Catastrophic Acute and Long-term Care Costs: Risks Faced by Disabled Elderly Persons

1993 ◽  
Vol 33 (3) ◽  
pp. 299-307 ◽  
Author(s):  
K. Liu ◽  
M. Perozek ◽  
K. Manton
Keyword(s):  
Long Term Care ◽  
Elderly Persons ◽  
Term Care ◽  
Disabled Elderly ◽  
Care Costs

scholarly journals Comparison of the Measurement of Long-Term Care Costs between China and Other Countries: A Systematic Review of the Last Decade

Healthcare ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 117 ◽  
Author(s):  
Qingjun Zeng ◽  
Qingqing Wang ◽  
Lu Zhang ◽  
Xiaocang Xu
Keyword(s):  
Systematic Review ◽  
Long Term Care ◽  
Academic Research ◽  
Care Providers ◽  
Term Care ◽  
Disabled Elderly ◽  
The Disabled ◽  
Long Term Care Insurance ◽  
Care Costs

Background: The rapid aging of populations in some countries has led to a growing number of the disabled elderly, creating a huge need for Long-Term Care (LTC) and meeting its costs, which is a heavy economic burden on the families of the disabled elderly and governments. Therefore, the measurement of Long-Term Care (LTC) costs has become an important basis for the government to formulate Long-Term Care (LTC) policies, and academic research on Long-Term Care (LTC) costs is also in the process of continuous development and deepening. Methods: This is a systematic review that aims to examine the evidence published in the last decade (2010–2019) regarding the comparison of the measurement of Long-Term Care (LTC) costs between China and other countries. Results: Eighteen Chinese studies and 17 other countries’ studies were included in this review. Most Chinese scholars estimated long-term care costs based on the degree of disability among the disabled elderly. However, the studies of European and American countries are more and more in-depth and comprehensive, and more detailed regarding the post-care cost of specific diseases, such as Parkinson’s disease, Alzheimer’s disease, and epilepsy. Conclusion: In future academic research, we should fully consider the human value of long-term care providers and further study the differences in the long-term care costs of different chronic diseases. In China’s future policymaking, according to the experience of Germany, Sweden, and other countries, it may be an effective way to develop private long-term care insurance and realize the effective complementarity between private long-term care insurance and public long-term care insurance (LTCI).

Health Literacy and Long-Term Care Needs among Thai Elderly in Rural Communities

2020 ◽  
Vol 103 (12) ◽  
pp. 1315-1324
Keyword(s):  
Depressive Symptom ◽  
Health Literacy ◽  
Rural Communities ◽  
Long Term Care ◽  
Health Knowledge ◽  
Elderly Persons ◽  
Care Needs ◽  
Term Care ◽  
Study Results

Background: Factors related to long-term care needs have been studied widely, but there is limited research about the influence of health literacy on long-term care needs among the elderly in rural communities where the social context and care environment are uniquely different. Objective: To examine factors influencing long-term care needs among Thai elderly in rural communities. Materials and Methods: The present study used the cross-sectional design. The study sample included 477 elderly persons, who were members of the communities in Nakhon Ratchasima Province. Multi-stage random sampling was used to select participants. They were interviewed using the demographic and health information questionnaire, the Thai Geriatric Depression Scale (TGDS), the health literacy scale of Thai adults and long-term care needs questionnaire. The selected factors examined as independent variables included some demographic factors, depressive symptom, and health literacy. Results: The present study results revealed significant positive relationships existing between long-term care needs with age and depressive symptom, while negative relationships between income and health literacy were reported. A hierarchical multiple regression analysis indicated that four of nine determinants of long-term care needs: age, depressive symptom, health knowledge and understanding, and ability managing their health condition significantly predicted long-term care needs at a level of 18% (R² adjusted=0.18, p<0.001). Conclusion: The present study results showed associations between personal and health literacy factors with long-term care needs. These findings prove that it is vitally important for healthcare professionals to consider the rural elderly’s mental health status and health literacy when providing care and planning treatment. Keywords: Health literacy, Long-term care needs, Rural community

scholarly journals Care and management demands of long-term care facilities for the elderly in Brazil: an integrative review (2004-2014)

2017 ◽  
Vol 20 (2) ◽  
pp. 286-299 ◽  
Author(s):  
Fátima Ferreira Roquete ◽  
Carolina Campos Ricci Frá Batista ◽  
Rodrigo Caetano Arantes
Keyword(s):  
Long Term Care ◽  
Quality Care ◽  
The Elderly ◽  
Integrative Review ◽  
Elderly Persons ◽  
Term Care ◽  
Care For The Elderly ◽  
Care Facilities ◽  
Care Demands

Abstract Objective: to analyze the care and management demands of Long-Term Care Facilities for the Elderly (LTCFs) in Brazil. Method: an integrative review of literature was carried out, organized into six stages: a) elaboration of a guiding question; b) online search of LILACS, SciELO, PubMed, the CAPES Portal and the Brazilian Society of Geriatrics and Gerontology databases; c) article selection, following the exclusion and inclusion criteria, with the sample composed of 17 articles; d) commented analysis of the selected articles; e) deliberation on the results obtained, formulated from the synthesis and interpretation of the selected studies; f) presentation of the results of the review. Results: the care demands identified are related to the process of caring and assume a working team with geriatric and gerontological knowledge, while the management demands include the means and resources needed so the care can be provided effectively. However, the LTCFs were found to rely on professionals who are unprepared to provide care or to assume an organizational management role, meaning care for the elderly is restricted to the essentials for their basic needs. Conclusion: the care demands were easily identified in the analyzed publications, however, there is a lack of research that evaluates management demands in a broader and more in-depth manner. It is suggested that studies aiming to broaden theoretical knowledge of the care and management demands of LTCFs are carried out, to stimulate effective and positive actions in the practices of these institutions, seeking to offer top quality care to elderly persons that live in these facilities, that responds to the real needs of their current stage of life.

Associations of aging trajectories for an index of frailty score with mortality and medical and long‐term care costs among older Japanese undergoing health checkups

2020 ◽  
Vol 20 (11) ◽  
pp. 1072-1078
Author(s):  
Yu Taniguchi ◽  
Akihiko Kitamura ◽  
Takumi Abe ◽  
Gotaro Kojima ◽  
Tomohiro Shinozaki ◽  
...  
Keyword(s):  
Long Term Care ◽  
Term Care ◽  
Care Costs ◽  
Frailty Score

scholarly journals Independence of Eating and Nutritional Frailty in Elderly Persons in Long-Term Care

2007 ◽  
Vol 22 (4) ◽  
pp. 511-514
Author(s):  
Akira KUBO ◽  
Mariko KONDO ◽  
Tatsuki YOSHIMATSU ◽  
Nobuko IWABE ◽  
Ryouko NAMIKI ◽  
...  
Keyword(s):  
Long Term Care ◽  
Elderly Persons ◽  
Term Care

Economic Well-Being of the Chronically Disabled Elderly: Practice and Policy Implications

1993 ◽  
Vol 74 (8) ◽  
pp. 460-467 ◽  
Author(s):  
Jean W. Bauer ◽  
Marlene S. Stum ◽  
Paula J. Delaney
Keyword(s):  
Stepwise Regression ◽  
Long Term Care ◽  
Well Being ◽  
Policy Implications ◽  
Term Care ◽  
Disabled Elderly ◽  
The Disabled ◽  
Care Survey ◽  
Economic Well Being

The 1982 Long-Term Care Survey (N = 5,670) was used to gain an understanding of predisposing, need, and enabling variables that influence the economic well-being of disabled elderly. Stepwise regression results suggest that a combination of enabling and predisposing factors best explained differences in economic well-being. Implications of the findings for practitioners are discussed within the context of practice and policy for the disabled elderly.

scholarly journals Review on Pricing Models for Long-term Care Insurance

2021 ◽  
Vol 5 (1) ◽  
Author(s):  
Muhammad Syakir Asrulsani ◽  
Mazlynda Md Yusuf
Keyword(s):  
Activities Of Daily Living ◽  
Daily Living ◽  
Long Term Care ◽  
Financial Burden ◽  
Term Care ◽  
Protection Mechanism ◽  
Long Term Care Insurance ◽  
Risk Protection ◽  
Care Costs

Funding for long-term care costs among elderly people is a critical matter, especially due to high costs and an unexpected length of time. Placement for long-term care that is funded under Jabatan Kebajikan Masyarakat (JKM) is very limited, hence, the next option is through private nursing homes. However, the cost could be up to RM 2,000 a month for each person. Therefore, Long- Term Care Insurance is an alternative to fund for Long-Term Care costs as it is expected to reduce financial burden during old age. It is a risk protection mechanism for an insured that needs health and financial protection when an individual is unable to do activities of daily living (ADL) or supports in instrumental activities of daily living (IADL). This paper reviews three models that have been used in pricing long-term care insurance. All three models use the equivalent principle of premium to price the insurance policy. However, the probability and assumptions used for each model differ, depending on the insured's needs and profile.

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