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. 2022 Sep 30;4(39):879–884. doi: 10.46234/ccdcw2022.182

Table 2. Need, access, workforce, and expenditure of long-term care for older adults for the EU population and selected European countries in 2019 (5).

Item EU-27 BE DE ES FR IT NL
Note: A1 = The percentage of population aged 65 years and over requiring long-term care.
B1 = The percentage of population aged 65 years and over receiving care in long-term care facilities.
B2 = The percentage of population aged 65 years and over receiving care at home.
B3 = The percentage of population aged 65 years and over receiving long-term care cash benefits.
B4 = The percentage of population aged 65 years and over in need of long-term care with a lack of assistance in personal care or household tasks.
B5 = The percentage of population aged 65 years and over who have used home care services for personal needs in the past 12 months.
B6 = The percentage of population aged 65 years and over in need of long-term care, but not using (more) professional home care services due to the financial reason.
B7 = The percentage of population aged 65 years and over in need of long-term care, but not using (more) professional home care services because the services needed are not available.
B8 = Beds for long-term care per 100,000 residents.
C1 = Number of long-term care (formal care) workforce per 100 older adults aged 65 years and over.
C2 = The percentage of population providing informal care, which is the proportion of respondents who provide care or assistance to one or more individuals requiring assistance due to long-term physical or mental illness, physical weakness, or old age. Only unpaid, volunteer assistance is considered.
C3 = The percentage of informal carers providing more than 20 hours informal care per week.
D1 = Public long-term care expenditure as % of gross domestic product (GDP) in 2019.
D2 = Public long-term care expenditure as % of GDP projected for 2030.
D3 = Public long-term care expenditure as % of GDP projected for 2050.
D4 = Public expenditure on institutional care as % of total public long-term care expenditure.
D5 = Public expenditure on home care as % of total public long-term care expenditure.
D6 = Public expenditure on cash benefits as % of total public long-term care expenditure.
Abbreviation: BE=Belgium; DE=Germany; ES=Spain; FR=France; IT=Italy; NL=The Netherlands; EU-27=European Union with 27 Member States; NA indicates that data were unavailable.
* Indicates that the data came from 2014.
Indicates that the data came from 2016.


Need of long-term care
A1 27.3* 29.9 15.2* 28.8 21.5 28.7 26.9
Access to long-term care
B1 3.6 6.2 4.3 1.2 4.9 3.2 5.6
B2 5.8 15.7 3.6 3.9 6.2 4.7 19.1
B3 8.8 7.8 11.3 4.4 0 10.9 1.2
B4 51.8* NA 72.1* 47.9 38.7 44.2 24.5
B5 11.0* 25.1 6.3* 10.8 15.1 9.5 18.0
B6 35.7 24.4 19.2 54.1 16.4 36.9 30.3
B7 9.7 5.8 3.8 7.3 3.6 30.3 8.3
B8 NA 1276.6 1152.2 830.3 981.5 415.8 1370.7
Long-term care workforce
C1 3.8 4.8 5.1 4.5 2.3 1.9 8.0
C2 10.3 11.6 6.8 11.5 14.1 5.8 36.7
C3 22.2 15.0 15.0 52.9 10.5 40.5 3.3
Public long-term care expenditure as the percentage of GDP
D1 1.7 2.2 1.6 0.7 1.9 1.7 3.7
D2 2.1 2.7 1.9 1.0 2.3 2.0 4.7
D3 3.4 4.4 2.8 2.1 3.7 3.1 6.7
D4 48.1 62.5 35.7 50.2 69.6 28.2 51.0
D5 25.5 26.8 23.5 25.9 24.8 19.5 16.4
D6 26.4 10.7 40.8 23.9 5.6 52.3 32.6