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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.
Integrated care for older adults: a struggle for sustained implementation in northern Netherlands
- Authors:
- HOLTERMAN Sander, et al
- Journal article citation:
- International Journal of Integrated Care, 20(3), 2020, p.1. Online only
- Publisher:
- International Foundation for Integrated Care
Introduction: Integrated care has been suggested as a promising solution to the disparities in access and sustained high quality long-term care emerging in Europe’s ageing population. This study aims to gain a better understanding of context-specific barriers to and facilitators of implementation of integrated care by doing a retrospective assessment of seven years of Embrace. This Dutch integrated person-centred health service for older adults was based on two evidence-based models (the Chronic Care Model and the Kaiser Permanente Triangle). Despite successful deployment the programme ended in 2018. This case study assesses the impact of the programme based on past evaluations, reflect on why it ended, lessons learned and ideas to take forward. Discussion: The majority of health outcomes were positive and the perceived quality of care improved, albeit no clear-cut savings were observed, and the costs were not balanced across stakeholders. The Embrace payment model did not support the integration of health services, despite reforms in long-term care in 2015. Key lessons: Enabling policy and funding are crucial to the sustained implementation of integrated person-centred health services. The payment model should incentivize the integration of care before the necessary changes can be made at organizational and clinical levels towards providing proactive and preventive health services. (Edited publisher abstract)
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.
Integrated care for frail elderly: a qualitative study of a promising approach in the Netherlands
- Authors:
- HOEDEMAKERS Maaike, et al
- Journal article citation:
- International Journal of Integrated Care, 19(3), 2019, Online only
- Publisher:
- International Foundation for Integrated Care
Introduction: Increasingly, frail elderly need to live at home for longer, relying on support from informal caregivers and community-based health- and social care professionals. To align care and avoid fragmentation, integrated care programmes are arising. A promising example of such a programme is the Care Chain Frail Elderly (CCFE) in the Netherlands, which supports elderly with case and care complexity living at home with the best possible health and quality of life. The goal of the current study was to gain a deeper understanding of this programme and how it was successfully put into practice in order to contribute to the evidence-base surrounding complex integrated care programmes for persons with multi-morbidity. Methods: Document analyses and semi-structured interviews with stakeholders were used to create a ‘thick description’ that provides insights into the programme. Results: Through case finding, the CCFE-programme targets the frailest primary care population. The person-centred care approach is reflected by the presence of frail elderly at multidisciplinary team meetings. The innovative way of financing by bundling payments of multiple providers is one of the main facilitators for the success of this programme. Other critical success factors are the holistic assessment of unmet health and social care needs, strong leadership by the care groups, close collaboration with the healthcare insurer, a shared ICT-system and continuous improvements. Conclusion: The CCFE is an exemplary initiative to integrate care for the frailest elderly living at home. Its innovative components and critical success factors are likely to be transferable to other settings when providers can take on similar roles and work closely with payers who provide integrated funding. (Edited publisher abstract)
Who cares: an overview of the Dutch systems of health care and welfare
- Authors:
- EWIJK Hans van, KELDER Tessa
- Publisher:
- Netherlands Institute of Care and Welfare
- Publication year:
- 1999
- Pagination:
- 79p.,list of orgs.,bibliogs.
- Place of publication:
- Utrecht
Includes chapters on: general information about the Netherlands; care and welfare; health care and public health; and social issues, financing structure and trends.
Rights and realities: comparing new developments in long-term care for older people
- Editor:
- GLENDINNING Caroline
- Publisher:
- Policy Press
- Publication year:
- 1998
- Pagination:
- 179p.,bibliog.
- Place of publication:
- Bristol
Focuses on the shifting boundaries between health and social care, between services and money, and between public and private provision of care. Explores the experiences of a number of countries which have recently made changes in the organisation, funding or delivery of long term care services for frail older people.