Internal coordination of social security in Italy

2019 ◽  
Vol 21 (2) ◽  
pp. 141-152
Author(s):  
Silvio Bologna
Keyword(s):  
Health Care ◽  
Social Security ◽  
Social Care ◽  
Social Assistance ◽  
Constitutional Reform ◽  
Regional Mobility ◽  
Eu Regulation ◽  
Money Transfers

This contribution deals with the internal coordination of health care, long-term social care and social assistance schemes – covered by EU regulation no. 883/2004 – in Italy after the constitutional reform enacted in 2001, which significantly decentralised legislative and administrative machinery by strengthening the prerogatives of the Regions, especially in terms of organisation and funding of the services. This article seeks to demonstrate that, although the decentralisation of health care and long-term social care has been accompanied by mechanisms of internal coordination among the Regions (particularly in the field of inter-regional mobility), regional social assistance schemes providing money transfers lack any form of coordination.

Internal coordination of social security in Sweden

2019 ◽  
Vol 21 (2) ◽  
pp. 174-182
Author(s):  
Jaan Paju
Keyword(s):  
Health Care ◽  
Social Security ◽  
Social Care ◽  
Local Governance ◽  
Social Assistance ◽  
County Council ◽  
Population Register ◽  
Applicable Law ◽  
The Social

This article begins with an overview of the structure of local governance in Sweden. It then examines the division of competences between municipalities and county councils, and the population register that determines the applicable law. Following this, the article focuses on health care schemes and the possibility for the competent county council to determine substantive health care. The municipalities’ responsibility for long term social care is then considered. Finally, the municipalities’ room for manoeuvre in relation to the social assistance scheme is reviewed. The concluding section discusses Sweden’s decentralised approach to social security.

scholarly journals Internal coordination of social security in the United Kingdom

2019 ◽  
Vol 21 (2) ◽  
pp. 153-162
Author(s):  
Ed Gareth Poole ◽  
Guto Ifan
Keyword(s):  
Health Care ◽  
Social Security ◽  
Social Care ◽  
State Governments ◽  
Eligibility Criteria ◽  
The Past ◽  
The United Kingdom ◽  
The Uk ◽  
Social Security Benefits

Although social security is traditionally viewed as a highly centralised function in the UK, health care and long-term social care have long been devolved to sub-state governments, an arrangement requiring extensive internal coordination agreements. This coordination has various objectives, including ensuring parity of benefits provision in Northern Ireland (where social assistance is devolved) and Great Britain (where it is centralised), securing financial reimbursements for cross-border health care provision, and determining responsibility and eligibility criteria for individuals in need of social care. Further devolution and decentralisation of social security benefits over the past decade have made such coordination arrangements even more essential.

Internal coordination of social security in Spain

2019 ◽  
Vol 21 (2) ◽  
pp. 119-140
Author(s):  
Borja Suárez Corujo
Keyword(s):  
Social Security ◽  
Social Services ◽  
Social Protection ◽  
Social Care ◽  
Social Assistance ◽  
Healthcare Services ◽  
The State ◽  
Autonomous Communities ◽  
Financial Arrangements

This paper introduces the topic of the internal coordination of regional and local social security schemes in Spain. In the field of social security, the constitutional framework imposes different solutions in terms of the division of competences between State and Autonomous Communities, depending on the branch of (public) social protection. In the provision of long-term social care, for instance, both the State and the Autonomous Communities participate. Healthcare services are mainly provided by the Autonomous Communities without prejudice to certain aspects of the role played by the State. Social assistance through cash benefits or social services are exclusively provided by the Autonomous Communities, with the deep participation of local entities, especially in the case of social services. The paper outlines the extent of devolution and decentralisation, and the adjudication of competence and financial arrangements. The final section addresses some specific questions in healthcare, long-term social care and social assistance.

scholarly journals Háziorvosok és idősellátás egy kérdőíves kutatás tükrében

2018 ◽  
Vol 159 (8) ◽  
pp. 312-319
Author(s):  
Anett Mária Tróbert ◽  
Zsuzsanna Széman
Keyword(s):  
Health Care ◽  
General Practitioners ◽  
Social Care ◽  
The Elderly ◽  
Care Process ◽  
Efficient Operation ◽  
Health And Social Care ◽  
Care Systems ◽  
Care System

Abstract: According to statistical data, the number of healthy life years is not increasing in proportion with the longer average life expectancy. In the ageing societies, the long-term care systems are increasingly overburdened; cost-efficient operation and the related coordination of services is one of the key questions for their sustainability. The present separation of the health care and social care systems causes numerous difficulties. One aim of the online research by questionnaire was to survey the attitude of general practitioners – who play a very important part in care for the elderly – towards their elder patients, the patients’ family members, and social workers providing eldercare. The other aim was to gather information on shortcomings experienced by doctors in the care system and on what possibilities general practitioners see for the improvement of eldercare. Semi-structured questionnaires were applied and analysed by descriptive and content methodology. The questionnaires were sent out to 5060 addresses around the country: a total of 145 were returned filled in. The respondents made many recommendations for the improvement of eldercare in the categories of development of social services, family support, development of health services, and societal cooperation. The areas in need of development named by the general practitioners are closely interrelated: the reform of social care would support the health care system and vice versa. More effective operation of the health and social care systems would ease the burdens of families, and at the same time encourage more active participation of families in the care process. And the systematic education of society and communities is a long-term investment that would strengthen a positive attitude towards old age and a value-oriented view of the ageing process that is one of the basic conditions for successful social integration of the elderly. Orv Hetil. 2018; 159(8): 312–319.

scholarly journals Characteristics of specialist consultations regarding immigrant patients at a large Swedish hospital

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
V Svärd ◽  
E Sernbo ◽  
M Nilsson
Keyword(s):  
Health Care ◽  
Asylum Seekers ◽  
Legal Status ◽  
Social Care ◽  
Qualitative Content Analysis ◽  
Social Assistance ◽  
Hospital Staff ◽  
Right To Health ◽  
Migration Status ◽  
Health And Social Care

Abstract Background After an increased number of asylum-seeking patients, the Karolinska University Hospital in 2016 introduced a one-year-project with five asylum social workers (ASW). This study analyzes the characteristics of patients, issues and performed tasks. Methods The data consists of five months anonymized case documentation of ASWs direct patient contacts and documented telephone consultations with staff. Descriptive statistics and qualitative content analysis were made. Results Of direct patient contacts, 56% were with asylum seekers, 7% undocumented, 7% EU citizens and 30% had various forms of migration status. Tasks consisted of 39% external cooperation, 15% writing certificates, 20% applying for e.g. social assistance for patients’ basic needs. Analysis of telephone consultations with staff showed that 24% concerned patients with unclear migration status, 17% undocumented, 14% asylum seekers, followed by various forms of migration status. The issues related to patient rights (17%), housing and discharge problems (17%), subsidized health care (11%), costs for care (10%), social assistance (8%) and national registration and establishment (8%). Performed tasks by ASWs were legal advice (19%), referral for further management (19%), advice about cooperation with e.g. the Swedish Migration Board (14%), costs for health and social care (13%), social support (11%), health care administration (10%), application for visa or passport (8%) and the right to subsidized health care (7%). Conclusions ASWs performed tasks concerning cooperation and advisement regarding care-planning and legal concerns, helping both patients and staff. Staff were often insecure about immigrant patient’s legal status and right to health and social care. To optimize support to staff regarding asylum-seeking patients, it is recommended to use a broader definition of migration status to include unclear cases. Key messages The hospital staff were often insecure about immigrant patient’s legal status and consultation should thus address various forms of migration status among patients. The hospital staff needed consultation regarding legislations, discharge, housing, social assistance and costs for and right to health and social care.

scholarly journals Działania z zakresu ratownictwa społecznego w Polsce w latach 1944–1948

2019 ◽  
pp. 121-136
Author(s):  
Mikołaj Brenk
Keyword(s):  
Health Care ◽  
Social Service ◽  
International Institutions ◽  
Social Care ◽  
Social Assistance ◽  
World War Two ◽  
World War ◽  
The People ◽  
History Of ◽  
Education And Employment

The article concerns the field of social care and social assistance in the first years of the People’s Republic of Poland provided to individuals who suffered distress during World War Two. The timeline of the paper covers the years 1944-1948. At that time, the focus of social care and social assistance was satisfying the fundamental needs of the people, in particular in environments affected by the destruction of war. It included, among others, ensuring food, health care, accommodation, education and employment. The scale of the relief provided after the war by various Polish and international institutions was unprecedented in the history of the Polish social service with one in four Poles involved i.e. over 6 million people in total.

scholarly journals Internal coordination of social security in the Netherlands

2019 ◽  
Vol 21 (2) ◽  
pp. 163-173
Author(s):  
Febe de Jong ◽  
Gijsbert Vonk
Keyword(s):  
The Netherlands ◽  
Social Security ◽  
Social Care ◽  
Central Government ◽  
Social Assistance ◽  
The State ◽  
Coordination Mechanisms

This article outlines the internal coordination of regional and local social security schemes in the Netherlands. The Netherlands is a decentralised state with a strong central government. Social security is largely a matter for central government. The article therefore focuses on the area of social assistance and social care, characterised by a system of ‘regulated decentralisation’. It outlines the state of decentralisation, the conflict rules and the coordination mechanisms and, finally, describes the financial regime of the decentralised schemes.

scholarly journals Exclusion from Welfare Services in Turkey as a Social Exclusion Form

2013 ◽  
Author(s):  
Nagihan Durusoy Öztepe ◽  
Çağla Ünlütürk Ulutaş
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Social Security ◽  
Social Exclusion ◽  
Social Assistance ◽  
Entire Population ◽  
Welfare Regime ◽  
Health Care Education ◽  
Care Education ◽  
Welfare Services

The welfare regime of Turkey is classified in South European Welfare Modal. One of the main characteristics of this regime is lack of the inclusion of entire population. The aim of this presentation is analysing the exclusion of citizens from four main welfare services: health care, education, social security and social assistance. Datas of Turkey Staistics Institution’s (TURKSTAT) 2010 Household Budget Survey are used to examine the population excluded from basic welfare services. This study has found that %13,5 of the population is excluded from health insurance. %8,6 of the population are not completed any school. Furtheremore, %49,8 of theemployees are not under the covereage of social security system. % 3,3 of the population can access to social assistance.

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