Long-term care provision in Europe: Results of a desk research study 

Slavena Manolova,

Marzena Tambor,

Milena Pavlova,

Tetiana Stepurko,

Wim Groot

Abstrakt

This paper describes the provision of long-term care across Europe based on data gathered in a desk research. The aim is: (1) to identify indicators of long-term care provision; and (2) to compare the provision of formal and informal care across the European countries. For this purpose, a narrative literature review was carried out to identify relevant indicators. Subsequently, a descriptive analysis was performed to analyse the indicator-related data. The results suggested that there are important differences in the long-term care provision in Europe. Long-term care is provided both at public and private institutions. The entitlement criteria vary among countries. In general, Western and Northern European countries have more generous provision of residential care compared to Eastern and Southern European countries. At the same time, informal care has different roles and it is extremely important in Eastern and Southern European countries. Among all countries, more than half have quality assurance regulations for residential care. However, most of the Southern and Eastern European countries lack information about the quality assurance regulations. In order to monitor the long-term care provision, it is recommended that European countries establish a reporting system to provide annual data. These annual data should be based on identical measurement mechanisms and standardised reporting structure to allow for comparison and improvements of long-term care systems.

* Przygotowanie do wydania elektronicznego finansowane w ramach umowy 637/P-DUN/2019 ze środków Ministra Nauki i Szkolnictwa Wyższego przeznaczonych na działalność upowszechniającą naukę.

Słowa kluczowe: analiza danych zastanych, Europa, finansowanie, opieka długoterminowa, zarządzanie, dostarczanie, desk research, Europe, funding, long-term care, management, provision
References

1. European Commission, Joint Report on Health Care and Long-Term Care Systems & Fiscal Sustainability. Volume 1 and Volume II. INSTITUTIONAL PAPER 037, 2016, https://ec.europa.eu/info/publications/economy-finance/joint-report-health-care-and-long-term-care-systems-fiscalsustainability-0_en (accessed: 08.01.2017).

2. European Commission, Population Ageing in Europe: Facts, Implication and Policies. Outcomes of EU-funded research, Directorate-General for Research and Innovation, 2014, https://webcache.googleusercontent.com/search?q=cache:jW_v1-A4aQ4J:https://ec.europa.eu/research/social-sciences/pdf/policy_reviews/kina26426enc.pdf+&cd=2&hl=nl&ct=clnk& gl=nl&client=firefox-b-ab (accessed: 08.01.2017).

3. WHO Regional Office for Europe, Health and Social Care Systems, http://www.euro.who.int/en/health-topics/Lifestages/healthy-ageing/data-and-statistics/health-and-socialcare-systems (accessed: 22.01.2017).

4. Colombo F., Llena-Nozal A., Mercier J., Tjadens F., Help Wanted? Providing and Paying for Long-Term Care. OECD Health Policy Studies, OECD Publishing, 2011, http://www.keepeek.com/Digital-Asset-Management/oecd/socialissues-migration-health/help-wanted_9789264097759-en#page41 (accessed: 22.01.2017).

5. OECD, Long-Term Care for Older People, 2005, https://eclass.unipi.gr/modules/document/file.php/SAE148/opieka długoterminowa w krajach EuropyΔιάφορα%20χρήσιμα%20κείμενα/OECD_LongtermCaree.pdf (accessed: 22.01.2017).

6. World Health Organization, WHO Health Systems Framework, http://www.wpro.who.int/health_services/health_systems_framework/en/ (accessed: 22.01.2017).

7. McCall N., Long-Term Care: Definition, Demand, Cost, and Financing, in: N. McCall (ed.), Who Will Pay for Long Term Care? Insights from the Partnership Programs, Health Administration Press, Chicago; Academy for Health Services Research and Health Policy, Washington, DC 2001.

8. Salvador-Carulla L. et al., Evaluation of an integrated system for classification, assessment and comparison of services for long-term care in Europe: The eDESDE-TC study, “BMC Health Services Research” 2013; 13: 218.

9. Kraus M., Riedel M., Mot E., Willeme P., Rohring G., Czypionka T., A Typology of Long-Term Care Systems in Europe, European Network of Economic Policy Research Institutes, 2010, http://www.ancien-longtermcare.eu/ (accessed: 28.01.2017).

10. MISSOC, Comparative Tables, 2016, http://www.missoc. org/MISSOC/INFORMATIONBASE/COMPARATIVETABLES/MISSOCDATABASE/comparativeTablesSearchResultTree.jsp (accessed: 22.01.2017).

11. OECD, OECD Stats, http://stats.oecd.org/ (accessed: 22.01. 2017).

12. European Commission, EUROSTAT, http://ec.europa.eu/eurostat (accessed: 22.01.2017).

13. European Observatory on Health Systems and Policies, Health system reviews (HiT series), http://www.euro.who.int/en/about-us/partners/observatory/publications/health-systemreviews-hits (accessed: 22.01.2017).

14. Dandi R., Casanova G., Quality Assurance Indicators of Long-Term Care in European Countries, European Network of Economic Policy Research Institutes, 2012, http://www.ancien-longtermcare.eu/node/27 (accessed: 28.01.2017).

15. Dandi R., Casanova G., Lillini R., Volpe M., De Belvis A.G., Avolio M., Pelone F., Long-Term Care Quality Assurance Policies in European Countries, ENEPRI Research Report No. 111. Work Package 5. European Network of Economic Policy Research Institutes, 2012, http://www.ancien-longtermcare.eu/node/27 (accessed: 28.01.2017).

16. European Commission, Long-Term Care for the Elderly. Provision and Providers in 33 European Countries, Publication of the European Union, Luxembourg 2012, https://ec.europa.eu/justice/gender-equality/files/elderly_care_en.pdf (accessed: 25.01.2017).

17. Riedel M., Kraus M., Informal Care Provision in Europe: Regulation and Profile of Providers, ENEPRI Research Report No. 96, European Network of Economic Policy Research Institutes, 2011 http://www.ancien-longtermcare.eu/node/27 (accessed: 25.01.2017).

18. European Commission, Analysing Equity in the Use of Long-Term Care in Europe, Research note 9/2014, Directorate-General for Employment, Social Affairs and Inclusion, 2014, www.euro.centre.org/data/1429795073_77691.pdf (accessed: 25.01.2017).

19. Verbeek-Oudijk D., Woittiez I., Eggink E., Putman L., Who Cares in Europe? A Comparison of Long-Term Care for the Over-50s in Sixteen European Countries, The Netherlands Institute for Social Research, 2014, http://webcache.googleusercontent. com/search?q=cache:r7bA4wDZY1QJ:www.scp.nl/dsresource%3Fobjectid%3Dd9b6eed0-a19b-4646-8cd2-db24d20e98d9+&cd=1&hl=bg&ct=clnk&gl=bg&client=firefox-b-ab (accessed: 25.01.2017).

20. European Commission, Long-Term Care in the European Union, Office for Official Publication of the European Communities, Luxembourg 2008, http://ec.europa.eu/ social/BlobServlet?docId=2781&langId=en (accessed: 09.01.2017).

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