Search results for ‘Subject term:"older people"’ Sort:
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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.
Care in the community for older people: an English perspective on the German care system
- Author:
- CROSSLAND John
- Journal article citation:
- European Journal of Social Work, 11(3), 2008, pp.313-316.
- Publisher:
- Taylor and Francis
The author draws on his experience of spending time at a Berlin-wide project providing case management for older people to consider the similarities and differences with the British community care system. The article outlines how the German care system currently addresses three interconnected themes: mechanisms for determining the need for care; how that care is funded; and the respective responsibilities of individuals, families and the state.
The economics of care of the elderly
- Authors:
- PACOLET Jozef, WILDERCOM Celeste
- Publisher:
- Avebury
- Publication year:
- 1991
- Pagination:
- 241p.,tables,bibliogs.
- Place of publication:
- Aldershot
Set of papers given at a colloquium in March 1990 in Brussels, where a group of economists presented their theoretical and empirical progress on an EC initiated project on the care of elderly people. Divided into 4 parts: part 1: the ageing population and the organisation of the welfare state: macro economic analysis; part 2: significance of informal care of elderly people; part 3: how to meet the needs of elderly people: relevance of micro-economic analysis; and part 4: policy formation for older people. This section includes comparative studies of Belgium, Denmark, Spain, France, West Germany, Greece, Ireland, Italy, Luxembourg, the Netherlands, Portugal, and the United Kingdom.
An international comparison of long-term care funding and outcomes: insights for the social care green paper
- Author:
- INCISIVE HEALTH
- Publisher:
- Incisive Health
- Publication year:
- 2018
- Pagination:
- 49
- Place of publication:
- London
This report, commissioned by Age UK, highlights different approaches to long-term care taken by five countries in the developed world, and looks at how they compare to the system in England. These five countries have very different systems, but face similar demographic and financial challenges to those in England. The countries are France, Germany, Spain, Italy and Japan. The report compares the approaches in relation to: service structures, funding levels, funding models, and outcomes. The findings suggest that creating a sustainable social care system fit for a rapidly ageing population is a challenge in every one of these countries. However, it finds that the financial deal for citizens with care needs is often more generous in other countries in comparison to England, with other nations generally either providing some non-means tested basic level of support, and/or cap the amount of co-payment to be made, and/or use a more gradual means-test. Profiles for each of the five countries are also included. (Edited publisher abstract)
Improving equity and sustainability in UK funding for long-term care: lessons from Germany
- Author:
- GLENDINNING Caroline
- Journal article citation:
- Social Policy and Society, 6(3), July 2007, pp.411-422.
- Publisher:
- Cambridge University Press
This paper argues for a transformation of arrangements for accessing and allocating public resources for long-term care in the UK. Currently these arrangements are fragmented, inequitable and not always well targeted. Different arrangements exist in Scotland and England; Wales has also debated the introduction of free personal care. While not necessarily advocating a social insurance approach, the experience of Germany nevertheless shows how simplicity, transparency and equity of access can be combined with strong cost control levers and political sustainability. An opportunity to transform ways of accessing and distributing public resources for long-term care arises with the piloting of ‘individual budgets’ in 13 English local authorities from 2006. The paper argues that the principles underpinning individual budgets should be extended, with the UK government taking a strong national lead.
Options for long-term care: economic, social and ethical choices
- Editors:
- HARDING Tessa, MEREDITH Barbara, WISTOW Gerald
- Publisher:
- HMSO/National Institute for Social Work
- Publication year:
- 1996
- Pagination:
- 152p.,bibliog.
- Place of publication:
- London
Examines the debate around long term care and proposes a different approach to planning for future long term care. Concludes that the increase in expenditure needed over the next 30 years is not so great as to be a cause for alarm, though some reinvestment may be needed in the short term. Suggests that affordability is a question of political choice, rather than economic imperatives. Reviews the values underpinning long term care and proposes a broad based strategic approach. Looks at the issues from the point of view of disabled people as well as older people. Concludes with 2 chapters comparing the situation in the United States and in Germany.
Home care for the elderly in Sweden, Germany and Italy: a case of multi‐level governance strategy‐making
- Authors:
- LONGO Francesco, NOTARNICOLA Elisabetta
- Journal article citation:
- Social Policy and Administration, 52(7), 2018, pp.1303-1316.
- Publisher:
- Wiley
Home care is a policy field characterized by strong interdependencies and multi‐level governance. In such a setting, decision‐ and strategy‐making is complex, with interrelated governance mechanisms between the private and public actors involved, and the risk of lack of a clear and sharp definition of public contents. In this article the authors are interested in understanding “if and how” multi‐level governance influences planning in home care and, more generally, social care fields. Through the analysis of home care services for the elderly in three prominent European countries, the article highlights critical dimensions that should be taken into consideration in such contexts: users' selection, services features, coordination and funding mechanisms, provision forms. These dimensions turn out to be representative of key processes of strategic development within multi‐level settings. (Edited publisher abstract)
European healthcare: care homes report 2014
- Author:
- KNIGHT FRANK
- Publisher:
- Knight Frank
- Publication year:
- 2014
- Pagination:
- 12
- Place of publication:
- London
This report explores the market composition, structure and context of continental Europe’s four largest care home markets: France, Germany, Spain and Italy. Demand for elderly care is expected to rise significantly, as decreasing fertility rates, coupled with increasing overall life expectancy, are driving up the share of elderly in the population. The growing number of elderly will impact on future demand for long-term care (LTC) services. However, while all types of LTC services are set to increase, they will not do so uniformly. Homecare, the preferred service line for most European countries in recent years, will prove to be inefficient given the rising share of patients with specialised medical needs. Additionally, societal changes, including declining family size, increasing childlessness and rising non-traditional living arrangements, mean that care homes will play a crucial role in caring for the increasing elderly population. The report shows that the somewhat restrictive domestic care home market has driven French-based operators towards further expansion abroad and a greater diversification of services. In Germany, while there remains an acute shortage of beds, the market has experienced an increased level of consolidation in recent years, as well as a string of acquisitions by foreign operators and private equity firms. The recent economic revitalisation has brought greater investor interest in Spain while the Italian care home market remains ripe for new development and investment. The relatively small size of the Italian industry, coupled with the considerable level of market fragmentation, means there is substantial room for new entrants and potentially greater consolidation of private and non-profit homes. (Edited publisher abstract)
Ageing societies: challenges and opportunities: evidence from the BUPA health pulse 2010 international healthcare survey
- Authors:
- FERNANDEZ Jose-Luis, FORDER Julien
- Publisher:
- Bupa
- Publication year:
- 2010
- Pagination:
- 27p., bibliog.
- Place of publication:
- London
This report presents the findings of the Bupa Health Pulse 2010 international healthcare survey around the theme of 'ageing societies'. It summarises some of the most important evidence about the ageing process across the world, and discusses some of the key policy challenges that ageing presents, looking particularly at the capacity for societies to provide high quality support for their older people in the future. The study surveyed 12,262 people across 12 countries (Australia, Brazil, China, France, Germany, India, Italy, Mexico, Russia, Spain, UK, USA), but the patterns described are common to a much larger number of countries. The report is structured around 3 parts. The first examines the question of the ageing process in different societies and what it means in terms of: increases in the older population; changes in the balance between young and old; and increases in the number of people with health problems and in the level of demand for care services. The second part examines the support system required to look after older people in need of care including: the sharing of caring and funding responsibilities between the state and private individuals; the need to ensure that resources are in place to look after the growing number of older people; and the levels of support provided to older people in need. The last section summarises the key policy implications.
Reforming long-term care: recent lessons from other countries
- Authors:
- GLENDINNING Caroline, MORAN Nicola
- Publisher:
- University of York. Social Policy Research Unit
- Publication year:
- 2009
- Pagination:
- 51p., bibliog.
- Place of publication:
- York
This paper reports on a review that explored the experiences of a number of countries in reforming their arrangements for funding and delivering long term care. It aimed to: describe the key features of social care funding and service delivery in a number of countries; examine the current debates and reforms in arrangements for funding and delivery in these countries; discuss the implications and lessons for reform in England. In doing so, three issues were of particular interest: the promotion of choice through individual budgets; sustainability of current arrangements; the extent to which funding and delivery arrangements apply equally to older and younger people with care and support needs. The paper concludes with a number of lessons for the reform of care and support in England.