Identification of Long-term Care Challenges in Europe
DOI:
https://doi.org/10.15678/SER.2021.2.01Keywords:
population ageing, long-term care, public policiesAbstract
Background: Changes in demographic structures and especially the dynamic ageing of the population lead to an increased demand for care services. Finding ways to provide them efficiently has become one of the challenges for developed countries. The choice of the research issue is a consequence of recognising the fact that in recent years it has increasingly emerged as an area of practical and theoretical reflection in many scientific disciplines, including management and health sciences.
Research objectives: The aim of the study is to characterize characterising selected aspects of the organisations and functioning of long-term care in EU countries, describing the related initiatives taken by the European Commission and identifying the challenges faced by decision-makers and managers in the said service sector.
Research design and methods: The paper is based on the analysis of European documents, Eurostat database and literature review. It provides numerical analysis of current and prospective variables such as: average population age in EU 28, projected population age structure, population aged 65+, long-term care expenditure.
Results: Analysis of the available statistical data unambiguously confirms that increasing life expectancy, combined with low birth rates, leads to a significant quantitative increase in the proportion of older people in the overall population structure of EU countries. There is also no internationally accepted and standardised definition of what constitutes long-term care and thus no possibility of reliably identifying needs in this area. In many Member States, long-term care systems are characterised by horizontal interdependencies with health care and social care systems. Consequently, they may and do apply different criteria for long-term care eligibility, needs assessment, social protection scope and the catalogue of services and benefits offered.
Conclusions: The evolving social structures, the increasing introduction of artificial intelligence solutions and the situation after COVID-19 are changing the conditions of long-term care functioning, hence the reflection on the directions of these transformations is essential to properly formulate public policy practices.
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References
Carabott, J. (2018). Social support of undocumented immigrants in Malta: adaptive transfer of good practices to a challenging context. Unpublished PhD thesis, University of Malta, Faculty for Social Wellbeing.
Eurofound (2020). Long-term Care Workforce: Employment and working conditions. Luxembourg: Publications Office of the European Union. https://www.eurofound.europa.eu/publications/customised-report/2020/long-term-careworkforce-employment-and-working-conditions en (Accessed: 27 August 2021).
European Commission (2014). Council endorses a report on adequate social protection for long-term care needs in an ageing society. https://ec.europa.eu/eip/ageing/news/council-endorses-report-adequate-socialprotection-long-term-care-needs-ageing-society_en (Accessed: 27 August 2021).
European Commission (2018). The 2018 Ageing Report: Economic & budgetary projections for the 28 EU Member States (2016-2070). Institutional Paper 079. Luxembourg: Publications Office of the European Union. https://ec.europa.eu/info/publications/economyfinance/2018-ageing-report-economic-and-budgetary-projections-eu-member-states-2016-2070_en (Accessed: 27 August 2021).
European Commission (2020). Report on the Impact of Demographic Change. Brussels. https://ec.europa.eu/info/sites/info/files/demography_report_2020_n.pdf (Accessed: 27 August 2021).
European Commission (2021a). The European Pillar of Social Rights Action Plan. Luxembourg: Publications Office of the European Union. https://ec.europa.eu/info/files/european-pillarsocial-rights-action-plan_en (Accessed: 27 August 2021).
European Commission (2021b). Long-term care report. Trends, challenges and opportunities in ageing society. Joint report prepared by the Social Protection Committee (SPC) and the European Commission (DG EMPL). Vol. I. Luxembourg: Publications Office of the European Union.
European Commission and Social Protection Committee (SPC) (2014). Adequate Social Protection for Long-term Care Needs in an Ageing Society. Luxembourg: Publications Office of the European Union. https://ec.europa.eu/social/main.jsp?catId=738&langId=en&pubId=7724 (Accessed: 27 August 2021).
Frączkiewicz-Wronka, A. (2009). Zarządzanie publiczne w teorii i praktyce ochrony zdrowia. Warszawa: Wolters Kluwer.
Frączkiewicz-Wronka, A., Kozak, A. (2018). Identyfikacja czynników sprzyjających powstaniu koprodukcji w kreowaniu usług społecznych w środowisku lokalnym – perspektywa Rad Seniorów. Polityka Społeczna, XLV(529), 4, 10-17.
Frączkiewicz-Wronka, A., Kowalska-Bobko, I., Sagan, M., Wronka-Pospiech, M. (2019). The growing role of seniors councils in health policy-making for oldery people in Poland. Journal of Health Policy, 123, 906-911. DOI https://doi.org/10.1016/j.healthpol.2019.05.016
Irzyniec, T., Nowak-Kapusta, Z., Franek, G., Drzazga B. (2016). Osoby objęte pielęgniarską domową opieką długoterminową. Gerontologia Polska, 24, 207-213.
Mosca, I., van der Wees, P.J., Mot, E.S., Wammes, J.J.G. and Jeurissen, P.P.T. (2017). Sustainability of long-term care: puzzling tasks ahead for policy-makers. International Journal of Health Policy and Management, 6(4), 195-205.
OECD (2020). Who Cares? Attracting and retaining care workers for the elderly. OECD Health Policy Studies. Paris” OECD Publishing. https://www.oecdilibrary. org/docserver/92c0ef68-en.pdf (Accessed: 27 August 2021).
Oliva-Moreno, J., Trapero-Bertran, M., Peña-Longobardo, L.M., Del Pozo-Rubio, R. (2017). The Valuation of Informal Care in Cost-of-Illness Studies: A Systematic Review. Pharmacoeconomics, 35(3), 331-345.
Opieka nad osobami starszymi w Polsce. Collective work edited by I. Wóycicka. Fundacja im. S. Batorego Warszawa 2022
Regulation (EC) No 883/2004 of the European Parliament and of the Council of 29 April 2004 on the coordination of social security systems. https://eur-lex.europa.eu/legal-content/EN/TXT/?uri=CELEX%3A32004R0883 (Accessed: 27 August 2021).
Spasova, S., Baeten, R., Coster, S., Ghailani, D., Peña-Casas, R., Vanhercke, B. (2018). Challenges in Long-term Care in Europe – A study of national policies. Brussels: European Social Policy Network (ESPN) and European Commission. https://ec.europa.eu/social/main.jsp?catId=738&langId=en&pubId=8128&furtherPubs=yes (Accessed: 27 August 2021).
Szarota, Z. (2010). Starzenie się i starość w wymiarze instytucjonalnym. Kraków: Wydawnictwo Uniwersytetu Pedagogicznego w Krakowie.
Zigante, V. (2020). The Role of New Technologies in Modernising Long-term Care Systems – A scoping review. Social Situation Monitor. https://ec.europa.eu/social/BlobServlet?docId=23362&langId=mt (Accessed: 27 August 2021).
