Older People's Family Contacts and Long-term Care Expenditure in OECD Countries: A Comparative Approach Using Qualitative Comparative Analysis

2010 ◽  
Vol 44 (1) ◽  
pp. 67-84 ◽  
Author(s):  
Philip Haynes ◽  
Michael Hill ◽  
Laura Banks
Keyword(s):  
Comparative Analysis ◽  
Long Term Care ◽  
Qualitative Comparative Analysis ◽  
Oecd Countries ◽  
Comparative Approach ◽  
Term Care

scholarly journals Informal carer in Portugal: moving towards political recognition in Portugal

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
I Fronteira ◽  
J Simoes ◽  
G Augusto
Keyword(s):  
Informal Care ◽  
Long Term Care ◽  
Well Being ◽  
Oecd Countries ◽  
Low Fertility ◽  
Informal Carer ◽  
Term Care ◽  
System Perspective ◽  
Informal Carers

Abstract Informal care represents around 80% of all long term care provided in EU countries. Nevertheless, the needs for this type of care are expected to increase in the coming years in all OECD countries. Portugal is among the OECD countries with the highest ageing index (21.5% of the population was older than 65 years in 2017) due to high life expectancy and low fertility rates. As this demographic trend establishes, Portugal is expected to have more than 40% of the population over 65 years in 2037, and the expected prevalence of dementia is 3%, in 2050. In 2015 there were 2.1% of people over 65 receiving long-term care, representing 52% of all long-term care users. Around 38% were receiving care at home. It is estimated that 287,000 people in Portugal depend on informal carers. The agenda towards the official recognition of informal cares has been push forward in the country. Since 2015, several recommendations have been issued by the Parliament as well as legislative initiatives and a proposal for a Status of the Informal Carer is currently under discussion. We analyse the process of formulation of this policy in terms of sectors and stakeholders involved, definition and scope of informal carer, rights and obligations, role of the person being cared for, formal protection (e.g., labor, social, financial, training) and implementation. Recognition of the informal carer is a sector wide approach. One of the main features is the economic, social and labor protection mainly through reconciliation between work life and caring activities and promotion of the carer’s well being. Notwithstanding, and from a health system perspective, community health teams are to be the focal point for informal carers, supporting and providing specific training whenever needed. Despite its relevance, informal care should not be professionalized and responsibility of care should not be shifted from health services to informal carers. Key messages Needs for informal care are expected to increase in the coming years in OECD countries. Recognition of the informal carer is a sector wide approach.

scholarly journals Impacts of Informal Caregiver Availability on Long-term Care Expenditures in OECD Countries

2004 ◽  
Vol 39 (6p2) ◽  
pp. 1971-1992 ◽  
Author(s):  
Byung-Kwang Yoo ◽  
Jay Bhattacharya ◽  
Kathryn M. McDonald ◽  
Alan M. Garber
Keyword(s):  
Long Term Care ◽  
Informal Caregiver ◽  
Oecd Countries ◽  
Term Care

scholarly journals Worlds of long-term care: A typology of OECD countries

Health Policy ◽  
2021 ◽  
Author(s):  
Mareike Ariaans ◽  
Philipp Linden ◽  
Claus Wendt
Keyword(s):  
Long Term Care ◽  
Oecd Countries ◽  
Term Care

scholarly journals THE ROLE OF POLICY CONTEXT IN INDIVIDUAL LONG-TERM CARE DECISIONS IN OECD COUNTRIES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S155-S155
Author(s):  
Selena Caldera
Keyword(s):  
Informal Care ◽  
Long Term Care ◽  
Logistic Models ◽  
Oecd Countries ◽  
Low Fertility ◽  
Demographic Shift ◽  
Public Provision ◽  
Term Care ◽  
Policy Context

Abstract While family caregiving of the elderly has long been part of the cultural life of most OECD countries, longer life expectancy combined with low fertility rates has increased the share of the population dependent on current workers and minimized the available population of informal caregivers. The demand for expanded public provision of long-term care (LTC) resulting from this demographic shift prompted reforms in many OECD countries in the 1990s and 2000s. Differences in these reforms provide an opportunity to examine how individual choices between formal and informal care types are shaped by the policy context. I use longitudinal data on elders in three OECD countries, Sweden, Germany, and Japan, to examine LTC decisions under three varied approaches to population aging. The direction of LTC reforms in each country has been shaped by the existing model of care provision and financial constraints. In response to cost pressures, Sweden introduced need-based provision, financial devolution, and market-based approaches to its universal care model. Germany and Japan, in contrast, widely expanded restricted LTC coverage through public LTC insurance models. I use three multinomial logistic models of the LTC decision to test how differing policy schemes influence choices between formal and informal care. Using longitudinal Global Gateway to Aging data for each country, I model the LTC decision in each country as a factor of demographic and need characteristics of the elder experiencing limitations, characteristics of their family, and eligibility for publicly-provided LTC.

scholarly journals A Comparison of COVID-19 Mortality Rates Among Long-Term Care Residents in 12 OECD Countries

2020 ◽  
Vol 21 (11) ◽  
pp. 1572-1574.e3 ◽  
Author(s):  
Edgardo R. Sepulveda ◽  
Nathan M. Stall ◽  
Samir K. Sinha
Keyword(s):  
Long Term Care ◽  
Mortality Rates ◽  
Oecd Countries ◽  
Term Care

scholarly journals Forms of Providing and Financing Long-Term Care in OECD Countries

2017 ◽  
Vol 17 (2) ◽  
pp. 159-178 ◽  
Author(s):  
Renáta Halásková ◽  
Pavel Bednář ◽  
Martina Halásková
Keyword(s):  
Cluster Analysis ◽  
Long Term Care ◽  
Formal System ◽  
Principal Component ◽  
Oecd Countries ◽  
Population Ageing ◽  
Term Care ◽  
Care Systems ◽  
Provision Of Care

Abstract Long-term care is being prioritised due to population ageing, and hand in hand with the development of professional provision of long-term care, public expendi-tures will be increasing. Mainly countries with a sharp increase in the number of people aged 80+ will have to address the sustainability of long-term care systems and the pro-curement of relevant services. This paper aims to evaluate the forms of provision and financing of long-term care in selected OECD countries. Provision and funding of long-term care in terms of a formal system are assessed based on selected criteria using analytical methods (principal component analysis and TwoStep cluster analysis). Results of the evaluation carried out in 2008 and 2013 by means of the selected indicators of long-term care, using TwoStep cluster analysis, confirmed both similar as well as different approaches to the provision and financing of long-term care in the analysed countries. The most marked differences in the provision of care based on indicators LTC recipients aged 65+ and LTC recipients in institutions as a percentage of total LTC recipients were found between the first cluster (Australia and Korea with the highest share of LTC recipients) and the second cluster (Czech Republic, Estonia, with the lowest share of LTC recipients). In financing of long-term care (LTC expenditures on institutions as a percentage of total LTC expenditures), the most significant differences were observed between the first (Australia, Korea, with the largest share of LTC expenditures on institutions) and third cluster (mainly Nordic countries, with the lowest share of LTC expenditures on institutions of total LTC expenditures).

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