Institutional and Home-Based Long-Term Care Alternatives: The 1965-1985 Swedish Experience

Abstract
Substituting home care for institutional care has been the official old-age care policy in Sweden for 30 years. The evidence for substitution is refutable: Some substitution of the two forms of long-term care took place between 1965 and 1975, but did so during a general expansion of all kinds of programs for the aged population. Thereafter, use of long-term care institutions and home care has remained stable or contracted, with only partial evidence for substitution, notwithstanding continuing ideological pushes in that direction.

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