kormany.hu/uploads/document/c/c6/c68/c68381aafe390e0744e99b10df3a98b3bd67ce67.pdf
Eurofound (2020): Long-Term Care Workforce: Employment and Working Conditions. Luxembourg: Publication Office of the European Union.
European Commission (2017): Communication from the Commission to the European Parliament, the Council, the European Economic and Social Committee and the Committee of the Regions. Establishing a European Pillar of Social Rights. COM (2017), 250 final.
European Commission (2018): Report from the Commission to the European Parliament, the Council, the European Economic and Social Committee and the Committee of the Regions on the Development of Childcare Facilities for Young Children With a View to Increase Female Labour Participation, Strike a Work-Life Balance for Working Parents and Bring about Sustainable and Inclusive Growth in Europe (The “Barcelona Objectives”). Brussels, COM (2018), 273 final.
European Commission (2020): A Union of Equality: Gender Equality Strategy 2020–2025. Brussels: European Commission. COM (2020), 152 final.
European Commission and Social Protection Committee (2021): 2021 Long-Term Care Report. Trends, Challenges and Opportunities in an Ageing Society. Vol. 1. Joint Report Proposal by the Social Protection Committee (SPC) and the European Commission (DG EMPL). Online: https://ec.europa.eu/social/main.jsp?catId=738&langId=en&pubId=8396
European Commission (2021a): The European Pillar of Social Rights Action Plan. Luxembourg: Publications Office of the European Union. Online: https://op.europa.eu/webpub/empl/european-pillar-of-social-rights/en/
European Commission (2021b): EU Strategy on the Rights of the Child. Luxembourg: Publications Office of the European Union.
European Commission (2021c): Strategy for the Rights of Persons Disabilities 2021–2030. Luxembourg: Publications Office of the European Union.
European Commission (2021d): Proposal for a Council Recommendation on Ensuring a Fair Transition Towards Climate Neutrality. Strasbourg, 14.12. 2021. COM (2021) 801 final.
European Commission (2022a): Communication from the Commission to the European Parliament, the Council, the European Economic and Social Committee and the Committee of the Regions on the European Care Strategy. COM (2022) 440 final.
European Commission (2022b): Proposal for a Council Recommendation on Access to Affordable High-Quality Long-Term Care. Brussels, 7.9. 2022, COM (2022) 441 final.
European Commission (2022c): Staff Working Document Accompanying the Document. Commission Proposal for a Council Recommendation on Access to Affordable High-Quality Long-Term Care. Brussels, 7.9. 2022 SWD (2022) 441 final. Online: https://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:52022SC0441
European Commission (2023a): Demographic Change in Europe: A Toolbox for Action. Brussels, 11.10.2023. COM (2023) 577 final.
European Parliament and the Council (2019): Directive (EU) 2019/1158 of the European Parliament and the Council of 20 June 2019 on Work-Life Balance for Parents and Carers and Repealing Council Directive 2010/18/EU.
GONZALES-AQUINES, Alejandro et al. (2024): Defining Long-Term Care in European Union Countries: A Review of Policy Documents. Journal of Long-Term Care, 2024, 414–423. Online: https://doi.org/10.31389/jltc.333
PAVOLINI, Emmanuele (2021): ’Long-term care social protection models in the EU’. European Social Policy Network (ESPN), Luxembourg: Publication Office of the European Union. Online: https://op.europa.eu/en/publication-detail/-/publication/670f407f-3572-11ed-9c68-01aa75ed71a1/language-en
RANCI, Constanzo – PAVOLINI, Emmanuele (2015): Not All That Glitters Is Gold: Long-Term Care Reforms in the Last Two Decades Europe. Journal of European Social Policy, (25)3, 270–285. Online: https://doi.org/10.1177/0958928715588704
SPASOVA, Slavina – WARD, Terry (2019): Social Protection Expenditure and Its Financing in Europe. A Study of National Policies. European Social Policy Network (ESPN). Brussels: European Commission. Online: https://op.europa.eu/en/publication-detail/-/publication/6f462a37-0059-11ea-8c1f-01aa75ed71a1/language-en
di TORELLA, Eugenia Caracciolo (2023): Re-thinking Care after the Pandemic: a European Care Strategy for Caregivers and Care Receivers. ERA Forum, 24, 55–67. Online: https://doi.org/10.1007/s12027-023-00744-x
TÓTH Tibor (2018): Az európai szociális modell történeti változásai és perspektívái. Európai Tükör, 2, 33–50. Online: https://folyoirat.ludovika.hu/index.php/eumirror/article/view/1178/499
ZACHARENKO, Elena – ELOMÄKI, Anna (2022): Constructions of Care in EU Economic, Social, and Gender Equality Policy: Care Providers and Care Recipients versus the Needs of the Economy? Social Politics: International Studies in Gender, State & Society, 29(4), 1314–1335. Online: https://doi.org/10.1093/sp/jxac014