Search results for ‘Subject term:"long term care"’ Sort:
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Rights-based approach to care and support for older persons
- Authors:
- SCHULMANN Katharine, ILLINCA Stefania, RODRIGUES Ricardo
- Publisher:
- European Centre
- Publication year:
- 2019
- Pagination:
- 12
- Place of publication:
- Vienna
This policy brief presents a conceptual framework for a human rights-based approach to long-term care and support for older people. The framework has been developed as part of an ongoing research project aimed at building and piloting an index of rights-based policies in the area of long-term care. The purpose of the index is to enable states to monitor and compare the extent to which their care and support policies uphold older persons’ rights. A human rights-based approach to care has the potential to empower older people to claim their rights and to hold states accountable in their role as duty bearers. The framework is composed of three levels: 1) Desired Outcomes: Fulfilment of Rights; 2) Enabling Processes: Monitoring and Enforcement; and 3) Structural Conditions: Legal Recognition. It also lays out ten main human rights domains relevant to persons with care and supports needs, and provides an in-depth description of the substantive rights that each of these ten main domains should include. (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.
To make or to buy long-term care? Part III: quality assurance to avoid market-failure
- Authors:
- LEICHSENRING Kai, WINKELMANN Juliane, RODRIGUES Ricardo
- Publisher:
- European Centre for Social Welfare Policy and Research
- Publication year:
- 2014
- Pagination:
- 14
- Place of publication:
- Vienna
Policy briefing looking at the reliance of markets for the delivery of long-term care, or the 'make or buy' decision. The briefing looks at current trends and challenges in defining and assessing quality in long-term care and its impact on outcomes for users and the organisation of care markets. It then draws on the experience of a number of European countries, highlighting existing practices of quality assurance in long-term care delivery. This Policy Brief is the final part of a trilogy dedicated to the reliance on markets for the delivery of long-term care (Edited publisher abstract)
Public reporting in health and long-term care to facilitate provider choice
- Authors:
- KUMPUNEN Stephanie, TRIGG Lisa, RODRIGUES Ricardo
- Publisher:
- World Health Organization
- Publication year:
- 2014
- Pagination:
- 60
A review of the literature on the measurement and reporting of quality information to aid the public in choosing health and long-term care providers. The paper provides insights to support future investment in public reporting systems, and summarises strategies aiming to increase the use of reporting by patients and users. It shows that widespread use of quality information has been slow to materialise across health and long-term care, despite the extensive investment in reporting systems by governments and private sector organisations. There is, however, some evidence that reporting encourages providers to address quality issues to improve their reputation in the sector. The summary synthesises evidence from a variety of European and US-based public reporting systems to assist policy-makers, care providers and information developers in creating reports more likely to be used and valued by patients and users when choosing health or long-term care providers. (Edited publisher abstract)
To make or to buy long-term care? Part I: learning from theory
- Authors:
- RODRIGUES Ricardo, LEICHSENRING Kai, WINKELMANN Juliane
- Publisher:
- European Centre for Social Welfare Policy and Research
- Publication year:
- 2014
- Pagination:
- 12
- Place of publication:
- Vienna
This policy brief reviews some of the theoretical insights offered by economic theory (e.g. transaction costs) and other fields of social sciences (e.g. psychology, disability rights) regarding the make or buy decision as applied to long-term care. The theories reviewed here provide guidelines to policy-makers about how best to use market mechanisms to deliver long-term care, but also on the limits of the use of markets in the context of care for older people. While the decision whether to make or buy long-term care is arguably best answered empirically, considering insights from different strands of theory could help prevent adverse outcomes when setting up care markets. This policy brief is a first part of a trilogy dedicated to the reliance on markets for the delivery of long-term care. (Edited publisher abstract)
To make or to buy long-term care? Part II: lessons from quasi-markets in Europe
- Authors:
- RODRIGUES Ricardo, LEICHSENRING Kai, WINKELMANN Juliane
- Publisher:
- European Centre for Social Welfare Policy and Research
- Publication year:
- 2014
- Pagination:
- 14
- Place of publication:
- Vienna
This policy brief reviews underlying political arguments and evidence on the experiences of four selected countries in the introduction of quasi-markets in the provision of long-term care services. By tracking countries’ individual pathways, the paper shows how choice and competition were regulated by means of contracts, competitive tendering and purchaser-provider split in certain care sectors. The brief thus provides lessons for policy-makers on the impact of the ‘make or buy’ decision on outcomes for users, on quality of care, and on the organisation of care markets and reveals lessons on benefits and unresolved tensions of mixed care economies. This brief is the second part of a trilogy dedicated to the reliance on markets for the delivery of long-term care. (Edited publisher abstract)
Paying for long-term care
- Authors:
- RODRIGUES Ricardo, SCHMIDT Andrea
- Publisher:
- European Centre for Social Welfare Policy and Research
- Publication year:
- 2010
- Pagination:
- 21p., bibliog.
- Place of publication:
- Vienna
The aim of this policy brief is to present information on the current picture of private and public expenditure on long-term care for older people, and to discuss the challenges of financing care. It describes the background context of demographic ageing across the European Union. It discusses public funding of long-term care, including the rationale behind public funding and the current picture of public expenditure, private funding arrangements and expenditure on long-term care, possible equality considerations of long-term care benefits and whether high income groups are more likely to receive home care. The authors conclude that despite concerns over the sustainability of long-term care systems, public resources devoted to this area of social policy are much lower than what is spent in other areas such as health or pensions, and that while there are several options available to provide those in need of care with the means to secure the care they require, policymakers should be aware of the potential inequalities associated with the different ways of financing and providing long-term care.
The long-term care mix in Austria: an overview of community-based care provision by formal and informal caregivers
- Authors:
- lINCA Stefania, RODRIGUES Ricardo
- Publisher:
- European Centre for Social Welfare Policy and Research
- Publication year:
- 2019
- Pagination:
- 12
- Place of publication:
- Vienna
This Policy Brief provides insights into the individual characteristics associated with the use of formal, informal and mixed care by older Austrians living in the community. These are instrumental in understanding how care services can be structured to best complement informal care provision and respond to care users’ needs, as well as how long-term care policies can be expected to impact different care users and caregivers’ groups. The Brief shows that while informal support still accounts for the majority of provided care, the supply of formal services has been constantly increasing, serving primarily very old individuals, those with higher support needs and women. Large gender differences in care use patterns are still observed in Austria and particularly pronounced among married and co-habiting older people. (Edited publisher abstract)
The long-term care workforce in Austria. Who are they and what do they do?
- Authors:
- RODRIGUES Ricardo, BAUER Gudrun, LEICHSENRING Kai
- Publisher:
- European Centre
- Publication year:
- 2018
- Pagination:
- 11
- Place of publication:
- Vienna
This policy brief examines the profile of long-term care workers in Austria, including information on demographic characteristics of long-term care workers, characteristics of clients and staffing ratios, daily working tasks, the reconciliation of work and family and a comparison of the main characteristics of long-term care employment between Austria, Germany and Sweden. It is one of two policy briefs which are based on the results of the NORDCARE survey to investigate the working conditions of the long-term care workforce in the home care and residential care sector in three regions of Austria. (Edited publisher abstract)
Working conditions in long-term care in Austria: the perspective of care professionals
- Authors:
- BAUER Gudrun, RODRIGUES Ricardo, LEICHSENRING Kai
- Publisher:
- European Centre
- Publication year:
- 2018
- Pagination:
- 10
- Place of publication:
- Vienna
This policy brief looks at working conditions of the long term care workforce in Austria and highlights those factors that significantly impact their working conditions. This includes the experience of psychological and physical burdens and the application of coping strategies, experiences at the workplace concerning teamwork and autonomous work, as well as the future perspectives of the long-term care workforce to remain in the sector. It is one of two policy briefs which are based on the results of the NORDCARE survey, which aimed to investigate the working conditions of the long-term care workforce in the home care and residential care sector in three regions of Austria. (Edited publisher abstract)