Monographie

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Performance of long-term care systems in Europe / MOT, Esther ; BIRO, Aniko.
Brussels : European Network of Economic Policy Research Institutes;Assessing needs of care in European nations, 2012, 12 p.

http://www.ceps.eu/book/performance-long-term-care-systems-europe (03-01-2014)
Collection : ENEPRI policy brief ; no 13
Format de fichier : Adobe Acrobat PDF
Droits d'auteur : Cette oeuvre est protégée par un droit d'auteur. Elle ne peut être reproduite qu'à des fins d'études privées ou de recherche et seulement si la source est mentionnée.

Lieux géographiques
: Europe, Allemagne, Pays-Bas, Espagne, Pologne

Mots-clés principaux
:
Soins de longue durée
Rendement
Indicateur de performance
Qualité des soins et services
comparaison


Résumé :

L'évaluation effectuée en vertu du projet ANCIEN démontre quels sont les critères de performance les plus importants pour évaluer les soins de longue durée et de quelle manière les pays d'Europe y parviennent. Ce document [...] résume les résultats du travail d'évaluation et examine ses incidences sur les politiques publiques. (MSSS)

The evaluation of long-term care (LTC) systems carried out in Work Package 7 of the ANCIEN project shows which performance criteria are important and ­ based on the available information ­ how European countries score on those criteria.
This paper summarises the results and discusses the policy implications. An overall evaluation was carried out for four representative countries: Germany, the Netherlands, Spain and Poland. Of the four countries, the Dutch system has the highest scores on quality of life of LTC users, quality of care and equity of the LTC system, and it performs the secondbest after Poland in terms of the total burden of care (consisting of the financial burden and the burden of informal caregiving). The German system has somewhat lower scores than the Dutch on all four dimensions. The Polish system excels in having a low total burden of care, but it scores the lowest on quality of care and equity. The Spanish system has few extreme scores. Some important lessons are the following.
The performance of a LTC system is a complex concept where many dimensions have to be included. Specifically, the impact of informal caregiving on the caregivers and on society should not be forgotten. The role of the state in funding and organising LTC versus individual responsibilities is one of the most important differences among countries. Choices concerning private funding and the role of informal care have a large effect not only on the public expenditures but also on the fairness of the system. International research into the relative preferences for the different performance criteria could produce a sound basis for the weights used in the overall evaluation.

Langue : Anglais
Doc n° : 30687
NumRec : 6597703
 

       

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