South Africa


  • Industry: Healthcare
  • Type: Business and industry issue
  • Date: 2012/12/06

Long-term care for the elderly 

An increase in ageing of population globally leads to a much larger issue of change in dependency ratio — reduced tax paying and working population to support the retired and elderly population and those using healthcare services.
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An increase in the number of people requiring health and social care services has led to a growth in long-term care (LTC) expenditure for the past few decades.


  • Many countries are initiating reforms to improve the accessibility and affordability of long-term elderly care services.
  • Demand for LTC services is on the rise, driven by demographic and social factors such as increased longevity and advances in medical technologies.
  • A variety of societal changes are likely to contribute to a decline in the availability of family caregivers, leading to an increased demand for paid care for the elderly.
  • Home and community-based care has been gaining prominence worldwide, owing to the dependents’ preference for receiving home care.
  • While private LTC insurance could work as an extra financial resource for governments, the probability of this being a less efficient and a costlier alternative, in comparison with the benefits it provides, is a concern.

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Marcelle Fouche

Senior Partner

Tel: +27 (0)11 647 7019