Titre : | Global Report on Long-Term Care Financing |
Auteurs : | Joan Costa-Font ; Nilesh Raut |
Type de document : | Rapport |
Editeur : | WHO. Center for Health Development, 2022/10 |
Description : | 89p. / fig. |
Langues: | Français |
Mots-clés : | Soins longue durée ; Donnée statistique ; Financement ; Monde |
Résumé : | This report examines the financing of long-term care globally, describing the challenges of long-term care funding in high as well as low- and middle-income countries. We clarify what we mean by long-term care coverage, and how it varies at different levels of economic development, the role of informal care in satisfying care needs, and specifically the extent to which there is substitution between formal and informal care. Finally, we describe the main determinants of the demand for long term care (LTC) services and supports. In section two, following a literature scoping review, we provide an overview of long-term care (LTC) funding across the world, accounting for demographic (e.g., ageing) and socio-economic determinants (e.g., availability of informal caregivers and affordability of different systems), and specifically we distinguish between low-middle and middle-income countries. We provide an overview of the different systems of long-term care financing around the world using the conceptual framework of both ex-ante and ex-post forms of financing, and the role of implicit and explicit partnership designs and country specific financial arrangements which we define as ‘partnerships’, between key stakeholders such as the family and the community or between the state and the market instruments. A third section is devoted to the sources of evidence to learn about long term care arrangements, organization, and financing across the world. We describe the main datasets we employ, mainly from different official sources, as well as country specific surveys. Section four is devoted to identifying a set of common trends which suggest an excess demand of long-term care services for which many countries are globally unprepared to act upon. Such excess demand is driven by demographic and economic changes that reduce the feasibility of traditional caregiving arrangements and call for the development of a network of services. Evidence on the expected LTC demand and supply is described from an analysis of existing microdata listed which will allow developing expenditure projections of need in different world countries, and we identify different measures of unmet needs which measure the extent to which the availability of informal care will be able to absorb such demand expansion. Section five identifies some critical issues affecting the feasibility of the traditional model of caregiving and where there are research gaps areas which influence the capacity of different long term care systems to finance different long term care arrangements. This includes an overview and assessment of the different reform scenarios of the various long term care systems in place to accommodate the estimated country-specific needs of long-term care services and supports. Section six reports the typology of long-term care interventions across the world, and finally section seven describes a list of cross-country set of policy interventions to design long-term care systems across the world based on the country specific needs and the resources available to fulfil the needs of long-term care in countries that differ in their levels of economic development. Finally, the report concludes with sections seven and eight which offer a conclusion section with policy implications and limitations. |
En ligne : | https://extranet.who.int/kobe_centre/sites/default/files/pdf/22.12%20Joan%20WHO%20Report%20002.pdf |
Documents numériques (1)
Global Report on Long-Term Care Financing URL |