Living arrangements and long-term care for older persons in Paris

Florence De Maria, Victor G. Rodwin, Marc Esponda

Research output: Chapter in Book/Report/Conference proceedingChapter


In France, since 1997, there have been significant efforts to improve and rationalize long-term care services for older persons. Some reforms promoted under the banner of "aging and solidarity" have increased resources to finance more home help for the most dependent older persons-and assist their caregivers. In this regard, the replacement of the disability allowance (PSD) by the more generous personal autonomy allowance (APA) in 2002 is the most important. Others have aimed to rationalize payment for institutional services, taking into account their client "case mix" based on measures of dependency. In addition, there have been central initiatives to encourage healthy aging (bien vieillir) through exercise and nutrition programs. One consequence of the 2003 heat wave (canicule) has been to strengthen political resolve to implement these reforms.

Original languageEnglish (US)
Title of host publicationGrowing Older in World Cities
Subtitle of host publicationNew York, London, Paris, and Tokyo
PublisherVanderbilt University Press
Number of pages18
ISBN (Print)0826514898, 9780826514899
StatePublished - 2006

ASJC Scopus subject areas

  • General Social Sciences


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