Shared Housing Arrangements in Germany-An Equitable Alternative to Long Term Care Services beyond Homes and Institutions?

Int J Environ Res Public Health. 2018 Feb 14;15(2):342. doi: 10.3390/ijerph15020342.


Given the saliency of socio-demographic pressures, the highly restrictive definition of "need for care" characterizing the German long-term care system at its foundations in 1994 has since been subject to various expansionary reforms. This has translated into greater interest in innovative care models that provide more choice and flexibility to beneficiaries. One such model is 'shared housing arrangements' ("ambulant betreute Wohngemeinschaften"), where a small group of people rent private rooms, while sharing a common space, domestic support, and nursing care. Using interview and secondary data, this study examines the potential for such arrangements to provide an equitable alternative to care that is accessible to a larger population of beneficiaries than presently seen in Germany.

Keywords: Germany; equity; long term care; shared housing arrangements.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Aged, 80 and over
  • Female
  • Germany
  • Health Services Accessibility / organization & administration
  • Healthcare Disparities
  • Homes for the Aged / organization & administration*
  • Housing / organization & administration*
  • Humans
  • Interviews as Topic
  • Long-Term Care / organization & administration
  • Male
  • Nursing Homes / organization & administration*