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Integrating health and social care services for older persons: evidence from nine European countries
- Editors:
- BILLINGS Jenny, LEICHSENRING Kai, (eds.)
- Publisher:
- Ashgate
- Publication year:
- 2005
- Pagination:
- 345p., bibliog.
- Place of publication:
- Aldershot
'Providing Integrated Health and Social Care for Older Persons (PROCARE)' is a project in the EU Fifth Framework Programme (Quality of Life and Management of Living Resources, Area "The Ageing Population and Disabilities") which aims to help in defining the new concept of an integrated health and social care for older persons in need of care by comparing and evaluating different modes of care delivery. This volume draws on the achievements of the second project phase (2003-2004) that consisted of empirical fieldwork and a cross-national analysis of model ways of working in the nine participating EU Member States (Austria, Denmark, Finland, France, Germany, Greece, Italy, the Netherlands and the UK). The book underpins the more general national and European considerations gathered in the project with empirical findings analyzed from a trans-national perspective. Its chapters have been written by 'internationally mixed' teams and will thus contribute to the development of a truly European perspective, providing: a general overview of European approaches to integrated social and health care services and policies that are to be developed to face the growing need for care in ageing societies; indicators for successful approaches and models of good practice to overcome the 'social-health-divide'; better understanding of the meaning of integrated services and the coordination of social and health systems in the different countries; facts and figures about coordination at the interface between health and social care for older persons; and problems and solutions ('lessons to learn') concerning regulation and coordination.
From care in homes to care at home: European experiences with (de)institutionalisation in long-term care
- Authors:
- ILINCA Stefania, LEICHSENRING Kai, RODRIGUES Ricardo
- Publisher:
- European Centre for Social Welfare Policy and Research
- Publication year:
- 2015
- Pagination:
- 15
- Place of publication:
- Vienna
Many countries across Europe have developed strategies to support community-based services in an attempt to replace traditional institutional models of care. Differences in needs, approaches and commitment levels have led to diverse results and pace of progress. However, much can be learned from their experiences and from examples of strategies and models which proved to be effective. This Policy Briefing presents a typology of long-term care regimes and proposes four case studies to illustrate the main barriers and drivers to deinstitutionalisation. Austria (Standard care mix) illustrates the importance of developing strong support systems for informal carers and strengthening home-based care provision. Sweden (UniversalNordic) has made great strides towards deinstitutionalisation by promoting coordination between care providers, but, the coverage and cost of services will soon become unsustainable unless appropriate support for family-based care is provided. Italy (Family-based) and the Czech Republic (Transition) represent situations where the rates of institutionalisation are relatively low and current policy is challenged to contain future growth. Both systems offer significant support to informal and family carers, but this historic over-reliance on household contributions to care is leading to a widening gap between supply and demand, which needs to be addressed through the strengthening of community-based services.The briefing concludes with a discussion of the core principles for reaching a sustainable balance between different long-term care settings. (Edited publisher abstract)