‘User pays’ and other approaches to the funding of long-term care for older people in Australia

2000 ◽  
Vol 20 (1) ◽  
pp. 5-32 ◽  
Author(s):  
MICHAEL FINE ◽  
JENNY CHALMERS
Keyword(s):  
Older People ◽  
Private Insurance ◽  
Aged Care ◽  
Future Generations ◽  
Term Care ◽  
Public And Private ◽  
Alternative Funding ◽  
Care Services ◽  
The Cost

It has been argued that without some system in which future generations of users are able to pay for their care the cost of services for an increasingly large group of older people will be borne by a declining base of economically active younger people. Is the answer a user pays approach to the financing of aged care, as promoted by recent changes to aged care financing? This paper reviews this concept and its recent history in Australia. On the basis of a brief review of alternative funding systems, it also considers the potential of public and private insurance schemes to increase funding by potential service users and underwrite the long-term viability of funding for aged care services.

Modelling ageing populations to 2030: financing long-term care in England

2018 ◽  
Author(s):  
Michael Murphy ◽  
Ruth Hancock ◽  
Raphael Wittenberg ◽  
Bo Hu ◽  
Marcello Morciano ◽  
...  
Keyword(s):  
Older People ◽  
Long Term Care ◽  
Care Needs ◽  
Term Care ◽  
Public And Private ◽  
Care Services ◽  
Private Expenditure ◽  
The Impact ◽  
Care Costs

This chapter presents some findings from the research project ‘Modelling Needs and Resources of Older People to 2030’ (MAP2030). The project developed a set of projection models to estimate future family circumstances, incomes, pensions, savings, disability and care needs of older people in England. These projections included public and private expenditure on pensions, disability benefits and care services under different scenarios for reform of pensions and long-term care funding under a range of alternative population futures. The chapter focuses on the projected future costs and impacts for the different income quintiles of the older population of proposed reforms to the system of funding adult social care, in particular the impact of a cap on individual liability to meet care costs.

scholarly journals Sustainable community services for older people

2020 ◽  
Author(s):  
Chris Taylor ◽  
Jed Donoghue
Keyword(s):  
Older People ◽  
State Government ◽  
Aged Care ◽  
Community Services ◽  
Government Support ◽  
Care Services ◽  
Strategic Plans ◽  
Authority Area ◽  
Key Issues

This paper explores the sustainability of non-government organisations (NGOs) providing services to older people in the local government authority area of North Sydney. It identifies several key issues that can be used to assess the level of programme sustainability in the community sector. We suggest that government support is essential for the ongoing financial sustainability of community aged care services and that community-based organisations need to address a number of issues that will impact on their long-term sustainability. A good working relationship with local and state government is crucial for organisations to access community grants, donations and subsidised premises. The recruitment, training and retention of volunteers were some of the most important issues identified. Further, these NGOs will need to develop strategic plans that factor in sustainability indicators to address rental, recycling, transport, renewable energy and water costs to ensure that they have the capacity to pay for these utilities in the future.

Disability-based classification system for older people in integrated long-term care services: The Iso-SMAF profiles

2006 ◽  
Vol 42 (2) ◽  
pp. 191-206 ◽  
Author(s):  
Nicole Dubuc ◽  
Réjean Hébert ◽  
Johanne Desrosiers ◽  
Martin Buteau ◽  
Lise Trottier
Keyword(s):  
Older People ◽  
Classification System ◽  
Long Term Care ◽  
Term Care ◽  
Care Services

scholarly journals Cognitive impairment in older people: future demand for long-term care services and the associated costs

2007 ◽  
Vol 22 (10) ◽  
pp. 1037-1045 ◽  
Author(s):  
Adelina Comas-Herrera ◽  
Raphael Wittenberg ◽  
Linda Pickard ◽  
Martin Knapp
Keyword(s):  
Cognitive Impairment ◽  
Older People ◽  
Long Term Care ◽  
Term Care ◽  
Care Services ◽  
Future Demand

scholarly journals From Needs and Dilemmas Facing View of Elderly People Living with HIV/AIDS Long-Term Care Measures in Taiwan

2017 ◽  
Vol 13 (10) ◽  
pp. 18
Author(s):  
Ching-Teng Yao ◽  
Chien-Hsing Tseng ◽  
Yu-Ming Chen
Keyword(s):  
Health Care ◽  
Older People ◽  
Elderly People ◽  
Long Term Care ◽  
People Living With Hiv ◽  
Term Care ◽  
Infected People ◽  
Care Services ◽  
Living With Hiv

The life of people living with HIV has been prolonged with HAART, and since 1997 the introduction of antiretroviral HAART in Taiwan has increased the survival rate of infected people to 85.9%. Therefore, with the extension of the life of people living with HIV and the entry into the old age, how to provide suitable long-term care services is an issue that Taiwan policy needs to face and think. This research through surveys and interviews to find Taiwan elderly people living with HIV in Taiwan needs and plight of the contains (1) diseases and health care issues, (2) social prejudice and discrimination (3) psychology and adjustment of the identity and reflection (4) adjustment of interpersonal relationships. According to the empirical data shows Taiwan's long-term care measures in difficulties arising in the care for older people living with HIV (1) non-suitable for elderly people living with HI community long-term care services; (2) long-term care institution the exclusion of people living with HIV (3) lack of financial resources of older living with HIV with using institutional long term care. (4) the incoherence of HIV medical and long-term care measures. (5) course focuses on long-term care health care, neglect the psychosocial dimensions of older people living with HIV. This study attempts to present long-term care of the elderly people living with HIV needs and challenges and dilemmas facing in Taiwan.

scholarly journals Introduction: Themed Section on the Costs of Long-Term Care for Older People

2007 ◽  
Vol 6 (3) ◽  
pp. 349-351
Author(s):  
Alison Bowes
Keyword(s):  
Older People ◽  
Evidence Base ◽  
Royal Commission ◽  
Ageing Population ◽  
Term Care ◽  
Alternative Funding ◽  
Care Services ◽  
Care And Support ◽  
History Of ◽  
The Impact

Cost has long been a preoccupation in policy documents concerned with the care and support of older people (Means and Smith, 1998; Royal Commission, 1999). A history of moral panic about the ageing population coupled with a stereotype of older people as a dependent and ‘unproductive’ sector of society have combined to produce negatively focused debate, lacking in evidential support. Most recently, Wanless (2006) has highlighted the limitations of the evidence base and the narrowness of debate concerning the provision of social care services, arguing both for more informed debate and for consideration of the impact of developments in services and alternative funding models.

Aged Care Services in India

2021 ◽  
pp. 114-143
Author(s):  
Wadad Kathy Tannous ◽  
Divya Ramachandran
Keyword(s):  
Filial Piety ◽  
Elderly Care ◽  
The Elderly ◽  
Aged Care ◽  
Geriatric Care ◽  
Term Care ◽  
Public And Private ◽  
Care Services ◽  
Care For The Elderly ◽  
The Government

India is the world's largest democracy and second most populous country with nearly 1.4 billion people. With reduced birth rates and increasing lifespans, it had nearly 104 million ‘senior citizens' in 2011, expected to grow to 300 million by 2050. Providing care for the elderly in India is a growing public and private concern. Filial piety is embedded in culture and long-term care for parents and the elderly is expected from children. However, over the last five decades there have been rapid changes in socioeconomic patterns with increasing mobility for work and rise of nuclear households. Despite this, elder care is still largely underdeveloped, with lack of formal training in geriatric care and geriatric care curriculum in medical education. Australia has a highly evolved elderly care system with care services that includes retirement villages, home care, residential care, and flexible care. These are provided by subsidization from the government and private user pay system. Australia is well poised to provide aged care expertise and services and shape elderly care in India.

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