Long-term Care for the Elderly in Europe

List of contributors Foreword Content Foreword Chapter 1. Long-term care - what is it about (Bent Greve) 1.1. Introduction 1.2. What is long-term care and the quest for quality 1.3. Overview of the book 1.4 Delimitations 1.5. References Chapter 2. Long-term care for the elderly in Hungary (Robert I. Gal) 2.1 Introduction 2.2.Overview of the long-term care system 2.3 Being old 2.4. Demand and supply 2.4.1.Eligibility 2.4.2. Assessment of needs 2.4.2. Available benefits and services 2.4.3. Supply of public care 2.4.4. Informal market for long-term care services 2.5.Projections 2.6.Conclusions 2.7. References Chapter 3. Long-term care - challenges and perspective (Virginija Poskute) 3.1. Introduction 3.2. Organisations of Long-term care 3.3. Formal LTC for elderly 3.4. Financing of LTC 3.5. Boundaries between state and civil society in the approach to the delivery of care with an eye to the private sectors ambition to provide and sell care 3.6. Informal care 3.7. Use of rehabilitation and welfare technology as a way to improve quality of life and to reduce the pressure on public sector spending in the area. 3.8. Summing up conclusions 3.9. References Chapter 4. Long-Term Care for the Elderly in Poland (Zofia Czepulis-Rutkowska) 4.1. Introduction 4.2. New welfare state institutional context 4.3. Demand for long-term care 4.4. Supply of the long-term care 4.4.1.Family 4.4.2.Public Sector 4.4.3Social sector 4.4.4 Private sector and NGO's 4.5. Administration, financing and quality. Challenges. 4.6.Debate and reform proposals 4.7. Conclusions 4.8.References. Chapter 5. LTC in Portugal: quasi-privatization of a dual system of care (Alexandra Lopes) 5.1. Introduction 5.2. Historical trends in the consolidation of social care for dependent elderly in Portugal: familism and quasi-privatization of care 5.3. LTC in contemporary Portugal: provisions and providers 5.4. The national network for long-term care: rehabilitation and integration of health and social care in the new millennium 5.5. The financials of care provision 5.6. Critical challenges for formal care provision if Portugal: LTC staff shortage and absence of quality assessment mechanisms 5.7. Conclusion 5.8 References Chapter 6. Long-term care in Italy (Emmanuele Pavolini, Costanzo Ranci and Giovanni Lamura) 6.1. Introduction 6.2. Developments in long-term care policies for older people 6.3. The role of civil society in LTC delivery 6.4. Long-term care amid increasing individual needs and diminishing family capacity 6.5. A peculiar marketization: migrant care workers as the new cornerstone of the Italian LTC system 6.6. Use of rehabilitation and welfare technology 6.7. Quality measures and the quality of the Italian LTC system 6.8 Conclusions 6.9. References Chapter 7. Greece: Forced transformation in a deep crisis (Platon Tinios) 7.1. Introduction 7.2.The mixed system before the crisis 7.3.The crisis and the care economy 7.4. Conclusion: Long term care towards the end of the crisis 7.5. References Chapter 8. Long-term care and austerity in the UK- a growing crisis (Caroline Glendinning) 8.1. Introduction 8.2. Recent developments in UK long-term care 8.3. Personalisation and personal budgets 8.4. Rehabilitation and reablement 8.5. Austerity Policies 8.6. The impacts of austerity 8.7. The impacts on long-term care services 8.8. The impacts on older people 8.9. Private care markets 8.10. The impacts on family care-givers 8. 11. The impacts on care markets 8.12. Conclusions 8.13. References Chapter 9. Paradoxical decisions in German long-term care: Expansion of benefits as cost-containment strategy (Margitta Matzke, Tobias Wiss) 9.1. Introduction: The question of expansion 9.2. Design of an unwieldy long-term care system 9.3.Benefits 9.4. Financing 9.5. Recipient rates 9.6. Who cares? 9.7. Characteristics and governance structures in German long-term care 9.8. The role of the market in long-term care 9.9 Governance of long-term care 9.10 Recent long-term care reforms 9.11. The broader concept of care 9.12. Modernizing long-term care: Reconciliation, monitoring quality, promoting rehabilitation 9.13. Conclusion 9.14. References Chapter 10. Long-term care expenditures in Finland (Ismo Linnosmaa and Lien Nguyen) 10.1 Introduction 10.2 Long-term care in Finland 10. 2.1 Long-term care and services for older people in Finland 10.2.2 Organization and financing of services for older people 10.3 Economic and demographic development in Finland 10.3.1 Public sector surplus in comparison to European countries since 2008 10.3.2 Demographic development in Finland 10.4 Expenditures on long-term care 10.4.1 Total expenditures 10.4.2 Expenditures on institutional care, home care and other services 10.4.3 The share of private care 10.5 Financing of long-term care 10.6 Recent policy initiatives in the Finnish long-term care 10.7 Summary and conclusions 10.8 References Chapter 11. Long-term care in Denmark - with an eye to the other Nordic welfare states (Bent Greve) 11.1. Introduction 11.2. Central issues 11.3. What is quality in Long-term care? 11.4. Recent developments in the Nordic welfare state - an empirical focus 11.5 Development in elder-care policies - central changes 11.6. Conclusion - reformulation of welfare mix? 11.7. References Chapter 12. Some concluding reflections (Bent Greve) 12.1. Introduction 12.2. Synthesis of development in long-term care 12.3. Trends in marketization of long-term care 12.4. Role of civil society 12. 5. Austerity measures/Change in financing 12. 6. Rehabilitation and/or re-enablement - new trends? 12.7. Quality-measures including quality of life 12.8. Final concluding remarks 12.9 References