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Access and Cost of Education and Health Services : Preparing Regions for Demographic Change / Organisation for Economic Co-operation and Development and Joint Research Centre - European Commission
- Format:
- Book
- Government document
- Author/Creator:
- Organisation for Economic Co-operation and Development.
- Series:
- OECD Rural Studies, 27073424.
- Language:
- English
- Subjects (All):
- Education.
- Governance.
- Social Issues/Migration/Health.
- Urban, Rural and Regional Development.
- Local Subjects:
- Education.
- Governance.
- Social Issues/Migration/Health.
- Urban, Rural and Regional Development.
- Physical Description:
- 1 online resource (179 p. )
- Place of Publication:
- Paris : OECD Publishing, 2021.
- Summary:
- Current population trends and the COVID-19 pandemic reinforce the need for efficient public service provision while guaranteeing good access to all. Population decline and ageing in rural regions affect the provision of services through lower economies of scale and scope, professional shortages and longer distances. Reliable estimates of the costs and access arising from demographic and geographical differences can help adapt the provision of services to different territorial realities. This report provides internationally comparable fine-grained present and future estimates of the cost and physical access to education (primary and secondary) and health services (cardiology, maternity and obstetrics) in European countries. The report finds that demographic change in the next decades will likely further strain the trade-off between costs and access, especially in remote rural areas. Adapting to changes in demand following lower fertility rates and ageing implies that services will need to become more widely available, while others will have to concentrate more. This report aims to support evidence-based policy decisions to ensure service provision allows for both cost efficiency and a sufficient level of access in all territories.
- Contents:
- Preface
- Foreword
- A method to estimate school costs and access
- Executive summary
- Present and future school costs and access
- Service provision: Definition and trends
- A method to estimate health care services access and costs
- Present and future health care services costs and access.
- ISBN:
- 9789264591141
- 9264591141
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