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Help Wanted?: Providing and Paying for Long-Term Care

Posted By: exLib
Help Wanted?: Providing and Paying for Long-Term Care

"Help Wanted?: Providing and Paying for Long-Term Care" by Francesca Colombo, Ana Llena-Nozal, Jérôme Mercier, Frits Tjadens
OECD Health Policy Studies
OECD | 18 May 201 | ISBN: 9264097589 | 328 pages | PDF | 3 MB

This book examines the challenges countries are facing with regard to providing and paying for long-term care. With populations ageing and the need for long-term care growing rapidly, this book looks at such issues as: future demographic trends, policies to support family carers, long-term care workers, financing arrangements, long-term care insurance, and getting better value for money in long-term care.



Table of Contents
Glossary
Executive Summary
Summary and Conclusions
Chapter 1. Long-term Care: Growing Sector, Multifaceted Systems
1.1. Scope of this report: How do OECD societies address the growing need for long-term care?
1.2. What is long-term care?
1.3. Who uses formal LTC services?
1.4. Who provides long-term care?
1.5. Who pays for long-term care, in what settings and at what cost?
1.6. What services are provided?
1.7. How did countries get here? Where are they going?
1.8. Conclusions
Notes
References
Chapter 2. Sizing Up the Challenge Ahead: Future Demographic Trends and Long-term Care Costs
2.1. Future demographic trends: Growing LTC demand
2.2. The pool of family carers is likely to decrease
2.3. How much will long-term care cost?
2.4. Conclusions: Policies to address future pressures on long-term care systems
Notes81
References
Chapter 3. The Impact of Caring on Family Carers
3.1. Addressing caring responsibilities: The impact on informal carers
3.2. Most carers are women, care for close relatives and provide limited hours of care
3.3. High-intensity caring can lead to reduced rates of employment and hours of work
3.4. For those of working age, caring is associated with a higher risk of poverty
3.5. Intensive caring has a negative impact on mental health
3.6. Conclusions
Notes103
References
Annex 3.A1. Data Sources
Annex 3.A2. Additional Figures
Annex 3.A3. Estimating the Impact of Caring on Work Characteristics of Carers
Annex 3.A4. How to Measure the Impact of Caring on Wages
Chapter 4. Policies to Support Family Carers
4.1. Improving carers’ role and wellbeing
4.2. Helping carers combine caring responsibilities with paid work
4.3. Improving carers’ physical and mental wellbeing
4.4. Compensating and recognising carers
4.5. Conclusions
Notes1
References
Annex 4.A1. Summary Table: Services for Carers
Annex 4.A2. Leave and Other Work Arrangements for Carers
Annex 4.A3. Financial Support for Carers
Chapter 5. Long-term Care Workers: Needed but Often Undervalued
5.1. How many long-term care workers are there?
5.2. Who are the LTC workers?
5.3. What are the working conditions in long-term care?
5.4. Foreign-born workers play a substantial and growing role in some countries
5.5. Changes in LTC policies affect LTC labour markets
5.6. Conclusions
Notes182
References
Chapter 6. How to Prepare for the Future Long-term Care Workforce?
6.1. The future challenge for the long-term care workforce
6.2. Improving recruitment and retention: Overview of national policies
6.3. Ensuring an adequate inflow of long-term care workers
6.4. Improving retention: Valuing work, building careers
6.5. Increasing productivity among LTC workers?
6.6. Conclusions
Notes
References
Chapter 7. Public Long-term Care Financing Arrangements in OECD Countries
7.1. Collective coverage of long-term care costs is desirable on efficiency and access grounds
7.2. Public long-term care coverage for personal care can be clustered in three main groups
7.3. Even within universal systems, the comprehensiveness of coverage can vary significantly
7.4. Different approaches but similar directions: Universalism and choice-based models
7.5. Conclusions
Notes
References
Chapter 8. Private Long-term Care Insurance: A Niche or a “Big Tent”?
8.1. A small number of OECD countries account for the largest markets
8.2. Market failures and “consumers myopia” explain why the private LTC insurance is small
8.3. Policy and private-sector initiatives to increase take up
8.4. Conclusions: Private long-term care insurance has some potentials but is likely to remain a niche product
Notes
References
Chapter 9. Where To? Providing Fair Protection Against Long-term Care Costs and Financial Sustainability
9.1. Why provide financial protection against long-term care cost?
9.2. Improving protection against catastrophic care cost calls for universal LTC entitlement
9.3. Universal care does not exclude targeting: What benefits and for whom?
9.4. Board and lodging costs in institutions are the main costs that LTC users face
9.5. Matching care need with finances: Policies for the future
9.6. Conclusions
Notes
References
Chapter 10. Can We Get Better Value for Money in Long-term Care?
10.1. What is value for money in long-term care?
10.2. Towards more efficient delivery of long-term care
10.3. Is it possible to optimise health and care?
10.4. Addressing long-term care systems governance
10.5. Conclusions
Notes
References

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