Long-term care for older people.

Format:

Book

Government document

Contributor:

Organisation for Economic Co-operation and Development

Language:

English

French

Subjects (All):

Long-Term Care--trends.

Older people--Medical care--Costs.

Older people--Medical care.

Government policy.

Older people--Care.

Aged.

Cross-Cultural Comparison.

Health Services for the Aged--economics.

Health Services for the Aged--trends.

Long-Term Care--economics.

Older people.

Older people--Care--Government policy.

Older people--Care--Costs.

Older people--Medical care--Government policy.

Medical Subjects:

Long-Term Care--trends.

Aged.

Cross-Cultural Comparison.

Health Services for the Aged--economics.

Health Services for the Aged--trends.

Long-Term Care--economics.

Genre:

Statistics.

Physical Description:

137 pages : illustrations ; 27 cm

Place of Publication:

Paris : Organisation for Economic Co-operation and Development, [2005]

Summary:

This study reports on the latest trends in long-term care policies in nineteen OECD countries: Australia, Austria, Canada, Germany, Hungary, Ireland, Japan, Korea, Luxembourg, Mexico, the Netherlands, New Zealand, Norway, Poland, Spain, Sweden, Switzerland, the United Kingdom and the United States. It studies lessons learnt from countries that undertook major reforms over the past decade. Trends in expenditure, financing and the number of care recipients are analysed based on new data on cross-country differences. Special attention is given to experience with programmes that provide consumers of services with a choice of care options, including cash to family carers. Concise country profiles of long-term care systems and an overview on demography and living situations of older persons make this complex policy field more accessible. Book jacket.

Contents:

Chapter 1 An Overview of Long-term Care Programmes and Expenditures 19

The nature of long-term care services 20

A wide range of long-term care coverage by public programmes 21

Differences in spending levels for long-term care services 25

Chapter 2 Towards a Continuum of Care: Bringing Services Together 33

The continuum of care 34

National measures to improve the continuum of care 35

Shifting the balance towards home-based care 40

Services to support carers 44

Chapter 3 Consumer Direction and Choice in Long-term Care 49

Arrangements to increase consumer-direction and choice when receiving long-term care at home 51

Aspects of programme design 57

Outcomes: what is the experience with choice of carer and payments for care? 59

Chapter 4 Monitoring and Improving the Quality of Long-term Care 65

What do we know about quality deficits in long-term care? 66

Efforts to monitor and improve quality in long-term care 71

The cost of improving housing standards and quality of accommodation 76

Chapter 5 Paying for Long-term Care: Current Reforms and Issues for the Future 79

New forms of public programmes for long-term care: Austria, Germany, Japan and Luxembourg 81

Reforms to long-term care within the tax envelope: Sweden, Australia, New Zealand and the United Kingdom 85

Annex A Demographic Trends and Changes in Living Arrangements of Older Persons 99

Demographic trends 99

Disability in older age 102

The role of informal care giving and trends in labour market participation 108

Living arrangements of older persons 108

Annex B Profiles of Long-term Care Systems in 19 Countries 113

Australia 113

Austria 115

Canada 116

Germany 117

Hungary 119

Ireland 120

Japan 122

Korea 123

Luxembourg 124

Mexico 125

Netherlands 126

New Zealand 127

Norway 128

Poland 129

Spain 130

Sweden 132

Switzerland 133

United Kingdom 134

United States 136

0.1 Definitions and glossary of terms 17

1.1 Long-term care systems serve all age groups 25

1.2 What can we learn from future projections of spending on long-term care? 31

3.1 Consumer-directed care programmes in the United States 51

4.1 The role of the Internet in strengthening the role of the public and of consumers of services 75

1.1 Major public programmes covering long-term care in selected OECD countries, 2003 22

1.2 Public and private expenditure on long-term care as a percentage of GDP, 2000 26

2.1 Interventions on a continuum-of-care for stroke and dementia patients 35

2.2 Measures introduced in OECD countries to improve the continuum of care 37

2.3 Recipients of institutional and home-care services aged 65 and over 41

2.4 Decreasing rates of nursing home use in the United States, 1985 to 1999 42

2.5 Recent initiatives to support more disabled older people at home 44

3.1 Personal budgets, consumer-directed care and payments for informal care 52

4.1 Dimensions and aspects of quality in long-term care 67

4.2 Evidence on quality deficits in nursing home care 68

4.3 Policy concerns about the quality of nursing home care 69

4.4 Policy concerns about the quality of home-care services 70

4.5 Privacy in nursing homes 77

5.1 Public long-term care benefits in five countries 82

A.1 Share of older persons in the population, 1960 to 2040 101

A.2 Share of very old persons (80+) among the elderly, 1960 to 2040 102

A.3 Life expectancy at age 65 and 80, 1960 to 2000 103

A.4 Old age-dependency ratio, 1960 to 2040 104

A.5 Disability-free life expectancy at age 65, selected countries 107

A.6 Relationship between care recipient and informal care giver 109

A.7 Age distribution of care givers 110

1.1 Public and private expenditure on long-term care as a percentage of GDP, 2000 26

1.2 The correlation between total long-term care spending and the population share of the very elderly, 2000 27

1.3 Public expenditure on long-term care as a percentage of GDP, 2000 28

1.4 Share of spending on institutional care in total public long-term care expenditure, 2000 29

1.5 The role of private spending on care in institutions 30

1.6 Trends in public spending on long-term care, 1990-2002 32

A.1 Prevalence of disability by age and gender 105

A.2 Female labour force participation by age groups, 1980 and 2002 111

A.3 Trends of older persons living alone, 1990 to 2000 112.

Notes:

Also published in French with title: Soins de longue durée pour les personnes âgées.

"OECD Health Project"--Cover.

Includes bibliographical references (pages 91-97).

ISBN:

9264008489

OCLC:

61282935