scholarly journals Main Factors Determining the Economic Production Sustained by Public Long-Term Care Spending in Spain

2021 ◽  
Vol 18 (17) ◽  
pp. 9199
Author(s):  
Fernando Bermejo ◽  
Raúl del Pozo ◽  
Pablo Moya
Keyword(s):  
Long Term Care ◽  
Decomposition Analysis ◽  
Policy Reforms ◽  
Structural Decomposition Analysis ◽  
Term Care ◽  
Factors Affecting ◽  
Global Recession ◽  
Economic Production ◽  
Before And After

Policy reforms of 2012 introduced in Spain a set of austerity measures to emerge from the 2008 global recession. However, attaining the sustainability of the long-term care (LTC) system by reducing public spending overlooks the drawbacks of a lower demand to meet dependency needs. In this context, this study is intended to provide a deeper insight into the economic factors affecting the shifts in the industrial output sustained by LTC spending before and after the austerity measures adopted in 2012. To accomplish this, we first apply a model based on the Input-Output methodology to quantify the output arisen from the consumption demand to meet the dependency needs covered by LTC spending in 2009, 2012 and 2015. Using the results of this model, we carry out a Structural Decomposition Analysis to explore the main drivers of change in the Spanish economic production for 2009–2012 and 2012–2015. The findings reveal that LTC demand factors have proven more relevant than technology factors in increasing production for the two periods considered. Such findings might guide political decision-making on the management of the LTC system in Spain, showing that public LTC spending does not merely contribute to the welfare of dependents, but also may boost economic production.

scholarly journals Public reporting of performance measures in long-term care in Canada: does it make a difference?

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Poldrugovac ◽  
J E Amuah ◽  
H Wei-Randall ◽  
P Sidhom ◽  
K Morris ◽  
...  
Keyword(s):  
Performance Measures ◽  
Performance Indicators ◽  
Long Term Care ◽  
Public Reporting ◽  
Policy Implications ◽  
Term Care ◽  
Factors Affecting ◽  
Care Facilities ◽  
The Impact

Abstract Background Evidence of the impact of public reporting of healthcare performance on quality improvement is not yet sufficient to draw conclusions with certainty, despite the important policy implications. This study explored the impact of implementing public reporting of performance indicators of long-term care facilities in Canada. The objective was to analyse whether improvements can be observed in performance measures after publication. Methods We considered 16 performance indicators in long-term care in Canada, 8 of which are publicly reported at a facility level, while the other 8 are privately reported. We analysed data from the Continuing Care Reporting System managed by the Canadian Institute for Health Information and based on information collection with RAI-MDS 2.0 © between the fiscal years 2011 and 2018. A multilevel model was developed to analyse time trends, before and after publication, which started in 2015. The analysis was also stratified by key sample characteristics, such as the facilities' jurisdiction, size, urban or rural location and performance prior to publication. Results Data from 1087 long-term care facilities were included. Among the 8 publicly reported indicators, the trend in the period after publication did not change significantly in 5 cases, improved in 2 cases and worsened in 1 case. Among the 8 privately reported indicators, no change was observed in 7, and worsening in 1 indicator. The stratification of the data suggests that for those indicators that were already improving prior to public reporting, there was either no change in trend or there was a decrease in the rate of improvement after publication. For those indicators that showed a worsening trend prior to public reporting, the contrary was observed. Conclusions Our findings suggest public reporting of performance data can support change. The trends of performance indicators prior to publication appear to have an impact on whether further change will occur after publication. Key messages Public reporting is likely one of the factors affecting change in performance in long-term care facilities. Public reporting of performance measures in long-term care facilities may support improvements in particular in cases where improvement was not observed before publication.

Factors Affecting the Long-Term Care Preferences of the Elderly in Taiwan

2008 ◽  
Vol 29 (5) ◽  
pp. 293-301 ◽  
Author(s):  
Min-Huey Chung ◽  
Nanly Hsu ◽  
Yin-Chun Wang ◽  
Herng-Ching Lin ◽  
Ya-Li Huang ◽  
...  
Keyword(s):  
Long Term Care ◽  
The Elderly ◽  
Term Care ◽  
Factors Affecting

scholarly journals Building ‘implicit partnerships’? Financial long-term care entitlements in Europe

2020 ◽  
Vol 53 (4) ◽  
pp. 697-712
Author(s):  
Joan Costa-Font ◽  
Valentina Zigante
Keyword(s):  
Frail Elderly ◽  
Long Term Care ◽  
European Countries ◽  
Financial Resources ◽  
Policy Reforms ◽  
Term Care ◽  
Elderly Individuals ◽  
Public Subsidies ◽  
Increasing Demand

Abstract The design of public subsidies for long-term care (LTC) programmes to support frail, elderly individuals in Europe is subject to both tight budget constraints and increasing demand preassures for care. However, what helps overcoming the constraints that modify LTC entitlements? We provide a unifying explanation of the conditions that facilitate the modification of public financial entitlements to LTC. We build on the concept of ‘implicit partnerships’, an implicit (or ‘silent’) agreement, encompassing the financial co-participation of both public funders, and families either by both allocating time and/or financial resources to caregiving. Next, we provide suggestive evidence of policy reforms modifying public entitlements in seven European countries which can be classified as either ‘implicit user partnerships’ or ‘implicit caregiver partnerships’. Finally, we show that taxpayers attitudes mirror the specific type of implicit partnership each country has adopted. Hence, we conclude that the modification of long-term care entitlements require the formation of some type of ‘implicit partnership'.

scholarly journals Correction to: factors affecting residents transition from long term care facilities to the community: a scoping review

2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Shannon Freeman ◽  
Kristen Bishop ◽  
Lina Spirgiene ◽  
Erica Koopmans ◽  
Fernanda C. Botelho ◽  
...  
Keyword(s):  
Scoping Review ◽  
Long Term Care ◽  
Term Care ◽  
Factors Affecting ◽  
Care Facilities

scholarly journals Developing Capabilities From the Scope of Emotional Intelligence as Part of the Soft Skills Needed in the Long-Term Care Sector: Presentation of Pilot Study and Training Methodology

2020 ◽  
Vol 11 ◽  
pp. 215013272090627
Author(s):  
Yasen Dimitrov ◽  
Tanja Vazova
Keyword(s):  
Emotional Intelligence ◽  
Conflict Management ◽  
Long Term Care ◽  
Soft Skills ◽  
Training Design ◽  
Soft Skill ◽  
Term Care ◽  
Before And After ◽  
And Control

The article presents the results of the preliminary survey and pilot application of the methodological toolkit for the improvement of certain competencies, which are part of the soft skills of professionals in the long-term care sector in Bulgaria. Based on the survey the authors define 2 target competencies, namely conflict management and empathic interaction. These skills are considered a part of the scope of emotional intelligence and its constituent dimensions and authors use Daniel Goleman’s ability-based model as a base for their conceptual frame and theoretical explanations. In order to present their thesis, the authors perform a soft skill analysis of the long-term care sector; define the construct emotional intelligence and justify their choice of a theoretical model for the subsequent survey. On this basis, they develop a training design for the development of these skills and present the results achieved through its pilot application. The study includes 62 participants randomly divided into a test and control groups. The level of targeted skills is measured (before and after) and the authors report a significant increase in those skills (empathic interaction, net effect 1.87; conflict management, net effect 1.75). In conclusion, the authors open a discussion on the importance of emotional management as an essential part of any profession related to health care and underline its importance for the quality of caregiving services.

scholarly journals Factors Affecting Mistreatment of the Elderly in Long-Term Care Facilities

Healthcare ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 224
Author(s):  
Jeongmi Lim
Keyword(s):  
Long Term Care ◽  
Institutional Environment ◽  
Community Support ◽  
The Elderly ◽  
Term Care ◽  
Factors Affecting ◽  
Care Workers ◽  
Care Facilities ◽  
And Coping

In long-term care facilities, elderly mistreatment occurs routinely and frequently. However, few studies have empirically explored the multifaceted risk factor of mistreatment. The purpose of this paper was to explore the factors affecting elderly mistreatment by care workers in Japanese long-term care facilities and to examine the relationship between these factors and mistreatment. This analysis was based on a sample of 1473 care workers from long-term care facilities and used multiple regression analyses. The results revealed that the nursing care level, work period, resilience, and attitude towards mistreatment among residents and staff were factors significantly associated with the degree of mistreatment. Facility size, an institutional environment that does not limit the behavior of residents, and family and community support for the elderly were among the institutional environment factors that had significant relationships with mistreatment. Staff gender, care-related qualifications, and workload were not associated with mistreatment. These findings suggest that strengthening the staff’s attitude and coping skills to prevent mistreatment, as well as interventions for changes in the institutional environment, are needed to prevent and reduce the prevalence of mistreatment in Japan. In addition, raising staff resilience to stress situations and building a resident-centered facility care environment is an important measure to reduce mistreatment.

Determinants of long-term care insurance applications in South Korea

2020 ◽  
Author(s):  
Sunhee Park ◽  
Heejung Kim ◽  
Chang Gi Park
Keyword(s):  
Older Adults ◽  
South Korea ◽  
Long Term Care ◽  
Community Dwelling ◽  
Care Needs ◽  
Term Care ◽  
Factors Affecting ◽  
Long Term Care Insurance ◽  
The Government

Abstract Background South Korea established universal long-term care insurance (LTCI) in 2008. However, actual requests for LTCI remain lower than government estimates because some eligible candidates never apply despite their strong care needs. This study aimed to examine factors affecting LTCI applications for older, community-dwelling Koreans. Methods Both individual- and community-level data were obtained from a national dataset from the Korea Health Panel Survey and the Korea National Statistical Office (N = 523). Data were analyzed using multilevel modeling. Results Only 16.4% of older adults in need of care applied for LTCI. Those who applied were more likely to be older, report poor self-rated health, receive care from non-family caregivers, and have caregivers experiencing high levels of caregiving burden. Regional differences in LTCI applications existed concerning the financial condition of one’s community. Conclusions Our study findings emphasize that Korean LTCI should implement both individual and community strategies to better assist older adults in properly acquiring LTCI. The government should make comprehensive efforts to increase access to LTCI in terms of availability, quality, cost, and information by collaborating with local centers.

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