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Long-term care financing in Europe: An overview

Publication date: 29.11.2019

Public Health and Governance, 2019, Volume 17, Issue 3, pp. 131 - 145

https://doi.org/10.4467/20842627OZ.19.015.11972

Authors

,
Anne Neubert
Institute for Health Service Research and Health Economics, Centre for Health and Society, Heinrich-Heine-University, Düsseldorf, Germany
Department of Orthopaedics and Traumatology, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany
Department of Health Services Research; CAPHRI, Maastricht University Medical Center; Faculty of Health, Medicine and Life Sciences, Maastricht University, The Netherlands
https://orcid.org/0000-0002-6323-3747 Orcid
All publications →
,
Petra Baji
Department of Health Economics, Corvinus University of Budapest, Budapest, Hungary
Department of Health Services Research; CAPHRI, Maastricht University Medical Center; Faculty of Health, Medicine and Life Sciences, Maastricht University, The Netherlands
https://orcid.org/0000-0003-2899-8557 Orcid
All publications →
,
Marzena Tambor
Institute of Public Health Faculty of Health Sciences Jagiellonian University Medical College, Kraków
https://orcid.org/0000-0001-7970-6919 Orcid
All publications →
,
Wim Groot
Department of Health Services Research; CAPHRI, Maastricht University Medical Center; Faculty of Health, Medicine and Life Sciences, Maastricht University, The Netherlands / Top Institute Evidence-Based Education Research (TIER), Maastricht University, The Netherlands
https://orcid.org/0000-0003-1035-5916 Orcid
All publications →
,
László Gulácsi
Department of Health Economics, Corvinus University of Budapest, Budapest, Hungary
https://orcid.org/0000-0002-9285-8746 Orcid
All publications →
Milena Pavlova
Department of Health Services Research; CAPHRI, Maastricht University Medical Center; Faculty of Health, Medicine and Life Sciences, Maastricht University, The Netherlands / Top Institute Evidence-Based Education Research (TIER), Maastricht University, The Netherlands
https://orcid.org/0000-0002-6082-8446 Orcid
All publications →

Titles

Long-term care financing in Europe: An overview

Abstract

Despite the growing interest in the sustainability of long-term care (LTC) systems, only a few studies have investigated the differences in the LTC financing across European countries. The objective of this paper is to describe the financing of LTC in Europe. For this purpose, we use indicators on LTC financing taken from international databases and reports. Desk research was carried out to identify relevant indicators. Hierarchical cluster analysis was used to identify typologies in LTC financing across the EU/EEA countries based on seven indicators selected. We found large differences in LTC financing across the EU/EEA countries in terms of total expenditure, the division of expenditure between the social and health care system, and in the role of in-kind and cash benefits. Four main financial models across the EU/EEA countries could be distinguished. Further, we identified some shortages in data reporting on the financing of LTC services. Some limitations and contradictions related to the indicators of LTC financing are highlighted. In particular, we stress the need for more comprehensive data to enable further cross-country comparisons and to provide valid input for policy.

* Przygotowanie do wydania elektronicznego finansowane w ramach umowy 637/P-DUN/2019 ze środków Ministra Nauki i Szkolnictwa Wyższego przeznaczonych na działalność upowszechniającą naukę.

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Information

Information: Public Health and Governance, 2019, Volume 17, Issue 3, pp. 131 - 145

Article type: Original article

Titles:

Polish:

Long-term care financing in Europe: An overview

English:

Long-term care financing in Europe: An overview

Authors

https://orcid.org/0000-0002-6323-3747

Anne Neubert
Institute for Health Service Research and Health Economics, Centre for Health and Society, Heinrich-Heine-University, Düsseldorf, Germany
Department of Orthopaedics and Traumatology, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany
Department of Health Services Research; CAPHRI, Maastricht University Medical Center; Faculty of Health, Medicine and Life Sciences, Maastricht University, The Netherlands
https://orcid.org/0000-0002-6323-3747 Orcid
All publications →

Institute for Health Service Research and Health Economics, Centre for Health and Society, Heinrich-Heine-University, Düsseldorf, Germany

Department of Orthopaedics and Traumatology, Medical Faculty, Heinrich Heine University Düsseldorf, Düsseldorf, Germany

Department of Health Services Research; CAPHRI, Maastricht University Medical Center; Faculty of Health, Medicine and Life Sciences, Maastricht University, The Netherlands

https://orcid.org/0000-0003-2899-8557

Petra Baji
Department of Health Economics, Corvinus University of Budapest, Budapest, Hungary
Department of Health Services Research; CAPHRI, Maastricht University Medical Center; Faculty of Health, Medicine and Life Sciences, Maastricht University, The Netherlands
https://orcid.org/0000-0003-2899-8557 Orcid
All publications →

Department of Health Economics, Corvinus University of Budapest, Budapest, Hungary

Department of Health Services Research; CAPHRI, Maastricht University Medical Center; Faculty of Health, Medicine and Life Sciences, Maastricht University, The Netherlands

https://orcid.org/0000-0001-7970-6919

Marzena Tambor
Institute of Public Health Faculty of Health Sciences Jagiellonian University Medical College, Kraków
https://orcid.org/0000-0001-7970-6919 Orcid
All publications →

Institute of Public Health Faculty of Health Sciences Jagiellonian University Medical College, Kraków

https://orcid.org/0000-0003-1035-5916

Wim Groot
Department of Health Services Research; CAPHRI, Maastricht University Medical Center; Faculty of Health, Medicine and Life Sciences, Maastricht University, The Netherlands / Top Institute Evidence-Based Education Research (TIER), Maastricht University, The Netherlands
https://orcid.org/0000-0003-1035-5916 Orcid
All publications →

Department of Health Services Research; CAPHRI, Maastricht University Medical Center; Faculty of Health, Medicine and Life Sciences, Maastricht University, The Netherlands / Top Institute Evidence-Based Education Research (TIER), Maastricht University, The Netherlands

https://orcid.org/0000-0002-9285-8746

László Gulácsi
Department of Health Economics, Corvinus University of Budapest, Budapest, Hungary
https://orcid.org/0000-0002-9285-8746 Orcid
All publications →

Department of Health Economics, Corvinus University of Budapest, Budapest, Hungary

https://orcid.org/0000-0002-6082-8446

Milena Pavlova
Department of Health Services Research; CAPHRI, Maastricht University Medical Center; Faculty of Health, Medicine and Life Sciences, Maastricht University, The Netherlands / Top Institute Evidence-Based Education Research (TIER), Maastricht University, The Netherlands
https://orcid.org/0000-0002-6082-8446 Orcid
All publications →

Department of Health Services Research; CAPHRI, Maastricht University Medical Center; Faculty of Health, Medicine and Life Sciences, Maastricht University, The Netherlands / Top Institute Evidence-Based Education Research (TIER), Maastricht University, The Netherlands

Published at: 29.11.2019

Article status: Open

Licence: CC BY-NC-ND  licence icon

Percentage share of authors:

Anne Neubert (Author) - 16%
Petra Baji (Author) - 16%
Marzena Tambor (Author) - 16%
Wim Groot (Author) - 16%
László Gulácsi (Author) - 16%
Milena Pavlova (Author) - 20%

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<p> Long-term care financing in Europe: An overview</p>