For Official Use DEELSA/ELSA/MIN(98)2/ANN
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For Official Use DEELSA/ELSA/MIN(98)2/ANN Organisation de Coopération et de Développement Economiques OLIS : 05-Jun-1998 Organisation for Economic Co-operation and Development Dist. : 10-Jun-1998 __________________________________________________________________________________________ Or. Eng. DIRECTORATE FOR EDUCATION, EMPLOYMENT, LABOUR AND SOCIAL AFFAIRS For Official Use DEELSA/ELSA/MIN(98)2/ANN EMPLOYMENT, LABOUR AND SOCIAL AFFAIRS COMMITTEE Meeting of the Employment, Labour and Social Affairs Committee at Ministerial Level on Social Policy BACKGROUND DOCUMENTS THE CARING WORLD: NATIONAL ACHIEVEMENTS TABLES AND CHARTS (Note by the Secretary-General) Paris, 23-24 June 1998 Declassified 66363 Or. Eng. Document complet disponible sur OLIS dans son format d'origine Complete document available on OLIS in its original format DEELSA/ELSA/MIN(98)2/ANN TABLE OF CONTENTS Table 2.1 Main social policy priorities and challenges ..............................................................................4 Table 3.1 Groups identified at significant risk of social exclusion, selected OECD countries .................9 Table 3.2 Total social assistance expenditure as a proportion of social security, 1980-1992 .................10 Table 3.3 Summary of social assistance arrangements, selected OECD countries .................................11 Table 4.1 Summary of assistance to families with children, OECD countries ........................................14 Table 4.2 Summary of special cash benefits for disabled children, selected OECD countries ...............15 Table 4.3 Summary of child support arrangements, selected OECD countries .......................................16 Table 4.4 Approaches to child care in selected OECD countries ............................................................18 Table 4.5 Summary of maternity and parental benefits, OECD countries...............................................20 Table 5.1 Selected features of unemployment benefit programmes ........................................................22 Table 5.2 Net replacement rates for four family types at two earnings levels in the first month of benefit receipt,1995 ...............................................................................................................................................24 Table 5.3 Recent developments with benefits for the unemployed .........................................................25 Table 5.4 Recent disability benefit trends - selected countries ................................................................34 Table 5.5 Recent sickness benefit trends - selected countries..................................................................39 Table 5.6 Changes to labour market measures.........................................................................................42 Table 5.7 Special measures for young and older jobseekers....................................................................47 Table 5.8 Range of in-work benefits ........................................................................................................50 Table 6.1 Public flat-rate pension programmes in Member countries .....................................................52 Table 6.2 Public earning-related pension programmes in Member countries .........................................56 Table 6.3 Replacement rate of public pension programmes ....................................................................63 Table 6.4 Funding arrangements of selected public pension programmes ..............................................65 Table 6.5 Selected private pension programmes for employees ..............................................................66 Table 6.6 Examples of major personal savings programmes ...................................................................69 Table 6.7 Tax concessions for pension benefits and other income/savings ..............................................70 Table 6.8 Current retirement income concerns and processes .................................................................77 Table 6.9 Directions of recent pension reforms in Member countries .....................................................82 Table 6.10 Pensionable age and early/deferred retirement ......................................................................89 Table 6.11 Pensions and employment: linkage in selected countries ......................................................96 Table 7.1 Health care expenditures as a share of GDP, 1985-1995 .........................................................98 Table 7.2 Characteristics of health care systems--administration and financing .....................................99 Table 7.3 Cost sharing policies in Member countries (US dollars) ......................................................107 Table 7.4 Principal methods of providing services under health insurance in 1997: main scheme .....109 Table 7.5 Cost containment measures in Member countries .................................................................110 Table 7.6 Outcomes measurement initiatives in selected OECD member countries .............................120 Table 7.7 Recent competition measures in selected OECD countries ...................................................121 Table 7.8 Measures to improve quality of health care delivery .............................................................123 Table 7.9 Recent public health initiatives in Member countries ............................................................130 Table 7.10 Recent equity policies in selected OECD Member countries ..............................................141 2 DEELSA/ELSA/MIN(98)2/ANN Table 7.11 Eligibility and coverage for health care in OECD Member countries .................................143 Table 7.12 Characteristics of health care systems--systems of provision for the elderly ......................147 Table 8.1 Policy concerns in terms of long-term care............................................................................150 Table 8.2 Roles and responsibilities of the actors in the field of long-term care ...................................158 Table 8.3 Ensuring access to long-term care from financial perspectives .............................................168 Table 8.4 Qualitative aspects of services and policy responses .............................................................175 Table 8.5 Private providers/insurers of long-term care, in selected countries .......................................179 Table 8.6 Integration and tailoring of services.......................................................................................180 Table 8.7 Duty/authority of deciding eligibility and contents of services .............................................188 Table 8.8 Cost containment measures and preventative approaches .....................................................191 Table 9.1 Housing assistance for low-income people in OECD countries ............................................196 Table 9.2 Governmental responsibility for housing policy across the OECD .......................................206 Table 9.3 Reform of housing assistance, selected OECD countries ......................................................209 CHARTS Chart 5.1: Countries taking policy action for people of working age, as a proportion of countries reviewed ............................................................................213 Chart 6.1: Countries taking policy action in retirement incomes, as a proportion of countries surveyed ............................................................................214 Chart 7.1: Breakdown of health policy concerns by issue area, as a proportion of countries experiencing concerns .......................................................215 Chart 7.2: Breakdown of country concerns about health care costs .....................................................216 Chart 7.3: Breakdown of country concerns about quality in health care delivery ................................217 Chart 7.4: Breakdown of country concerns about public health ...........................................................218 Chart 8.1: Policy concerns in terms of long-term care, as a proportion of countries surveyed ............219 Chart 8.2: Cost-containment measures (long-term care) taken by countries, as a proportion of countries surveyed ............................................................................220 3 DEELSA/ELSA/MIN(98)2/ANN Table 2.1 Main social policy priorities and challenges Australia Government priorities affecting social policy include: •= Promoting economic growth, fiscal consolidation and sound macroeconomic planning •= Enhancing employment, education and training opportunities for those of working age •= Encouraging greater self-provision by those who have economic resources •= Assisting families in periods of vulnerability, hardship or life course transition •= Improving the delivery of government services and simplifying payments Austria Importance of striking the right balance between economic growth, budget stringency and social expenditures. Pursuit of fiscal consolidation with due regard for social justice. Canada Challenge to address changing family structures, an ageing population, employment and unemployment, and learning and education -- while at the same time maintaining fiscal responsibility. Some major areas receiving attention include efforts to preserve and maintain Canada’s universal health-care system, child development, youth unemployment and people with disabilities.