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The impact of demographic change on local and regional government

The impact of demographic change on local and regional government

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[3]Demographic Changein Four Policy fields:Social Services, Spatial Planning, Employment /Social Inclusi<strong>on</strong> <strong>and</strong> Local Community Activities3.1 SOCIAL SERVICESRelati<strong>on</strong>ship between social services <strong>and</strong> demographySocial services are affected by <str<strong>on</strong>g>demographic</str<strong>on</strong>g> <str<strong>on</strong>g>change</str<strong>on</strong>g>s in manyways. Most obvious <strong>and</strong> comprehensible is the <str<strong>on</strong>g>impact</str<strong>on</strong>g><str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>demographic</str<strong>on</strong>g> <str<strong>on</strong>g>change</str<strong>on</strong>g> <strong>on</strong> social security systems, mainlythe pensi<strong>on</strong> system but also the nursing care <strong>and</strong> healthinsurance systems. Fewer people are now working <strong>and</strong>financing social insurance systems, while a growing number <str<strong>on</strong>g>of</str<strong>on</strong>g>people are dependent <strong>on</strong> the system <strong>and</strong> its benefits. So it isdecisive for the viability <str<strong>on</strong>g>of</str<strong>on</strong>g> a pensi<strong>on</strong> system how manypensi<strong>on</strong>ers have to be maintained by each ec<strong>on</strong>omically activepers<strong>on</strong> (37) .Not <strong>on</strong>ly the quality <str<strong>on</strong>g>of</str<strong>on</strong>g> social services but also the extent <strong>and</strong>accessibility <str<strong>on</strong>g>of</str<strong>on</strong>g> services are affected by an ageing <strong>and</strong>shrinking populati<strong>on</strong>. Social services include child care, care forthe elderly <strong>and</strong> disabled, as well as health care instituti<strong>on</strong>s <strong>and</strong>educati<strong>on</strong>al services such as schools, which may haveimportant functi<strong>on</strong>s as day care instituti<strong>on</strong>s.<str<strong>on</strong>g>The</str<strong>on</strong>g> ageing <str<strong>on</strong>g>of</str<strong>on</strong>g> the populati<strong>on</strong> poses obvious challenges for thecare <str<strong>on</strong>g>of</str<strong>on</strong>g> the elderly. <str<strong>on</strong>g>The</str<strong>on</strong>g> number <str<strong>on</strong>g>of</str<strong>on</strong>g> people needing nursing orhealth care is rising. <str<strong>on</strong>g>The</str<strong>on</strong>g> capacity <str<strong>on</strong>g>of</str<strong>on</strong>g> care instituti<strong>on</strong>s thereforeneeds to be increased. As far as quality is c<strong>on</strong>cerned, thegrowing percentage <str<strong>on</strong>g>of</str<strong>on</strong>g> very old people (over 80) requiresprogrammes <strong>and</strong> adjusted services <strong>on</strong> a very specific level forthis target group. <str<strong>on</strong>g>The</str<strong>on</strong>g>se services will presumably increase inthe years to come.(37) Internati<strong>on</strong>al Labour Organizati<strong>on</strong> (ILO), An inclusive society for an ageing populati<strong>on</strong>: <str<strong>on</strong>g>The</str<strong>on</strong>g> employment <strong>and</strong> social protecti<strong>on</strong> challenge, Paper c<strong>on</strong>tributed by the ILO to the Sec<strong>on</strong>d World Assembly <strong>on</strong>Ageing, Madrid, 8-12 April 2002 (http://www.ilo.org/public/english/employment/skills/older/publ/index.htm).89

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