Search results for ‘Author:"ilinca stefania"’ Sort:
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Attitudes, experiences and expectations on long-term care in Austria
- Authors:
- ILINCA Stefania, et al
- Publisher:
- InCARE
- Publication year:
- 2022
- Pagination:
- 8
- Place of publication:
- Vienna
The factsheet provides an accessible summary of the key findings from the data collected by the InCARE survey in Austria and across Europe. The unweighted data consisted of 404 responses from Austria and 2314 responses from across EU-27 countries, collected through an online survey between September 2021 and February 2022.Our results indicate that informal caregiving and a perceived responsibility of families to provide care remain very common, despite strong preferences for an increased role of the state in care provision and financing. Many Austrians (especially middle aged) have low trust that the care system will be able to respond to their preferences for future care, as limited availability and high costs are identified as key barriers in access. Gender, age, socio-economic and rural/urban gaps in expectations, experiences and barriers to care highlight the need to increase social protection and address persistent inequalities. (Edited publisher abstract)
The time to care about care: responding to changing attitudes, expectations and preferences on long-term care in Europe
- Authors:
- ILINCA Stefania, SIMMONS Cassandra
- Publisher:
- InCARE
- Publication year:
- 2022
- Pagination:
- 14
- Place of publication:
- Vienna
Fifteen years after the Special Eurobarometer 283 on Health and long-term care in the European Union, the results of the cross-national InCARE survey bring to light significant changes in the attitudes, expectations and long-term care experiences of Europeans. As momentum for reform is building both at national and European level, we find the policy discourse has not kept up with dynamic preferences and attitudes towards care, especially among younger cohorts. Overwhelming support for increasing the role of the State in long-term care organization, provision and financing and shifting the burden of care away from families and individuals, is improperly reflected in current policies. What is more, a failure to do so is negatively affecting trust in care systems, as well as increasing the reliance on informal carers at the detriment of their health and wellbeing. Since 2007, the ability of care systems to adequately address evolving care needs has declined: residential care is unaffordable for many, and the supply of community-based services is falling considerably behind a rising demand. Rural communities and poorer individuals bear the brunt of growing capacity gaps, while women are disproportionately affected by the burden of frequent, intensive and undesired informal caregiving spells. A reorientation towards person-centered, participatory, equitable and accessible care models is urgently needed to rebuild declining public trust in the ability of care systems to respond to the preferences and expectations of individuals and communities. (Edited publisher abstract)
Attitudes, experiences and expectations on long-term care in Spain
- Authors:
- ILINCA Stefania, et al
- Publisher:
- InCARE
- Publication year:
- 2022
- Pagination:
- 8
- Place of publication:
- Vienna
This factsheet provides an accessible summary of the key findings from the data collected by the InCARE survey in Spain and across Europe. The results are based on unweighted data consisting of 375 responses from Spain and 2373 responses from across EU-27 countries, collected through an online survey between September 2021 and February 2022. Our results indicate that limited availability and high costs are commonly cited as barriers in access to care in Spain, suggesting a need for increasing financial protection and improved planning of care delivery. Spanish respondents have very low trust that the long-term care system will be able to respond to their future care needs, especially regarding the capacity and accessibility of community-based care solutions. Attitudes and preferences for care arrangements are shifting away from the traditional familialistic grounding of the Spanish care system, and towards a stronger role of the State and of professional services in long-term care provision. (Edited publisher abstract)
Comparing (and learning from) integrated care initiatives: an analytical framework
- Authors:
- CALCIOLARI Stefano, ILINCA Stefania
- Journal article citation:
- Journal of Integrated Care, 19(6), 2011, pp.4-13.
- Publisher:
- Emerald
The aim of this study was to identify the environmental conditions and configurations of factors associated with service delivery success in integrated care initiatives. Drawing on an extensive literature review, the authors developed an analytical framework for structuring and interpreting the relations between contextual, cultural and organisational factors and outcomes of integrated care. The article then compares 4 cases of integrated service provision, in the USA, Canada, Italy and Switzerland, targeting similar frail elderly populations. It briefly describes the context and nature of the interventions, and analyses them following the structure of the proposed framework. The study findings suggest that positive outcomes mainly depend on the correct matching of macro level factors with a balanced mix of operating means at the micro level, and that successful initiatives are a matter of appropriate configurations of contextual, organisational and technical factors.
From disability rights towards a rights-based approach to long-term care in Europe: building an index of rights-based policies for older people. Working paper II: conceptual framework...
- Authors:
- SCHULMANN Katharine, ILINCA Stefania, RODRIGUES Ricardo
- Publisher:
- European Centre for Social Welfare Policy and Research
- Publication year:
- 2018
- Pagination:
- 19
- Place of publication:
- Vienna
This working paper presents a conceptual framework for a human rights-based approach to care and support services, and attempts to detail what the fulfilment of universal human rights entails when applied to the particular case of older people with care and support needs. It is from the project 'From disability rights towards a rights-based approach to long-term care in Europe: building an index of rights-based policies for older people'. (Edited publisher abstract)
From care in homes to care at home: European experiences with (de)institutionalisation in long-term care
- Authors:
- ILINCA Stefania, LEICHSENRING Kai, RODRIGUES Ricardo
- Publisher:
- European Centre for Social Welfare Policy and Research
- Publication year:
- 2015
- Pagination:
- 15
- Place of publication:
- Vienna
Many countries across Europe have developed strategies to support community-based services in an attempt to replace traditional institutional models of care. Differences in needs, approaches and commitment levels have led to diverse results and pace of progress. However, much can be learned from their experiences and from examples of strategies and models which proved to be effective. This Policy Briefing presents a typology of long-term care regimes and proposes four case studies to illustrate the main barriers and drivers to deinstitutionalisation. Austria (Standard care mix) illustrates the importance of developing strong support systems for informal carers and strengthening home-based care provision. Sweden (UniversalNordic) has made great strides towards deinstitutionalisation by promoting coordination between care providers, but, the coverage and cost of services will soon become unsustainable unless appropriate support for family-based care is provided. Italy (Family-based) and the Czech Republic (Transition) represent situations where the rates of institutionalisation are relatively low and current policy is challenged to contain future growth. Both systems offer significant support to informal and family carers, but this historic over-reliance on household contributions to care is leading to a widening gap between supply and demand, which needs to be addressed through the strengthening of community-based services.The briefing concludes with a discussion of the core principles for reaching a sustainable balance between different long-term care settings. (Edited publisher abstract)
Analysing equity in the use of long-term care in Europe
- Authors:
- RODRIGUES Ricardo, ILINCA Stefania, SCHMIDT Andrea
- Publisher:
- European Commission
- Publication year:
- 2014
- Pagination:
- 39
- Place of publication:
- Brussels
There are significant differences across social protection systems in Europe in the scope, breadth and depth of coverage of the risk to need long-term care in old-age. Together with other factors, such as education, household structure or societal values regarding care for frail older people, these differences can have a significant impact on the use of long-term care. Using SHARE data, this Research Note compares differences between European countries in the use of long-term care across income groups, for older people living at home. It analyses not only inequalities in the use of long-term care, but also differences in use that persist after differences in need have been taken into consideration, i.e. horizontal inequity. For this purpose, concentration indices, concentration curves and horizontal inequity indices are estimated for home care services and informal care. The countries analysed here are Austria, Germany, Sweden, the Netherlands, Spain, Italy, France, Denmark, Greece, Belgium and Czech Republic. The findings suggest that differences in use of home care services across income groups mostly reflect differences in need between those same groups. For informal care, the differences in use persist even after accounting for needs, and less affluent individuals are much more likely to use informal care. Some possible causes for these differences and policy implications are considered.