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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.
Long-term care in Central and South-Eastern Europe: challenges and perspectives in addressing a `new' social risk
- Author:
- OSTERLE August
- Journal article citation:
- Social Policy and Administration, 44(4), August 2010, pp.461-480.
- Publisher:
- Wiley
Long-term care in Central and South-Eastern Europe (CSEE) has to date been largely neglected in the social policy literature. This neglect is in part a reflection of the fact that long-term care remains largely a family responsibility. This article explores whether countries in CSEE should follow a broader European trend of major, partly path-departing long-term care reforms. It provides an examination of the context and the sources of reform of long-term care in CSEE, particularly Croatia, the Czech Republic, Hungary, Romania, Serbia, Slovakia and Slovenia. It studies developments in the light of the major principles underlying the transition process and discussing key features of current developments in terms of their potential for establishing a new paradigm in long-term care policies. The article argues that the realisation of more comprehensive long-term care systems has been largely hindered by a failure of governments to set priorities in this sector, by the limitations civil society finds in bringing the issue into a broader public debate and by fears that new welfare schemes will substantially extend public expenditure obligations. It concludes that long-term care is a latecomer in welfare state development in CSEE, but that ageing societies, growing care needs and broader socio-economic developments will also increasingly challenge traditional ways of organising long-term care and create pressure to find new welfare approaches.