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ANCIEN

ANCIEN. Typologies of LTC systems based on use and financing of care Esther Mot (CPB) Peter Willem é (FPB) asisp Annual Network Meeting, March 30, 2011. ANCIEN, general information. Assessing Needs of Care in European Nations research for EC in 7th Framework Programme

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ANCIEN

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  1. ANCIEN Typologies of LTC systems based on use and financing of care Esther Mot (CPB) Peter Willemé (FPB) asisp Annual Network Meeting, March 30, 2011

  2. ANCIEN, general information • Assessing Needs of Care in European Nations • research for EC in 7th Framework Programme • January 2009 – August 2012 • 21 EU-countries included

  3. ANCIEN, general information 2 • Coordination: • Center for European Policy Studies (CEPS): Güldem Okem • Scientific coordination • Federal Planning Bureau (FPB): Peter Willemé • Netherlands Bureau for Economic Policy Analysis (CPB): Esther Mot • Work package 1 • managed by Institut für Höhere Studien, Wien

  4. ANCIEN, objectives • describe and characterise systems of LTC in Europe • analyse the need for care (in relation to demography and lifestyle) • analyse developments in the supply and demand for formal and informal care • analyse the potential role of technology in solving LTC problems

  5. ANCIEN, objectives continued • analyse efforts to improve the quality of LTC • project the use of LTC on the basis of developments in need and supply • evaluate the performance of different types of LTC systems

  6. Work Package 1 • description of LTC-systems in Europe • development of typology • selection of countries to model • needs (demography, lifestyle) • supply (formal and informal) • use of care

  7. WP1, data collection • data on LTC collected by national experts • standardised format • problems with data collection • country reports • typologies

  8. WP1, two methods of clustering • mostly organisational, 21 countries • Means-testing, entitlement • Availabilility of cash benefits, choice of provider • Quality assurance, coordination • Cost-sharing for types of LTC • Public expenditure as share of GDP • use and financing of care, 14 countries

  9. Use and financing typology • selection of 8 metric variables for 14 countries • cluster-analysis • factor analysis on 8 variables, 4 variables used • k-means clustering • meta-analysis

  10. Variables • public spending* (related to GDP and needs) • share of private expenditures* • informal care use* • IC support* • formal care use • role of cash benefits • accessibility • targeting

  11. Result

  12. Result, by cluster

  13. Star plot of LTC systems

  14. Organisational typology

  15. Comparison of typologies • attractiveness ordering of systems • making assumptions on preferences • results • similar ordering for 10 countries • different for Belgium, France, Germany and Italy • extent of private funding can partly explain differences

  16. Countries to be modelled (considering data availability) • Germany • the Netherlands • Spain • Poland (?)

  17. Comparison of selected countries and Finland

  18. Comparison, continued

  19. Conclusion • large impact of available information • different clustering with richer dataset • 3 variables crucial: • needs-corrected public spending, private funding, informal care support

  20. Conclusion 2 • stable clustering of Nordic countries with generous systems with large role for formal care (under different approaches): • Sweden, Denmark, Netherlands • important role for informal care in all other clusters • distinction by private financing, IC support, use of formal care, role of cash benefits

  21. Conclusion 3 • most new member states only to be analysed with organisational approach • low financial generosity for most NMS • Latvia and Slovenia exceptions • large differences in organisational depth among NMS

  22. More information: • http://www.ancien-longtermcare.eu/ • general information • country reports on LTC systems • typology report: Kraus, M., M. Riedel, E. Mot, P. Willemé, G. Röhrling, T. Czypionka (2010), A typology of systems of Long-Term Care in Europe - Results of Work Package 1 of the ANCIEN Project • mot@cpb.nl (Netherlands Bureau for Economic Policy Analysis)

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