The governance of social investment policies in comparative perspective: long-term care in England and South Korea

2021 ◽  
pp. 291-314
Author(s):  
Jooha Lee

This chapter features an investigation of a mode of governance in the operational policy domain between different welfare regimes, which has been rarely analysed in comparative welfare studies. It illustrates a mode of governance that must be conceptualised in three dimensions: the vertical dimension, involving central–local (or inter-governmental) relations, and the two horizontal dimensions, operating at the centre (central–central), and the periphery (local–local). On this basis, the chapter provides a comparison and contrast between England and Korea's approaches to the governance of long-term care for the elderly with a special focus on co-governance and coordination at the three dimensions. By examining the governance of long-term care in England and Korea, the chapter reveals that the operational policy domain matters greatly in delivering the intended outcomes of social investment strategies.

2018 ◽  
Vol 34 (2) ◽  
pp. 151-167 ◽  
Author(s):  
Virginija Poškutė

AbstractAgeing of society and long-term care (LTC) for the elderly are becoming hot topics on most European countries’ social and economic policy agendas. Increasing demand for the financing of LTC raises the necessity for a search for social policy alternatives without further increasing pressure on national budgets. The social investment approach is seen as an argument in favour of interpreting social expenditure as a ‘productive factor’ (ILO. (2005). Social protection as a productive factor. GB.294/ESP/4. Geneva, p. 2). This approach to welfare systems argues that social expenditure might be seen as investment that produces economic and social returns in time. The perception of what social investment is in relation to the LTC for the elderly is not clear either in public or academic discussion. In responding to this lacuna, this article analyses the views of LTC stakeholders in Lithuania concerning: the system and its challenges; what factors they consider as most significant to successful LTC policies and their implementation; and how the concept of social investment should be understood.


2017 ◽  
Vol 20 (2) ◽  
pp. 286-299 ◽  
Author(s):  
Fátima Ferreira Roquete ◽  
Carolina Campos Ricci Frá Batista ◽  
Rodrigo Caetano Arantes

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.


Author(s):  
Mårten Lagergren

RÉSUMÉLes modes de référence de patients entre différents niveaux de soins dans un système local de soins de longue durée pour personnes âgées et handicapées sont décrits et analysés à l'aide des données collectées de 1985 à 1991 dans la commune de Solna grâce au système de contrôle appelé ASIM. Ces références entre niveaux de soins avaient lieu dans les deux sens, mais la fréquence des transferts vers le bas était faible comparée au nombre de transferts vers le haut – en particulier pour les foyers-logements et les résidences-hôtels. Pour tous les niveaux de soins, on a constaté de grandes variations dans le degré d'incapacité des personnes prises en charge, suggérant le charactère non-systématique des procédés d'évaluation lors de l'admission dans les services de soins. Une analyse des changements intervenus avec le temps dans les modes de référence a illustré l'interdepéndence des différents niveaux des soins. La réduction des ressources des services de soins hospitaliers de longue durée a eu pour résultats un arrêt presque total des références à partir des résidences-hôtels et une augmentation générale de l'incapacité moyenne des patients pris en charge.


2007 ◽  
Vol 30 (5) ◽  
pp. 498-507 ◽  
Author(s):  
Tarja Heponiemi ◽  
Marko Elovainio ◽  
Juha Laine ◽  
Laura Pekkarinen ◽  
Martin Eccles ◽  
...  

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