long term care pragmatic reform ideas from europe n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Long Term Care: Pragmatic Reform Ideas from Europe PowerPoint Presentation
Download Presentation
Long Term Care: Pragmatic Reform Ideas from Europe

Loading in 2 Seconds...

play fullscreen
1 / 10

Long Term Care: Pragmatic Reform Ideas from Europe - PowerPoint PPT Presentation


  • 99 Views
  • Uploaded on

Long Term Care: Pragmatic Reform Ideas from Europe. Richard B Saltman Department of Health Policy and Management Rollins School of Public Health Emory University European Observatory on Health Systems and Policies Brussels www.observatory.dk. In Western Europe:.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Long Term Care: Pragmatic Reform Ideas from Europe' - evadne


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
long term care pragmatic reform ideas from europe

Long Term Care:Pragmatic Reform Ideas from Europe

Richard B Saltman

Department of Health Policy and Management

Rollins School of Public Health

Emory University

European Observatory on Health

Systems and Policies

Brussels

www.observatory.dk

in western europe
In Western Europe:

Broad range of system-wide, social strategies

- Funding

- Delivery

funding ideas i
Funding Ideas I

MACRO LEVEL : SHI

Separate Social Health Insurance Fund for long term care:

-national

-universal

-mandatory

-50% employer/50% employee

-in-kind services, and/or

-cash payments to informal carers

(Germany, Austria, Netherlands)

funding ideas ii
Funding Ideas II:

MICRO LEVEL: CLIENT CONTRACTING FOR HOME CARE:

Contract-based bidding to provide services to each client

  • based on IADLs
  • pre-qualified bidders
  • client budgets
  • municipal monitoring/regulation

(Netherlands)

delivery ideas i
Delivery Ideas I

MESO LEVEL: ELDERLY HEALTH CENTERS

  • Modeled on well-child centers

(“pram-distance”)

(center of town)

  • Basic medical support

- Nurse staffing to take blood pressure;

give medications

  • Several observation beds (2-3 hours)
  • Paid for by municipalities
  • All elderly welcomed (Netherlands)
  • Minimum if any charge
delivery ideas ii
Delivery Ideas II

MESO LEVEL: SYSTEMATIC SUPPORT TO INFORMAL CARERS

  • Dedicated Municipal Budget
  • Telephone Advice
  • Respite care (if carer gets sick)
  • Drop off day centers
  • Training (e.g. moving a heavy patient, etc)
  • Pension Points towards retirement

(resembles “dagmama”/ Swedish child care)

(Netherlands/Sweden/Germany)

observation 1
Observation#1

Key Characteristics of European Long Term Care Strategies:

  • Social not individual
  • Systematic not piecemeal
  • Mandatory funding sources

(taxes or SHI contributions)

  • Universal services (open to all)
observation 2
Observation #2:

Contrast w/ current U.S. strategies for home care:

  • Mostly self-funded/ well-to-do
  • Home/ individual based
  • Private Insurer driven
  • Technology / IT oriented
from modern physicians april 2 2007
From Modern Physicians, April 2, 2007

“Aging Population Spurs Innovation”

John Dannher, M.D.

“connected personal health and fitness products and services”

“home-based technologies”:

- motion sensers

- video cameras

- telemonitoring

- functional clothing with on- body sensors

- personal wireless networks

- radio frequency identification

(to track movement)

the core challenge
The Core Challenge:

1) Designing Systemic, Social, Culturally Appropriate Adaptations

2) Overcoming Public Sector

Paralysis