Papers by Emmanuele Pavolini
Journal of Health Organization and Management, 2015
En este texto se analizan los profundos cambios producidos en los últimos años en las políticas d... more En este texto se analizan los profundos cambios producidos en los últimos años en las políticas de cuidados de larga duración en diversos países europeos (Francia, Alemania, Italia, Gran Bretaña y Países Bajos) y especialmente, si las reformas introducidas están suponiendo un cambio de dirección en la provisión de servicios de asistencia a las personas mayores. Se evalúa si parte de ese cambio está relacionado con la introducción de mercados sociales en la asistencia a personas mayores, lo que supone más mercado y más elección para los ciudadanos y las familias, y si están permitiendo, entre otros aspectos, expandir la cobertura de servicios, la competencia entre los proveedores o el apoyo para las actividades de asistencia basadas en la familia. Igualmente se analizan los cambios y tensiones que está experimentando el tercer sector con la introducción de los mercados sociales, en especial su capacidad para mantener su identidad y hacerla compatible con la identificación y satisfacc...
ABSTRACT Social benefits and transfers set up by the social partners, through bilateral initiativ... more ABSTRACT Social benefits and transfers set up by the social partners, through bilateral initiatives as well as unilateral actions by the employers, have played a growing role in the last decades. What is referred to as occupational welfare is not a new phenomenon, yet it has gained new relevance in some EU countries (in terms of total spending, benefit level and coverage of the workforces). On the one hand, these schemes have contributed to shape social dialogue between trade unions and firms, and on the other hand to revise the welfare public/private mix. While occupational welfare is thus relevant to understand recent trends in welfare states and industrial relations, relatively little research has dealt with the issue, especially from a comparative point of view. The present paper sheds light on the recent evolution of supplementary social benefits provided by social partners (2). Based on the results of the project ‘Providing Welfare through Social Dialogue: A renewed role for social partners?’ (PROWELFARE), the paper sheds light on those occupational benefits and services voluntarily provided by social partners. We call this Voluntary Occupational Welfare (VOW). The focus is on three policy areas (health care; reconciliation of work and family life, and training), in three sectors (manufacturing, public sector, and private services), and in eight countries (Austria, Belgium, Germany, Italy, Poland, Spain, Sweden, and UK). Evidence collected through the project proves VOW is becoming relatively more widespread. It usually represents an addition rather than a substitute to statutory schemes. However VOW programmes represent a 'double-edged sword': they offer possibilities for improving workers’ conditions and life; at the same time they could create incentives to weaken the welfare state and to fragment employees’ conditions on the labour market.
ABSTRACT Health Care Systems
South European Society and Politics, 2014
Family policies have traditionally been weak in Southern Europe. In the last two decades, however... more Family policies have traditionally been weak in Southern Europe. In the last two decades, however, and following a 'catching up' course, Spain has created new family programmes and expanded existing ones. Meanwhile, the picture for Italy during the years preceding the crisis is more of a 'frozen landscape'. However, the diverging paths of the two countries in terms of policy reform in the years preceding the crisis do not place them in substantially different positions. The economic crisis and the austerity measures that followed have aggravated the weaknesses of family and care policies in both countries.
Work, Family Policies and Transitions to Adulthood in Europe, 2012
South European Society and Politics, 2014
ABSTRACT This article addresses the question of whether the economic crisis provides a politicall... more ABSTRACT This article addresses the question of whether the economic crisis provides a politically opportune time to drastically curtail public healthcare in South Europe or whether, instead, there are signs of longer-term reform strategies for potentially balancing fiscal targets with the quest for enhanced value and health outcomes, when eventually growth resumes. After a brief examination of the profile of healthcare systems in Greece, Italy, Portugal and Spain prior to the crisis, we comparatively assess the mix of retrenchment, restructuring and recalibration strategies. The effects of the austerity-driven reforms on current (and expected) health outcomes are also briefly analysed. We conclude with reflections on the future of public healthcare in South Europe. Available electronically at http://www.tandfonline.com/toc/fses20/current#.VDf0RRac6So
In this paper we compare the organisational and role changes which have taken place among non-pro... more In this paper we compare the organisational and role changes which have taken place among non-profit organisations working in the field of personal social services in Western European countries during the different phases of the Welfare State. The main hypothesis of the research is that to understand the changes and the development of non-profit organisations it should be used an approach which emphasises in the explanation their social and political embeddedness. It is argued that in the field of personal social services there is a convergence in the 90's among the policies toward nonprofits and the organisational characteristics of this kind of organisations. There is also a partial convergence in the role played by these organisations in the Welfare System, although the convergence in this case is moderated by the different welfare institutional settings developed by the different countries during the last decades.
Nonprofit and Civil Society Studies, 2002
Handbook on Third Sector Policy in Europe, 2009
Handbook on Third Sector Policy in Europe, 2009
Reforms in Long-Term Care Policies in Europe, 2012
ABSTRACT This final chapter summarizes the main results of the national case studies and gives a ... more ABSTRACT This final chapter summarizes the main results of the national case studies and gives a general interpretation of the changes taking place in the long term care sector over the last 20 years in Europe. The discussion addresses all the theoretical and empirical questions which were introduced in the introductory chapter. More specifically, the chapter focuses on two general issues. The first relates to the mechanisms and institutional processes through which change has been made possible, notwithstanding financial pressures and strong institutional resistance against innovation. The form of change is analyzed by referring to recent theories of institutional change stressing also the relevance of incremental and implicit innovation. The role played by the main actors, both social and political, is also reviewed. Moreover, a comparative analysis is carried out in order to see if the most common typologies concerning care regimes can be satisfactorily used to better understand the main differences between the European countries considered in this book. The second issue concerns the general impact of the reform of long term care on potential beneficiaries and their families, as well as on workers and on the overall organization of the LTC delivery system. Finally, the conclusion offers a general overview and interpretation of the ongoing reform processes.
Reforms in Long-Term Care Policies in Europe, 2012
Journal of European Social Policy, 2008
Faced with the problems associated with an ageing society, many European countries have adopted i... more Faced with the problems associated with an ageing society, many European countries have adopted innovative policies to achieve a better balance between the need to expand social care and the imperative to curb public spending. Although embedded within peculiar national traditions, these new policies share some characteristics: (a) a tendency to combine monetary transfers to families with the provision of in-kind services; (b) the establishment of a new social care market based on competition; (c) the empowerment of users through their increased purchasing power; and (d) the introduction of funding measures intended to foster care-giving through family networks. This article presents the most significant reforms recently introduced in six European countries (France, Germany, Italy, the Netherlands, Sweden and the UK) as regards long-term care. It analyses their impact at the macro-(institutional and quantitative), meso-(service delivery structures) and micro-level (families, caregivers and people in need). As a result the authors find a general trend towards convergence in social care among the countries, and the emergence of a new type of government regulation designed to restructure rather than to reduce welfare programmes.
This article analyzes comparatively the trajectories of welfare change in Italy and Spain since t... more This article analyzes comparatively the trajectories of welfare change in Italy and Spain since the outbreak of the financial crisis. We look at the differences in the type of institutional design to study the character of welfare reform in these two countries. The article also assesses the level of EU ‘intrusiveness’ through formal instruments around the European Semester, but also through agreements with the Troika and the European Central Bank. For this part of the analysis three sets of documents have been used: Commission Recommendations and Council Decisions in relation to Excessive Deficit Procedures (EDP); Commission country-specific Recommendations based on Stability or Convergence Programmes, and policy measures to boost growth and jobs (National Reform Programmes). These documents allow an analysis of the contents of formal adjustment pressures.Other documents and sources (including newspapers’ articles) have also been analysed in order to look at the role of conditionality and ‘backroom’ diplomacy.
Keywords: Welfare state reform, EU, European Central Bank, European Semester, Italy, Spain, Economic crisis.
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Papers by Emmanuele Pavolini
Keywords: Welfare state reform, EU, European Central Bank, European Semester, Italy, Spain, Economic crisis.
Keywords: Welfare state reform, EU, European Central Bank, European Semester, Italy, Spain, Economic crisis.
Before the crisis, territorial differences in the operation of the welfare state across regions were more pronounced and intense in Italy than in Spain. With the onset of the crisis and austerity, the differences between territorial clusters in Spain have remained relatively stable or have decreased, whereas in Italy they have often increased. In both cases, regional governments have, in recent years, been more dependent on central government. In fact, to receive support or extra funding, regional governments have accepted the conditions imposed by central government. Sub-national governments have been forced to accept significant cuts and greater control or supervision of their budgets. As the largest part of the regional budget is spent on social policies, regional welfare systems have inevitably been affected both in scope and in the way in which decisions are made.