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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)
Lessons for regulating informal markets and implications for quality assurance: the case of migrant care workers in Austria
- Authors:
- SCHMIDT Andrea E., et al
- Journal article citation:
- Ageing and Society, 36(4), 2016, pp.741-763.
- Publisher:
- Cambridge University Press
The rising number of private care arrangements in which live-in migrant care workers are engaged as a functional equivalent to family care calls for special attention by policy makers and formal long-term care providers on their implications for quality assurance and professional standards in the long-term care sector. Austria is one of the first countries in Europe where tangible legal measures have been taken to regulate this area under the heading of ‘24-hour care’, typically provided by middle-aged women. Reform measures went beyond policing and control mechanisms, including also incentives and tangible subsidies for all stakeholders. This paper contributes to a better understanding of their impact on the transition from informal to formal economy, focusing on quality assurance and working conditions. Based on empirical data and findings from semi-structured interviews with relevant stakeholders, a framework for the analysis of ‘illegal markets', based on Beckert and Wehinger's theory, is used to discuss potential implications in terms of valuation, competition and co-operation for policy in Austria, and to draw lessons for other countries. Results indicate that even after efforts to ‘legalise’ migrant care, the sector remains a ‘grey’ area within modern labour market legislation and quality management. This is due to the very nature of personal care, low professional status associated with care work and the reluctance of political stakeholders to regulate private household activities. (Publisher abstract)
The view from within: "good" care from the perspective of care professionals: lessons from an explorative study
- Authors:
- SHULMANN Katharine, et al
- Publisher:
- European Centre for Social Welfare Policy and Research
- Publication year:
- 2016
- Pagination:
- 16
- Place of publication:
- Vienna
Policy briefing which focuses on care quality from the perspective of professionals working in the field of long term care in Austria. Specifically the briefing looks at what care professionals consider to be high quality care and how it should be defined; and what structural-, process- and outcome-related factors they believe affect outcomes. The study draws on interviews and workshops with representatives from various professional groups, as well as 24-hour carers and family carers, to identify themes and issues central to discussions of "good" care. The interviews and workshops identified a number of factors for the provision of high quality care: the continued development of a distinct long term care identity, rather than a separate identity of health/social care; working conditions; relationships, including between care professionals and users, and between professionals and informal carers; the way that care services are financed and structured, which has a strong influence on the delivery of care, interaction and cooperation; and the importance of multidisciplinary care teams. The authors propose recommendations to directly and indirectly improve quality of care through action at the macro, organisational, and individual levels. (Edited publisher abstract)