Search results for ‘Subject term:"long term care"’ Sort:
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Determining eligibility for long-term care: lessons from Germany
- Authors:
- BUSHER Andreas, WINGENFELD Klaus, SCHAEFFER Doris
- Journal article citation:
- International Journal of Integrated Care, 11(2), 2011, Online only
- Publisher:
- International Foundation for Integrated Care
This paper addresses recent steps for reforming the eligibility criteria of the German long-term care insurance that have been initiated to overcome shortcomings in the current system. Based on findings of a survey of international long-term care systems, assessment tools and the relevant literature on care needs a new tool for determining eligibility in the German long-term care insurance was developed. The new tool for determining long-term care eligibility broadens the understanding of what ‘dependency on nursing care’ implies for the person affected. The assessment results in a degree of dependency from personal help provided by formal or informal caregivers. This degree of dependency can be used for determining eligibility for and the amount of long-term care benefits. The broader understanding of ‘dependency on nursing care’ and the new tool are important steps to adapt the German long-term care insurance to the challenges of the demographic and societal changes in the future.
Long-term care for the elderly: Britain and Germany compared
- Authors:
- EVERS Adalbert, HARDING Tessa
- Publisher:
- Anglo-German Foundation for the Study of Industrial Society
- Publication year:
- 1997
- Pagination:
- 28p.,bibliog.
- Place of publication:
- London
Paying for long-term care
- Authors:
- RICHARDS Edward, WILSDON Tim, LYONS Sean
- Publisher:
- Institute for Public Policy Research
- Publication year:
- 1996
- Pagination:
- 162p.,tables,bibliogs.
- Place of publication:
- London
Report looking at future provision of long-term care. Projects future patterns of demand and supply and costs a range of options for funding long-term care. Includes a section on the German system.
Down payment on later life
- Author:
- CHADDA Dolly
- Journal article citation:
- Health Service Journal, 26.10.95, 1995, pp.28-29.
- Publisher:
- Emap Healthcare
This year Germany introduced statutory insurance for long-term care. The scheme which traded in a public holiday and strictly limits eligibility has drawn both praise and criticism.
Comparing long-term care systems: a multi-dimensional, actor-centred typology
- Authors:
- FISCHER Johanna, DOETTER Lorraine Frisina, ROTHGANG Heinz
- Journal article citation:
- Social Policy and Administration, 56(1), 2022, pp.33-47.
- Publisher:
- Wiley
Like other fields of social policy, the organization of long-term care (LTC) varies temporally and geographically. The present article aims to advance the comparison of LTC systems worldwide by proposing a conceptual framework to analyse variation, putting a special focus on analysing the role of public and private actor types. In a precluding literature review of existing LTC typologies, it was found that there are various promising classification approaches, but with an overwhelming concentration on European countries and often constructed in-transparently and superficially. Building on the concept of the care/welfare mix, this study develops a multi-dimensional, actor-centred typology of LTC systems. In doing so, this study employs the methodological procedure of theoretically constructing a typological attribute space. This paper argues that three dimensions, that is service provision, financing and regulation, are crucial for differentiating types. Furthermore, the researchers chose an actor-centred approach, asking who bears the main responsibility in each dimension. Five relevant types of corporate actors are distinguished: state, societal actors, private for-profit actors, private individual actors, and global actors. Finally, this paper presents and discusses the resulting attribute space and further illustrated the typology's use by exemplarily classifying three countries. (Edited publisher abstract)
Yet another black box: brokering agencies in the evolving market for live-in migrant care work in Austria and Germany
- Authors:
- LEIBER Simone, et al
- Journal article citation:
- International Journal of Care and Caring, 5(2), 2021, pp.187-208.
- Publisher:
- Policy Press
This article analyses the new market for live-in migrant care work in Germany and Austria, focusing on brokering agencies as intermediary actors. The analysis presents unique data on the field by combining an online survey of brokerage agencies with semi-structured qualitative expert interviews. We show that the sector is growing swiftly and dominated by small businesses in both countries but is quite diverse in terms of regional presence, corporate strategies and the relationship with established welfare organisations. Despite different legal settings, malpractices at the household level seem to be constitutive of the brokerage market in Germany as well as in Austria. (Edited publisher abstract)
Workforce issues in home‐ and community‐based long‐term care in Germany
- Authors:
- GRUBER Eva Maria, et al
- Journal article citation:
- Health and Social Care in the Community, 29(3), 2021, pp.746-755.
- Publisher:
- Wiley
The study addresses staffing and workforce issues for home‐ and community‐based long‐term care in Germany. It is based on a study aimed at developing staffing recommendations for home‐care provider organisations. The study was commissioned within the regulation of the German long‐term care act. Following an exploratory literature search on staffing issues in home‐ and community‐based care qualitative interviews with 30 experts in home care were conducted. In addition, time needed for different interventions in homes of people in need of care (n = 129) was measured. Ethical approval for the study was obtained. The literature on the topic is limited. In Germany, no fixed staff‐to‐client ratio exists, but staffing is determined primarily by reimbursement policies, not by care recipients’ needs. The results of the interviews indicated that staffing ratios are not the main concern of home‐care providers. Experts stressed that general availability of staff with different qualification levels and the problems of existing regulation on services and their reimbursement are of higher concern. The measurement of time needed for selected interventions reveals the huge heterogeneity of home‐care service delivery and the difficulty of using a task‐based approach to determine staffing levels. Overall, the study shows that currently demand for home‐care exceeds supply. Staff shortage puts a risk to home care in Germany. Existing approaches of reimbursement‐driven determination of staffing levels have not been sufficient. A new balance between staffing, needs and reimbursement policies needs to be developed. (Edited publisher abstract)
How politico-economic systems shape individuals’ value of elderly care: evidence from the German reunification
- Authors:
- DIEDERICH Freya, KONIG Hans-Helmut, BRETTSCHNEIDER Christian
- Journal article citation:
- Gerontologist, 60(2), 2020, pp.350-358.
- Publisher:
- Oxford University Press
Perceptions of how societies should care for the elderly people can differ among countries. This study examines to what extent individuals’ value of informal care is shaped by the politico-economic system in which they grew up and if this value adjusts once an individual lives in a different politico-economic system. Research Design and Methods: The study uses data from the German Family Panel and take advantage of the unique setting of the German separation and reunification. Probit models are used to examine the effect of being born in East Germany on individuals’ value of informal care relative to employment at different birth cohorts and survey waves (N = 14,093). Average marginal effects are calculated. Results: Twenty years after reunification, East Germans who spent their adolescence under communism exhibit a higher value of informal care relative to employment than West Germans who grew up in a western social market economy. Differences in values between East and West Germans do not significantly converge over time. Discussion and Implications: Individuals’ value of informal care is deeply shaped by the politico-economic system in which they grew up. If immigration policies are introduced to increase the care for elderly people, differences in individuals’ cultural perceptions of elderly care should be considered as these will not suddenly adjust. (Edited publisher abstract)
Long-term care quality assurance policies in European countries
- Authors:
- DANDI Roberto, et al
- Publisher:
- European Network of Economic Policy Research Institutes
- Publication year:
- 2012
- Pagination:
- 89p.
- Place of publication:
- Brussels
This report present the findings and conclusions of research undertaken in the context of research projects carried out by a consortium of ENEPRI member institutes. This report is a contribution to Work Package 5 of the ANCIEN project, which focuses on the future of long-term care for the elderly in Europe. This report analyses the quality assurance policies for long-term care (LTC) in the following countries: Austria, Estonia, Finland, France, Germany, Hungary, Italy, Latvia, Poland, Slovakia, Slovenia, Spain, Sweden, the Netherlands, and the United Kingdom. First, it discusses quality assurance in LTC by analysing: the dimensions of quality, the policy frameworks for quality in LTC, the different levels of development of LTC quality policies at the international, national, organisational, and individual levels. Second, it describes the methodology for collecting and analysing data on quality policies in the selected countries. Finally, it discusses the results, identifying four clusters of countries based on quality policies and indicators for LTC. These clusters are compared to the clusters identified in Work Package 1 of the ANCIEN project. Policy recommendations are proposed.
Quality assurance indicators of long-term care in European countries
- Authors:
- DANDI Roberto, CASANOVA Georgia
- Publisher:
- European Network of Economic Policy Research Institutes
- Publication year:
- 2012
- Pagination:
- 128p.
- Place of publication:
- Brussels
This report present the findings and conclusions of research undertaken in the context of research projects carried out by a consortium of ENEPRI member institutes. This report is a contribution to Work Package 5 of the ANCIEN project, which focuses on the future of long-term care for the elderly in Europe. The report presents the quality indicators that were collected by the ANCIEN project partners in each country. The main contribution of this report is a classification of the quality assurance indicators in different European countries according to three dimensions: organisation type; quality dimensions; and system dimensions. The countries that provided quality indicators, which are used at a national level or are recommended to be used at a local level by a national authority, are: Estonia, Finland, France, Germany, Hungary, Italy, Latvia, the Netherlands, Spain, Sweden and the United Kingdom. In total, 390 quality indicators were collected. Each quality indicator has been assigned to one or more options in each dimension.