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.

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.

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 Heterogeneous Scarring Effects of Full-Year Nonemployment

2017 ◽  
Vol 107 (5) ◽  
pp. 369-373 ◽  
Author(s):  
Fatih Guvenen ◽  
Fatih Karahan ◽  
Serdar Ozkan ◽  
Jae Song
Keyword(s):  
Social Security ◽  
Low Income ◽  
Social Security Administration ◽  
Earnings Distribution ◽  
Employment Effects ◽  
Long Period ◽  
Earnings Losses ◽  
The Social ◽  
Scarring Effects

Drawing on administrative data from the Social Security Administration, we find that individuals that go through a long period of non-employment suffer large and long-term earnings losses (around 35-40 percent) compared to individuals with similar age and previous earnings histories. Importantly, these differences depend on past earnings, and are largest at the bottom and top of the earnings distribution. Focusing on workers that are employed 10 years after a period of long-term non-employment, we find much smaller earnings losses (8-10 percent). Furthermore, the large earnings losses of low-income individuals are almost entirely due to employment effects.

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 Analysing local public health action plans: development of a tool for the French CLoterreS Study

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
Y Le Bodo ◽  
R Fonteneau ◽  
C Harpet ◽  
H Hudebine ◽  
F Jabot ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Promotion ◽  
Social Determinants Of Health ◽  
Social Determinants ◽  
Social Care ◽  
Local Health ◽  
The Social ◽  
Prevention And Health Promotion ◽  
Living Circumstances

Abstract Background The potential contribution of local authorities to prevention and health promotion is well recognized. In France, since 2009, Local Health Contracts (LHCs) are mobilising Regional Health Agencies, local elected officials and stakeholders to intervene in 4 areas: health promotion, prevention, health care and social care. LHCs remain poorly documented policy instruments. Methods As part of the CLoterreS study, a multidimensional coding tool was developed and tested by two coders to explore the place of prevention and health promotion in LHCs. Its development was based on the WHO conceptual framework for action on the social determinants of health and the Self-assessment tool for the evaluation of essential public health operations in the WHO European Region. Preliminary results concern a random sample of 17 LHCs from as many French regions selected among the 165 LHCs signed between 2015 and March 2018. Results On average, the LHCs featured 26 action forms (AF) (min: 5; max: 56). In a LHC, the average proportion of AF addressing either the social determinants of health, living circumstances or other determinants targeted by health protection, promotion or primary prevention interventions (SDoH-HPP-P1) was 79% while 44% of the AF address secondary/tertiary prevention, social care or the organization of health care and services. Among the SDoH-HPP-P1 themes (double coding permitted): psychosocial life circumstances were addressed in the 17 LHCs and concerned, on average, 31% of their AF; material living circumstances were addressed to a lesser extent (16 LHCs, 13%); other key themes include environmental health (12, 14%), mental health (16, 12%), alcohol abuse (15, 11%), drug use (14, 11%), smoking (13, 9%), physical activity (13, 12%), healthy eating (12, 12%). Conclusions This work confirms that LHCs are instruments with prevention and health promotion at their core. Explanation of the differing investments in this area across our sample will be further explored. Key messages Local Health Contracts are promising instruments to address locally a broad range of health determinants. The CLoterreS analytical tool has proven effective in capturing multiple themes and shedding light on differences between Local Health Contracts’ action plans.

Social care, the personal passport, and reasonable adjustments

2018 ◽  
Author(s):  
Traolach S. Brugha
Keyword(s):  
Health Care ◽  
Risk Management ◽  
Social Worker ◽  
Health Professionals ◽  
Social Care ◽  
Care Planning ◽  
The Social ◽  
Wide Range ◽  
Adult Autism

Where treatment and health care is no longer able to bring relief and improve functioning, social care should take over. In this chapter, we discuss the development of social care in the context of adult autism, and the range of its concerns and interests is considered. The key role of the social worker, particularly as a broker of social care, is developed. Health professionals define the need for reasonable adjustments to assessed disability, and the content of a personal passport, summarizing individual’s needs. Health professionals also have a key role in risk management, although the social worker may have a key co-ordinating role. A wide range of contexts for social care within and beyond health care is considered. The distinction between individual need and care planning, and the role of the wider society, which will be covered in Chapter 14, concludes this chapter.

Long-term care as contested acoustical space: Exploring resident relationships and identities in sound

2019 ◽  
Vol 27 (1) ◽  
pp. 61-73 ◽  
Author(s):  
Megan E Graham
Keyword(s):  
Health Care ◽  
Social Space ◽  
Long Term Care ◽  
Care Facility ◽  
Well Being ◽  
Social Significance ◽  
Term Care ◽  
Similar Treatment ◽  
The Social

As the global population ages, residential care facilities are challenged to create positive living environments for people in later life. Health care acoustics are increasingly recognized as a key design factor in the experience of well-being for long-term care residents; however, acoustics are being conceptualized predominantly within the medical model. Just as the modern hospital battles disease with technology, sterility and efficiency, health care acoustics are receiving similar treatment. Materialist efforts towards acoustical separation evoke images of containment, quarantine and control, as if sound was something to be isolated. Sound becomes part of the contested space of long-term care that exists in tension between hospital and home. The move towards acoustical separation denies the social significance of sound in residents’ lives. Sound does not displace care; it emplaces care and the social relationships therein. Drawing upon ethnographic fieldwork in a Canadian long-term care facility, this article will use a phenomenological lens to explore how relationships are shaped in sound among residents living in long-term care. Ethnographic vignettes illustrate how the free flow of music through the care unit incited collective engagement among residents, reduced barriers to sharing social space and constructed new social identity. The article concludes that residents’ relationships are shaped within the acoustical milieu of the care unit and that to impose acoustical separation between residents’ living spaces may further isolate residents who are already at risk of loneliness.

THE SOCIAL WORK PLANNER IN LONG-TERM HEALTH CARE

1981 ◽  
Vol 6 (1) ◽  
pp. 23-35
Author(s):  
William M. Epstein
Keyword(s):  
Health Care ◽  
Social Work ◽  
The Social
Sign in / Sign up

Export Citation Format

Share Document