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Rebuilding for sustainability and resilience: strengthening the integrated delivery of long-term care in the European region
- Author:
- WORLD HEALTH ORGANIZATION. Regional Office for Europe
- Publisher:
- World Health Organization. Regional Office for Europe
- Publication year:
- 2022
- Pagination:
- 22
- Place of publication:
- Copenhagen
The pandemic of coronavirus disease 2019 has revealed and accentuated important gaps in the provision of appropriate, community-based, long-term care services for a rapidly growing number of people experiencing decline in functional ability, across the WHO European Region. As countries work to rebuild and strengthen health and long-term care systems, it is essential to support broad dialogue, a common vision for change and focused interventions to bridge existing divides. This policy brief proposes a conceptual framework that maps long-term care actions within the health and social policy landscape and highlights the need and potential for deeper integration and coordination across systems. (Edited publisher abstract)
WHO regional consultation on strengthening integrated long-term care provision
- Author:
- WORLD HEALTH ORGANIZATION. Regional Office for Europe
- Publisher:
- World Health Organization. Regional Office for Europe
- Publication year:
- 2021
- Pagination:
- 25
- Place of publication:
- Copenhagen
A high degree of variability characterizes the organization, delivery and financing of long-term care in the WHO European Region. Despite this diversity, a common set of challenges, rendered more acute by the devastating effects of the COVID-19 pandemic, increasingly are emerging as key priorities for health and social policy agendas. In response to requests from Member States and in line with the recommendations of the Pan-European Commission on Health and Sustainable Development, the WHO Regional Office for Europe is committed to supporting countries in the Region to turn these common challenges into opportunities for accelerating progress on integrated provision of care services. To ensure Member States are supported adequately in their efforts to strengthen and develop integrated long-term care provision, the WHO Regional Office for Europe convened a regional consultation on strengthening integrated long-term care provision to present WHO tools and resources to Member States, identify priority areas for action at national level and establish where technical support can be provided. This report sets out a summary of presentations at the regional consultation. (Edited publisher abstract)
“Nothing about us, without us”. Tips for policy-makers on child and adolescent participation in policy development
- Author:
- WORLD HEALTH ORGANIZATION. Regional Office for Europe
- Publisher:
- World Health Organization. Regional Office for Europe
- Publication year:
- 2021
- Pagination:
- 4
- Place of publication:
- Copenhagen
Decision-makers have a professional and moral obligation to ensure that adolescents are involved in the development, implementation and monitoring of all relevant legislation, policies and services. Adolescents need to be included in developing the programmes affecting their lives, whether at school, in their communities or at national and international levels. This guide outlines the rationale for including children and adolescents in decision-making. It presents guidance on how participation with young people can be planned and executed to inform policy and practice developments and calls for policy-makers to prioritize both marginalised and seldom-heard adolescents and young children in decision-making. (Edited publisher abstract)
Long-stay mental health care institutions and the COVID-19 crisis: identifying and addressing the challenges for better response and preparedness
- Author:
- WORLD HEALTH ORGANIZATION. Regional Office for Europe
- Publisher:
- World Health Organization. Regional Office for Europe
- Publication year:
- 2020
- Pagination:
- 20
- Place of publication:
- Copenhagen
This report presents the results of a survey with 169 long-stay institutions to assess the impact of the COVID-19 pandemic on services, staff, service users and residents with psychosocial and intellectual disabilities. Specific themes explored in this report are how well the institutions were prepared for the crisis by authorities, the quality of communications, the availability of personal protective equipment, and the impact of the risk of infection and protective measures on staff and residents. The report finds that there were significant differences between the types of institution reporting, which included psychiatric hospitals; care homes; and other settings for mental health care. Responses from psychiatric, intellectual disability and autism services were broadly consistent with those from social care homes, except for the following significant areas of difference: social care homes were happier with information from the authorities and the information they provided for residents in accessible formats; care home staff reported challenges with more workload, stress, frustration and burnout; care homes were less likely to use discharge to reduce numbers and manage the virus; and more likely to report an increase in the use of restrictive measures. The analysis highlights the need to put in place comprehensive and practical plans to facilitate management and day-to-day operations under crisis conditions. The keys to this are: having clear guidelines and tested systems in place; ensuring clarity of communication; implementing a comprehensive and facility-based infection prevention and control plan; establishing clear procedures and protocols to ensure safe environments; being able to increase staff capacities according to need; and having a clear focus on ensuring person-centred and human rights-based care in all decision-making. (Edited publisher abstract)
Strengthening the health system response to COVID-19: preventing and managing the COVID-19 pandemic across long-term care services in the WHO European Region (May 29, 2020)
- Author:
- WORLD HEALTH ORGANIZATION. Regional Office for Europe
- Publisher:
- World Health Organization. Regional Office for Europe
- Publication year:
- 2020
- Pagination:
- 32
- Place of publication:
- Geneva
This technical guidance identifies ten policy objectives to prevent and manage COVID-19 infections in long-term care services. It includes proposed actions and examples from across Europe and aims to help decision-makers, policy-makers and national or regional health authorities as they seek ways to prevent and manage the COVID-19 pandemic in long-term care services. The focus is on older people above the age of 65 years who use long-term care services in their homes, day centres or residential homes and nursing homes. The 10 policy objectives cover: Prioritizing the maintenance of LTC services; Mobilizing additional funds; Implementing prevention and control standards; Implementing safety measures that recognise the mutual benefits of the safety of people receiving and providing LTC services; Prioritizing testing, tracing and monitoring the spread of COVID-19; Securing staff and resources; Scaling up support for family caregivers; Coordinate between services; Secure access to dignified palliative care services; and Prioritize the well-being of people receiving and providing LTC services. (Edited publisher abstract)
What is the evidence on the role of the arts in improving health and well-being? A scoping review
- Authors:
- FANCOURT Daisy, FINN Saoirse
- Publisher:
- World Health Organization. Regional Office for Europe
- Publication year:
- 2019
- Pagination:
- 146
- Place of publication:
- Denmark
This scoping review maps the current evidence on the role of the arts in improving health and well-being, with a specific focus on the WHO European Region. Over 900 publications were identified, including reviews, systematic reviews, metaanalyses and meta-syntheses covering over 3000 studies, and over 700 further individual studies. Overall, the findings demonstrated that the arts can play a major role in the prevention of ill health, promotion of health, and management and treatment of illness across the lifespan. Within prevention and promotion, findings showed how the arts can: affect the social determinants of health, support child development, encourage health-promoting behaviours, help to prevent ill health and support caregiving. Within management and treatment, findings showed how the arts can: help people experiencing mental illness; support care for people with acute conditions; and support end-of-life care. The report raises policy considerations relevant to the cultural and the health and social care sectors. It concludes that the beneficial impact of the arts could be furthered through acknowledging and acting on the growing evidence base; promoting arts engagement at the individual, local and national levels; and supporting cross-sectoral collaboration. (Edited publisher abstract)
Healthy, prosperous lives for all: the European Health Equity Status Report
- Author:
- WORLD HEALTH ORGANIZATION. Regional Office for Europe
- Publisher:
- World Health Organization. Regional Office for Europe
- Publication year:
- 2019
- Pagination:
- xxxv, 129
- Place of publication:
- Copenhagen
The adoption of the 2030 Agenda for Sustainable Development and the Sustainable Development Goals have provided a framework within which to strengthen actions to improve health and well-being for all and ensure no one is left behind. Despite overall improvements in health and well-being in the WHO European Region, inequities within countries persist. This report identifies five essential conditions needed to create and sustain a healthy life for all: good quality and accessible health services; income security and social protection; decent living conditions; social and human capital and decent work and employment conditions. Policy actions are needed to address all five conditions. The Health Equity Status Report also considers the drivers of health equity, namely the factors fundamental to creating more equitable societies: policy coherence, accountability, social participation and empowerment. The report provides evidence of the indicators driving health inequities in each of the 53 Member States of the Region as well as the solutions to reducing these inequities. (Edited publisher abstract)
Health equity policy tool: a framework to track policies for increasing health equity in the WHO European Region. Working document
- Author:
- WORLD HEALTH ORGANIZATION. Regional Office for Europe
- Publisher:
- World Health Organization. Regional Office for Europe
- Publication year:
- 2019
- Pagination:
- 62
- Place of publication:
- Copenhagen
A draft policy tool to support WHO Member States and partners to work towards reducing barriers to health equity and tackling vulnerability. The tool aims to help promote and monitor policies to increase health equity through: creating equal opportunities for health across the life-course, reducing unequal exposure to avoidable health risks, and mitigating the consequences of accumulated social, economic and health disadvantage. The policies to achieve these aims cover five areas of multisectoral action: health services, income security and social protection; living conditions; social and human capital; and employment and working conditions. For each policy area, the Health Equity Policy Tool covers two types of indicators: measures of the implementation of and investment in policies promoting health equity; and measures of the equity impact of policies addressing the determinants of health or their consequences. (Edited publisher abstract)
Multisectoral mental health networks in Belgium: an example of successful mental health reform through service delivery redesign
- Authors:
- BORGERMANS Liesbeth, et al
- Publisher:
- World Health Organization. Regional Office for Europe
- Publication year:
- 2019
- Pagination:
- 4
- Place of publication:
- Copenhagen
A good practice briefing looking at reforms carried out in Belgium in response to the need for improved people-centred approaches for people with mental health conditions. The reform aimed to strengthen the community-based care and to reduce the number of psychiatric hospital beds; it improved care integration, social rehabilitation and service users’ recovery, including users' and carers' quality of life. Central to the reform are multisectoral mental health care networks offering outreach services, prevention, in-and outpatient mental health services, primary care, day care, and vocational, housing and social care services. The reform contributed to improving the long-term health of patients and reducing hospital stays. It also significantly reduced the number of psychiatric hospital beds in favour of outreach services to people with mental health conditions. (Edited publisher abstract)
Will population ageing spell the end of the welfare state? A review of evidence and policy options
- Authors:
- CYLUS Jonathan, NORMAND Charles, FIGUERAS Josep
- Publisher:
- World Health Organization. Regional Office for Europe
- Publication year:
- 2018
- Pagination:
- 43
- Place of publication:
- London
This report reviews evidence on the health and long-term care costs associated with ageing populations in order to better understand the expected cost pressures due to changing demographics. It also explores how older populations can and do contribute meaningfully both in economic and societal terms, particularly if they are able to remain healthy and active into later life. It concludes by reviewing selected policy areas that have been shown to either support the health and activity of older people or which otherwise reinforce sustainable care systems more broadly in the context of population ageing. The report provides an overview of the Economics of Healthy and Active Ageing series which investigates key policy questions associated with population ageing. (Edited publisher abstract)