Search results for ‘Subject term:"long term care"’ Sort:
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Can you afford to get old?
- Author:
- HARDING Tessa
- Journal article citation:
- Impact, 9, September 1994, p.13.
Argues that the Department of Health guidance on continuing care is in danger of generating the problems the USA is trying to solve.
Organization and supply of long-term care services for the elderly: a bird's-eye view of old and new EU member states
- Authors:
- RIEDEL Monika, KRAUS Markus, MAYER Susanne
- Journal article citation:
- Social Policy and Administration, 50(7), 2016, pp.824-845.
- Publisher:
- Wiley
This article provides an overview of the organization of formal long-term care (LTC) systems for the elderly in ten old and 11 new EU member states (MS). Generally, the authors find that the main responsibility for regulating LTC services is centralized in half of these countries, whereas in the remaining countries, this responsibility is typically shared between authorities at the central level and those at the regional or local levels in both institutional and home-based care. Responsibilities for planning LTC capacities are jointly met by central and non-central authorities in most countries. Access to publicly financed services is rarely means tested, and most countries have implemented legal entitlements conditional on needs. In virtually all countries, access to institutional care is subject to cost sharing, which also applies to home-based care in most countries. The relative importance of institutional LTC relative to home-based LTC services differs significantly across Europe. Although old MS appear to be experiencing some degree of convergence, institutional capacity levels still span a wide range. Considerable diversity may also be observed in the national public–private mix in the provision of LTC services. Lastly, free choice between public and private providers exists in the vast majority of these countries. This overview provides vital insights into the differences and similarities in the organization of LTC systems across Europe, especially between old and new MS, while also contributing valuable insight into previously neglected topics, thus broadening the knowledge base of international experience for mutual learning. (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)
A to Z: mapping long-term care markets
- Author:
- RESOLUTION FOUNDATION
- Publisher:
- Resolution Foundation
- Publication year:
- 2008
- Pagination:
- 28p.
- Place of publication:
- London
Based on analysis from Deloitte, the latest Foundation report provides a comprehensive overview of how long-term care operates as a mixed market and assesses its weaknesses in both efficiency and fairness.
The impact of the Community Care Act: views from the independent sector
- Author:
- FILINSON Rachel
- Journal article citation:
- Health and Social Care in the Community, 6(4), July 1998, pp.241-250.
- Publisher:
- Wiley
The 1990 NHS and Community Care Act introduced changes that had significant implications for independent service providers. The legislation was intended to decrease unnecessary institutionalisation, increase demand for non-statutory community care services and improve collaboration between the private and public service sectors. Examines the views of independent service providers in urban Scotland through interviews with administrators of nursing or residential care facilities. Investigates their perceptions of the impact of the law on institutionalisation, diversification in community care, and partnerships between the private and public spheres.
Service disputes cause bad publicity and loss of trust
- Author:
- GLEGHORN Maggie
- Journal article citation:
- Professional Social Work, December 1995, p.6.
- Publisher:
- British Association of Social Workers
Argues that the purchaser-provider split has resulted in greater costs and less effective services and that holistic social work should be valued as a long-term means of keeping costs down.
Community care and the social construction of citizenship
- Author:
- PHILLIPSON Chris
- Journal article citation:
- Journal of Social Work Practice, 8(2), 1994, pp.103-112.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Briefly reviews some issues concerning the definition of community care. Presents a theoretical framework for reviewing some of the key developments in this area. Analyses factors in the emergence of community care along with more recent developments such as the 1990 National Health Service and Community Care Act. Finally, reviews some of the obstacles which may frustrate attempts to change both the shape and philosophy underpinning care in the community.
Choice, competition and care: developments in English social care and the impacts on providers and older users of home care services
- Authors:
- RODRIGUES Ricardo, GLENDINNING Caroline
- Journal article citation:
- Social Policy and Administration, 49(5), 2015, p.649–664.
- Publisher:
- Wiley
This article critically examines recent changes in markets for home (domiciliary) care services in England. During the 1990s, the introduction of competition between private (for-profit and charitable) organisations and local authority providers of long-term care services aimed to create a ‘mixed economy’ of supply. More recently, care markets have undergone further reforms through the introduction of direct payments and personal budgets. Underpinned by discourses of user choice, these mechanisms aim to offer older people increased control over the public resources for their care, thereby introducing further competitive pressures within local care markets. The article presents early evidence of these changes on: a) The commissioning and contracting of home care services by local authorities and individual older people; b) The experiences and outcomes for individual older people using home care services.. Drawing on evidence from two recent empirical studies, the article describes how the new emphasis on choice and competition is being operationalised within six local care markets. There are suggestions of small increases in user agency and in opportunities for older people to receive more personalised home care, in which the quality of care-giving relationships can also be optimised. However, the article also presents early evidence of increases in risk and costs associated with the expansion of competition and choice, both for organisations providing home care services and for individual older service users. (Edited publisher abstract)
The 'make or buy' decision in long-term care: lessons for policy: final project report
- Authors:
- RODRIGUES Ricardo, LEICHSENRING Kai, WINKELMANN Juliane
- Publisher:
- European Centre for Social Welfare Policy and Research
- Publication year:
- 2014
- Pagination:
- 113
- Place of publication:
- Vienna
Sets out a framework for analysing the decision to make or to buy long-term care services, i.e. whether to deliver long-term care services through public providers or contract them out to public and non-public providers. The report reviews existing literature on the theoretical underpinnings of the make or buy decision and how it applies to the specificities of long-term care. It analyses the implementation of quasi-markets in four European countries that represent different long-term care systems: England, Denmark, Germany and the Netherlands. It also critically reviews six quality assessment and quality management systems in Europe and the issues surrounding the definition and assessment of quality in long-term care. The paper concludes with a set of recommendations and lessons learned from the theoretical considerations and empirical research to aid the further discussion. (Edited publisher abstract)