ABSTRACT
This chapter explains the inadequate long-term care infrastructure, particularly of home care services, and to indicate the challenges posed. It describes background situation in Turkey and the present state of public social spending compared with other OECD countries. Traditional family relationships and ties are still very strong for older persons in Turkey; family and friends are the most important source of care for people with long-term care (LTC) needs. The chapter explains the major reform of health insurance and the social assistance available for older and disabled people. In Turkey, most social spending is related to pension payments and healthcare expenditure. The lack of adequate public care services and formal care worker shortages are the main drivers of demand for migrant care workers. Residential care is the least preferred option for older people needing care services, both by family members and older people.
