Pricing Long-term Care for Older Persons

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doi:10.1787/a25246a6-en

Cited by 5 publications

(4 citation statements)

References 35 publications

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“…In the United States, The Nursing Home Quality Initiative (NHQI) also uses an easy-to-read format, associating to every LTC service (e.g. Nursing homes, home health services, rehabilitation facilities and LTC hospitals) a five-star rating based on a set of quality indicators and users' satisfaction (OECD/European Union, 2013 [22]). However, the five-star rating system has been criticised because many consider that providers -who are those entering information on e.g.…”

Section: Quality Reference Framework Would Be Relevant To Unify Secto...mentioning

confidence: 99%

Integrating Services for Older People in Lithuania

2022

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Lithuania is ageing quickly: the share of the population aged 65 years and over is expected to grow from 20% in 2019 to 32% in 2050, faster than the average for OECD countries (17.6% in 2019 and 26.7% in 2050). As people get older, they will more likely need help with ongoing medical care, everyday activities such as washing and dressing, household activities such as cleaning and cooking, as well as with social activities such as going out for a walk. This help is part of what is commonly termed long-term care (LTC). Support from family and social networks for such care is likely to drop due to changing family characteristics and social norms. Over a third of older Lithuanians with activity limitations are at risk of poverty. This heightens the importance of public support for care.In Lithuania, the long-term care system is fragmented across health and social services, with different eligibility conditions and needs assessment criteria and procedures. This fragmentation generates unmet needs for some, and an overlap of services for others. Rethinking funding streams and ways to co-ordinate services is necessary for the system to better provide to the needs of older people. This report examines the provision of long-term care services in Lithuania. It analyses the supply of longterm-care services and its financing, the competences of care workers providing services. It points to an inadequacy of services provided. The report proposes directions for reform to bring Lithuania's long-term care services in line with evolving population needs, strengthen the care workforce, and improve service integration and funding. Such policy options build on analysis of best practices from other countries which are also outlined in the report.

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Section: Quality Reference Framework Would Be Relevant To Unify Secto...mentioning

confidence: 99%

Integrating Services for Older People in Lithuania

2022

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“…However, NHI has co-payment ceilings depending on income levels, while LTCI does not. This incentivises many elderly to prefer long stays in hospitals (Kim and Kwon, 2021;and OECD/WHO, 2021). Harmonising the reimbursement scheme between LTCI and NHI by making copayment ceilings dependent on income levels for LTCI, as is the case in Belgium and Japan (Colombo et al, 2011), would incentivise users to choose the best suited service for their needs.…”

Section: Improving Quality and Cost-efficiency To Cope With Demand Su...mentioning

confidence: 99%

Strengthening the social safety net in Korea

2022

OECD Economics Department Working Papers

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STRENGTHENING THE SOCIAL SAFETY NET IN KOREA Unclassified OECD Working Papers should not be reported as representing the official views of the OECD or of its member countries. The opinions expressed and arguments employed are those of the author(s).Working Papers describe preliminary results or research in progress by the author(s) and are published to stimulate discussion on a broad range of issues on which the OECD works.Comments on Working Papers are welcomed, and may be sent to the Economics Department, OECD,

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“…4,11 Family caregivers usually assist in activities of daily living (i.e., eating and dressing) and strengthen the care recipient's quality of life by providing social and emotional support. 9,10,[12][13][14][15][16][17][18] The family caregiver role can be time-consuming and challenging 4,19,20 and is commonly associated with stress and burden. 3,9,21,22 Family caregivers can be involved in caring for more than one individual, for example, their mother and father.…”

Section: Background and Significancementioning

confidence: 99%

“…[29][30][31][32][33] Family caregivers of individuals living in LTC may be reluctant to contact staff to inquire about the status of their relatives because of the high workloads experienced by the LTC staff. 9,13,34 Mobile technologies, including smartphone applications, can facilitate communication with staff, 5,[35][36][37][38][39][40] by supporting care coordination and remote care. 6,[41][42][43][44] Mobile technologies can also enhance social interactions with the care recipient and increase the engagement of families in care activities.…”

Section: Background and Significancementioning

confidence: 99%

Technology Acceptance of a Mobile Application to Support Family Caregivers in a Long-Term Care Facility

et al. 2022

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Background: Family caregivers are unpaid individuals who provide care to people with chronic conditions or disabilities. Family caregivers generally do not have formal care-related training. However, they are an essential source of care. Mobile technologies can benefit family caregivers by strengthening communication with care staff and supporting the monitoring of care recipients. Objective: We conducted a mixed-method study to evaluate the acceptance and usability of mobile technology called the Smart Care System. Methods: Using convenience sampling, we recruited 27 family caregivers to evaluate the mobile Smart Care System. In the quantitative phase, we administered initial and exit questionnaires based on the Unified Theory of Acceptance and Use of Technology model. In the qualitative phase, we conducted focus groups to explore family caregivers’ perspectives and opinions on the usability of the mobile Smart Care System. With the quantitative data, we employed univariate, bivariate, and partial least squares analyses, and we used content analysis with the qualitative data. Results: We observed a high level of comfort using digital technologies among participants. On average, participants were caregivers for an average of 6.08 years (SD = 6.63), and their mean age was 56.65 years (SD = 11.62). We observed a high level of technology acceptance among family caregivers (7.69, SD = 2.11). Behavioral intention (β = 0.509, p-value = 0.004) and facilitating conditions (β = 0.310, p-value = 0.049) were statistically significant and related to usage behavior. In terms of qualitative results, participants reported that the mobile application supported care coordination and communication with staff and provided peace of mind to family caregivers. Conclusion: The technology showed a high technology acceptance and intention to use among family caregivers in a long-term care setting. Facilitating conditions influenced acceptance. Therefore, it would be important to identify and optimize these conditions to ensure technology uptake.

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Pricing Long-term Care for Older Persons

Cited by 5 publications

References 35 publications

Integrating Services for Older People in Lithuania

Integrating Services for Older People in Lithuania

Strengthening the social safety net in Korea

Technology Acceptance of a Mobile Application to Support Family Caregivers in a Long-Term Care Facility

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