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Attracting the formalisation and financial support. These can There is general agreement that access to between Member States. All participants Sweden has recently introduced a system the capacity of the long-term care workforce emphasised that respecting the dignity and enabling people to choose where they and the technologies which can help them fundamental rights of the frail and elderly is would like to receive their long-term health in their tasks. As recognition of the need to ensure a solid programmes, and campaigns to promote States have recognised, requires the exist- long-term financing base for LTC grows, healthy ageing are in place in most EU coun- ence of well trained and qualified staff and Comprehensive public programmes can be several Member States Germany, Luxem- tries.

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These can There is general agreement that access to between Member States. The need for care, should of care some people need. Efforts in some co-payments; and bility a priority of social inclusion policy not lead to poverty or financial dependency. The system home and community care services. Modern includes a wide range of care services at Costs are also a barrier, especially for low in- home and in centres, along with financial come groups who may have to meet some of and daily support for families.

Many countries, such as Cyprus, Estonia and Ireland, have introduced co-payments for long-term care. The shift in emphasis allows fees in nursing homes. This is in addition to individuals to have a greater freedom of specific long-term care insurance and social choice over the care they require.

Loading Preview Sorry, preview is currently unavailable. You can download the paper by clicking the button above. It summarises the find- Introduction Access to adequate long-term care High level quality in LTC services

The result assistance mechanisms. High level quality in LTC services national, regional and local authorities and constructive partnerships with the private Tailor-made services: The quality of LTC services people receive and voluntary sectors are required.

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Failure Czech Republic varies enormously. So, it is not surprising that to develop this integrated approach can surveys and reports have revealed levels of lead to fragmentation between services and In Ceska Lìpa, daily short-term hospital dissatisfaction and drawn attention to defi- administrative hurdles that make it harder for services have been developed as a result ciencies.

The issues raised range from inad- people to receive the care they need. A locally funded in nursing homes to excessive use of restraint As an example: people discharged from day centre has also been opened for the and force.

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In Os- the reasons Member States are developing home care provision or receive these serv- trava, several commu nity-oriented ser- or changing regulations and legislation to ices within a community setting. When such vices have been developed as existing ensure sufficiently high standards are put in follow-up provision does not exist, acces- residential facilities are renovated and place and respected.

Fromthis will settings like nursing homes or hospitals, but care provided at home by informal carers. Some Netherlands, Slovakia are using ture size of rooms and staff ratiosprocess quality accreditation measures, coupled with the mechanisms and assessments in place monitoring systems Cyprus, Germany, Greece, and outcome prevalence of certain medical France, the Netherlands.

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Others Germany, conditions. These reveal that in general the Luxembourg employ clinical guidelines based trend is towards an improvement in quality. At the same time, mechanisms. But they are still in the early stages patients. This was repeatedly stressed during Sweden: Freedom of choice and in many Member States.

Arvustused

All participants Sweden has recently introduced a system the capacity of the long-term care workforce emphasised that respecting the dignity and enabling people to choose where they and the technologies which can help them fundamental rights of the frail and elderly is would like to receive their long-term health in their tasks.

Evaluating the standard of care a major challenge facing European society. They can select between private pro- people receive is complex. To ensure patients have than institutional setting, and is often based lines, quality standards in long-term care real choice, it is generally agreed they on measurements of satisfaction levels and homes, training of professionals and support must have access to sufficient informa- unmet needs.

They could use a virtual account These include Nursing Care Allowance, combined with external controls according to buy care, employ assistants or pay for in-kind benefits, and other entitlements to nation-wide uniform quality inspection personal services suited to their parti- such as pension contributions, accident guidelines.

LTC assurance is guaranteed cular needs.

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The former oversee the visits, trained carers provide compulsory care quality of care provided in care institutions consultancy, and long-term care insurers and have sanction powers. Under these are required to hold free care courses for contractual arrangements, purchasers have family members and volunteers.

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Additional the right to inspect establishments and im- services outpatient facilities such as resi- pose penalties if they are not satisfied with dential facilities, technical aids etc also aim the conditions. Long-term sustainability While recognising the need to find an adequate mix between public and private sources of The long-term sustainability of public expen- finance, there is general agreement that a diture on health care, and on LTC in particular, social insurance or tax-based system is more will come under heavy strain as societies have efficient than one left entirely to private initia- to cope with ageing populations.

However, tives.

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At the same time, Member States are these pressures could be mitigated if citizens considering a potential mix of public and remain in good health as they grow older. A preventive approach, the integration of The latter sources of finance tend to contain health and long-term care services and use two separate elements. The second keep costs under control. Vaccination and screening Effective promotion of such care, as Member private sector responsibility for LTC.

As recognition of the need to ensure a solid programmes, and campaigns to promote States have recognised, requires the exist- long-term financing base for LTC grows, healthy ageing are in place in most EU coun- ence of well trained and qualified staff and Comprehensive public programmes can be several Member States Germany, Luxem- tries.

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While such programmes are an important efficient use of information and communica- financed in the following ways: bourg, Netherlands, Sweden are looking step forward, it is too early to assess their tion technology ICT. Slovakia: Prevention and rehabilitation Municipal authorities in Zavar and Banska possible.

In Zavar, social workers propose Bystrica City have introduced projects invol- treatment and care plans, involving ergo ving local stakeholders, residents and part- therapy, psycho-pharmaceutical treatment ners to help the mentally ill and severely and rehabilitation. These are centred on disabled receiving institutional care to live individual needs and enable patients to in as dignified and inclusive a fashion as participate actively in local activities.

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This is cient use of resources and the tailored and and social care between different levels especially important given that LTC is usually seamless treatment care some patients may of government devolved and handled by sub-national levels require. It involves coordination between Under a far reaching reform of the LTC of government Spain, Sweden, United King- national, regional and local authorities and system, care will be provided through Three social protocols have been signed dom.

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