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LONG-TERM
COMMUNITY CARE IN
OECD COUNTRIES
Recent trends in the provision and financing of long-term
community care in OEC...
There is huge variation in what
countries currently spend on LTC
Mixed systems
There are a range of different funding
systems for meeting these costs
Comprehensive, universal, tax-funded ...
Most OECD countries place a high
priority on promoting community care
Source: Help Wanted? (OECD, 2011)
Efforts to promote community care have
been successful
Proportion of LTC users living in the community
Source: OECD health...
Although most spending is still on
residential care
Expenditure on long-term care by setting (% of GDP)
Community care implies a large role for
informal carers
Estimated value of formal and informal services for people with de...
Promoting community care must be
coupled with policies to support carers
Help with employment
• Germany: “family caring ti...
There are also important considerations
around gender equality
Source: Help Wanted? (OECD, 2011)
The likelihood of a perso...
Thank you
Contact: francesca.colombo@oecd.org
Read more about our work Follow us on Twitter: @OECD_Social
Websites: www.oe...
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Long-term Community Care in OECD Countries - Francesca Colombo, Head of Health Division (OECD)

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Recent trends in the provision and financing of long-term community care in OECD countries, and policy implications, CARER+ Final Conference: Smart Homecare, 27 March 2015, Paris

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Long-term Community Care in OECD Countries - Francesca Colombo, Head of Health Division (OECD)

  1. 1. LONG-TERM COMMUNITY CARE IN OECD COUNTRIES Recent trends in the provision and financing of long-term community care in OECD countries, and policy implications Francesca Colombo, Head of Health Division (OECD)
  2. 2. There is huge variation in what countries currently spend on LTC
  3. 3. Mixed systems There are a range of different funding systems for meeting these costs Comprehensive, universal, tax-funded systems Means-tested safety net system Universal LTC insurance - more comprehensive - larger copayments Nordic countries Netherlands, Japan Germany, Korea England, United States More comprehensive Wider access More expensive Multiple universal systems Italy, Czech Republic Income-related universal benefits France, Ireland, Austria Mix of universal and means-tested benefits Switzerland, Spain
  4. 4. Most OECD countries place a high priority on promoting community care Source: Help Wanted? (OECD, 2011)
  5. 5. Efforts to promote community care have been successful Proportion of LTC users living in the community Source: OECD health statistics 2014
  6. 6. Although most spending is still on residential care Expenditure on long-term care by setting (% of GDP)
  7. 7. Community care implies a large role for informal carers Estimated value of formal and informal services for people with dementia in England Source: Prince, Knapp et al. (2014)
  8. 8. Promoting community care must be coupled with policies to support carers Help with employment • Germany: “family caring time” law helps carers reduce hours temporarily • Canada: bringing together employers to explore how to help carers to keep working Information and training • Provide skills to care effectively and minimise negative impacts • e.g. France: carers entitled to two days of training per year. • Phone advice services in a number of countries Counselling and support • Can be effective at relieving stress • Include peer support, e.g. • dementia cafés in Japan • NHS Dementia Carers’ Support Service in England Respite care • At home, day care centres or temporary institutional care • Available but underused? • Netherlands: day care on farms provides respite to carers
  9. 9. There are also important considerations around gender equality Source: Help Wanted? (OECD, 2011) The likelihood of a person aged 50-64 being an informal carer, by gender
  10. 10. Thank you Contact: francesca.colombo@oecd.org Read more about our work Follow us on Twitter: @OECD_Social Websites: www.oecd.org/els ; www.oecd.org/health/dementia.htm www.oecd.org/health/long-term-care.htm

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