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Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.
Countries are facing increasing life expectancy and a shrinking family size and in effect, this may escalate demands for medical and supportive services. The role of families in providing informal care will remain important. However, the simultaneous decline in the supply of informal caregiving caused by changes in family structure and higher female labour-market participation necessitate the expansion of the public role in care provision. This book analyses the challenges of long-term care (LTC) policy development and implications from advanced LTC systems and a current trajectory in emerging economies in Asia. The book approaches the subject through comparative analysis on what works and what does not to provide insight into public policy options for sustainable LTC provision and financing mechanisms. How the countries adopt different approaches to health and social systems towards LTC development could provide important insight and perspectives into policy options in the region. This book aims at academics, policymakers and practitioners in health, social, and aged care services and could also be used as a teaching resource for undergraduate students in health and social sciences and postgraduate programs in public health, epidemiology, social demography, gerontology, and nursing. The book will be of interest to a wider audience not only on social and health consequences of population ageing but also health and social policy relating to older persons.
This report presents an in-depth cross-country analysis of how long-term care workers fare along the different dimensions of job quality. In the initial stages of the COVID-19 pandemic, the applause for care workers was a clear expression of the strong recognition of their hard work and exposure to risks in their job.
Lasting healthcare for the entire population, specifically the elderly, has become a main priority in society. It is imperative to find ways to boost the longevity of healthcare services for all users. Sustainable Health and Long-Term Care Solutions for an Aging Population is a pivotal reference source featuring the latest scholarly research on issues pertinent to health cost and finding effective ways of financing healthcare for the elderly. Including coverage on a number of topics such as provider accreditation, corporate social responsibility, and data management, this book is ideally designed for policy makers, academicians, researchers, and advanced-level students seeking current research on the innovative planning and development of healthcare.
This publication includes a list of LTC interventions that all countries could consider, prioritize and provide and could integrate within health and social care sectors, depending on their context. The package should be implemented in line with overall plans to design, establish and expand formal, integrated LTC systems and services towards universal health coverage (UHC). The package is intended primarily for governments and policy-makers responsible for planning and implementing LTC service provision at national or subnational level. It provides guidance in foreseeing and mainstreaming essential LTC interventions, which can be contextualized according to local needs and resources. The package is neither a clinical guideline for LTC service providers in daily practice nor a manual, standard operating procedures or specific steps.

Long Term Care

United States. Congress. House. Committee on Ways and Means. Subcommittee on Health

Published: 2006

Total Pages: 96


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As global populations age, governments around the world are investigating how to fund long-term care (LTC) in an equitable and sustainable manner. The research reported here has three objectives: (i) to identify and classify middle-income countries (MICs) and high-income countries (HICs) that have established LTC for older populations; (ii) to describe the financing features and undertake a detailed assessment of the public LTC programmes in these countries; and (iii) to identify and discuss the benefits, disadvantages and challenges of the different public LTC financing strategies, based on the experiences of high-income countries and on observations of the reviewed countries. The public LTC financing system of 13 countries is reviewed: five HICs (Australia, Japan, the Netherlands (Kingdom of the), Singapore and Uruguay), and eight MICs (China, Costa Rica, India, Indonesia, Malaysia, Serbia, South Africa and Thailand). Although information on LTC expenditure is not consistently reported or available for all countries, the 13 reviewed countries vary considerably in terms of their national income, total spending on health and public share of health care spending. This report concludes with some deliberations and lessons learned on financing options for LTC, specifically for low- and middle-income countries. Overall, the report offers valuable insights into how policy-makers can design effective and sustainable public LTC financing systems, ensuring that individuals and their families receive the necessary support and assistance to lead dignified lives as they age.