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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.
Growing older in the community: European projects in housing and planning
- Authors:
- BRECH Joachim, POTTER Philip
- Publisher:
- Anchor Housing Trust/Wohnbund
- Publication year:
- 1994
- Pagination:
- 197p.,tables,illus.,bibliogs.
- Place of publication:
- Oxford
Research report looking at how meeting the care and housing needs of older people, to enable them to live in the community for as long as possible, is being tackled by European countries.
Regulating the delivery of cash‐for‐care payments across Europe
- Authors:
- GORI Cristiano, LUPPI Matteo
- Journal article citation:
- Social Policy and Administration, 53(4), 2019, pp.567-578.
- Publisher:
- Wiley
The article aims to understand how governments across Europe have modified the regulation of the delivery of cash‐for‐care schemes (CfCs) to dependent older people since the beginning of the century. In our terminology, the regulation of the CfCs delivery defines the norms, rules, and practices that public actors adopt to manage how beneficiaries can use the benefits. To discuss the regulation of CfCs delivery, an original framework is employed that take three analytical dimensions into account: the degrees of freedom in benefits' utilization (“CfCs utilization” dimension), the provision of information/orientation/advices/counselling to older people and families (“professional support” dimension), and the relationship between the delivery of CfCs and the delivery of the other publicly funded long‐term care inputs (“care system” dimension). The analysis adopts a comparative perspective, looking at six countries—Italy, Austria, the Netherlands, France, Germany, and England. Among various findings, the main one consists in showing that there has been a shared and increased interest in consolidating the regulation of CfCs delivery. This trend has been mostly directed towards the new policy aim of strengthening the professional support, a goal underestimated in the past, when this dimension was not a major topic of both debate and practice concerning CfCs across Europe. (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.
Regulating long-term care quality: an international comparison
- Editors:
- MOR Vincent, LEONE Tiziana, MARESSO Anna
- Publisher:
- Cambridge University Press
- Publication year:
- 2014
- Pagination:
- 519
- Place of publication:
- Cambridge
This edited book provides a comprehensive international survey of long-term care provision and regulation, built around a series of case studies from Europe, North America and Asia. The analytical framework allows the different approaches that countries have adopted to be compared side by side and readers are encouraged to consider which quality assurance approaches might best meet their own country's needs. Wider issues underpinning the need to regulate the quality of long-term care are also discussed. The book is aimed at policymakers working in the health care sector, researchers and students taking graduate courses on health policy and management. (Edited publisher abstract)
A comparative analysis of personalisation: balancing an ethic of care with user empowerment
- Author:
- RUMMERY Kirstein
- Journal article citation:
- Ethics and Social Welfare, 5(2), June 2011, pp.138-152.
- Publisher:
- Taylor and Francis
- Place of publication:
- Abingdon
Modern developments in care and support delivery for disabled and older people have led to the expansion of personalisation schemes, where money is paid in substitute for care and support. Although the schemes have been evaluated within their own national contexts, little work has been done so far to explore the theoretical implications of their development and extension, particularly from an ethics of care perspective. This paper fills that gap by drawing on comparative evidence from several schemes across different nations to develop an analysis which draws on feminist theory and an ethics of care approach to examine: the gendered policy outcomes and impact of such schemes; a feminist analysis of the governance implications of personalisation; the implications for the gendered division of work, particularly between paid and unpaid care work and between different groups of paid and unpaid carers; an ethics of care analysis of the impact of personalisation over the lifecourse of disabled and older people, and carers; and a discussion of the relationship between commodification, empowerment, citizenship and choice drawing on the work of care ethicists.
Ageing and health status in adults with intellectual disabilities: results of the European Pomona II study
- Authors:
- HAVEMAN Meindert, et al
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 36(1), March 2011, pp.49-60.
- Publisher:
- Taylor and Francis
POMONA II was a European Commission funded public health project collecting information from 14 countries using a set of key health indicators specifically relevant for people with intellectual disabilities. This research focused on age-specific differences relating to environmental and lifestyle factors and the 17 medical conditions measured by the POMONA Checklist of Health Indicators. The article describes how information was collected using the POMONA Health Interview Survey and Evaluation Form from a sample of 1,253 participants in Austria, Belgium, Finland, France, Germany, Ireland, Italy, Lithuania, the Netherlands, Norway, Romania, Slovenia, Spain, and the United Kingdom. It then presents the results of the analysis, with tables showing characteristics of people with intellectual disabilities in the study, frequency of social contacts with relatives or friends according to age, lifestyle risk factors in people with intellectual disabilities according to age, and general and age-specific prevalence rates of health problems. The authors discuss how healthy older adults with intellectual disabilities are with regard to lifestyle factors, and whether there are health disparities between older adults with and without intellectual disabilities. They note that some evidence of health disparities was found for older people with intellectual disabilities, particularly in terms of under diagnosed or inadequately managed preventable health conditions.
Whose empowerment and independence?: a cross-national perspective on ‘cash for care’ schemes
- Author:
- UNGERSON Clare
- Journal article citation:
- Ageing and Society, 24(2), March 2004, pp.189-212.
- Publisher:
- Cambridge University Press
Uses qualitative data from a cross-national study of ‘cash for care’ schemes in five European countries (Austria, France, Italy, the Netherlands and the United Kingdom) to consider the concepts of empowerment and independence in relation to both care-users and care-givers. Locates the schemes along two axes, one of regulation/non-regulation, the other whether relatives can be paid or not. Each of the schemes has a different impact both on the care relationship and on the labour market for care. In the Netherlands where relatives can be paid, for example, a fully commodified form of informal care emerges; but in Austria and Italy with low regulation, a mix of informal and formal care-givers/workers has emerged with many international migrant workers. In the UK, direct payments allow care-users to employ local care-workers who deliver care for various lengths of time; while in France a credentialised system means that care-work is delivered by qualified workers but for very short intervals. Concludes that none of these schemes have a simple outcome or advantage, and that the contexts in which they occur and the nature of their regulation has to be understood before drawing conclusions about their impact on empowerment and independence on both sides of the care relationship.
The politics of old age in Europe
- Editors:
- WALKER Alan, NAEGELE Gerhard
- Publisher:
- Open University Press
- Publication year:
- 1999
- Pagination:
- 238p.,bibliog.
- Place of publication:
- Buckingham
Collection of essays examining the new politics of old age from the perspective of individual countries and the European Union as a whole. Contains case studies from: Austria, France, Germany, Italy, the Netherlands, Sweden, the UK, Hungary and the USA. Each country study provides an overview of the politics of old age, including main developments, organisations, and actors. Goes on to give an account of recent national or local government developments to increase the participation of older people, analyses the barriers to participation and takes a forward look at the likely direction of policies.
New welfare mixes in care for the elderly: vol. 2; Austria, Denmark, Finland, Israel, Netherlands
- Editors:
- EVERS Adalbert, SVETLIK Ivan
- Publisher:
- European Centre for Social Welfare Policy
- Publication year:
- 1991
- Pagination:
- 121p.,tables,bibliog.
- Place of publication:
- Vienna
A country-by-country examination of welfare provision for older people focusing in particular on the mix of private and public sector provision. Volume 1 is on Czechoslovakia, Hungary, Poland and Yugoslavia; volume 2 is on Austria, Denmark, Finland, Israel and the Netherlands; volume 3 is on Canada, France, Germany, Italy and the United Kingdom.