JavaScript NENÍ povolen !

Prosím povolte JavaScript.

* Zobrazit nápovědu

Reset

Autor: Barbabella, Francesco

3 záznamů v Medvik Filtry

Článek

Mapping variability in allocation of Long-Term Care funds across payer agencies in OECD countries

Waitzberg, Ruth
Autor Waitzberg, Ruth The Smokler Center for Health Policy Research, Myers-JDC-Brookdale Institute, JDC Hill, P.O.B. 3886, Jerusalem 91037, Israel Department of Health Systems Management, School of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel Department of Health Care Management, Faculty of Economics & Management, Technical University Berlin, Germany. Electronic address: ruthw@jdc.org
Schmidt, Andrea E
Autor Schmidt, Andrea E Austrian Public Health Institute, Department of Health Economics & Health System Analysis, 1010 Vienna, Austria. Electronic address: andrea.schmidt@goeg.at
Blümel, Miriam
Autor Blümel, Miriam Department of Health Care Management, Faculty of Economics & Management, Technical University Berlin, Germany. Electronic address: miriam.bluemel@tu-berlin.de
Penneau, Anne
Autor Penneau, Anne Institut de recherche et documentation en économie de la santé (IRDES), France Laboratoire d'Économie de Dauphine (LEDa), France. Electronic address: penneau@irdes.fr
Farmakas, Antonis
Autor Farmakas, Antonis University of Nicosia Cyprus, Cyprus. Electronic address: farmakas.a@unic.ac.cy
Ljungvall, Åsa
Autor Ljungvall, Åsa Swedish Agency for Health and Care Services Analysis, Stockholm, Sweden. Electronic address: asa.ljungvall@vardanalys.se
Barbabella, Francesco
Autor Barbabella, Francesco Centre for Socio-Economic Research on Ageing, National Institute of Health and Science on Ageing (IRCCS INRCA), Ancona, Italy. Electronic address: f.barbabella@inrca.it
Augusto, Gonçalo Figueiredo
Autor Augusto, Gonçalo Figueiredo Global Health and Tropical Medicine (GHTM), Instituto de Higiene e Medicina Tropical - Universidade NOVA de Lisboa (IHMT-UNL), 1349-008, Lisbon, Portugal. Electronic address: figueiredo.augusto@ihmt.unl.pt
Marchildon, Gregory P
Autor Marchildon, Gregory P Institute of Health Policy, Management & Evaluation, University of Toronto, Toronto, Ontario M5T 3M6, Canada. Electronic address: greg.marchildon@utoronto.ca
Saunes, Ingrid Sperre
Autor Saunes, Ingrid Sperre Department of Health Services Research, Norwegian Institute of Public Health, Norway. Electronic address: Ingrid.Saunes@fhi.no

Health policy. 2020 ; 124 (5) : 491-500. [pub] 20200229

Health Policy
ISSN 1872-6054
Medvik
Zdroj

INTRODUCTION: Long-term care (LTC) is organized in a fragmented manner. Payer agencies (PA) receive LTC funds from the agency collecting funds, and commission services. Yet, distributional equity (DE) across PAs, a precondition to geographical equity of access to LTC, has received limited attention. We conceptualize that LTC systems promote DE when they are designed to set eligibility criteria nationally (vs. locally); and to distribute funds among PAs based on needs-formula (vs. past-budgets or government decisions). OBJECTIVES: This cross-country study highlights to what extent different LTC systems are designed to promote DE across PAs, and the parameters used in allocation formulae. METHODS: Qualitative data were collected through a questionnaire filled by experts from 17 OECD countries. RESULTS: 11 out of 25 LTC systems analyzed, fully meet DE as we defined. 5 systems which give high autonomy to PAs have designs with low levels of DE; while nine systems partially promote DE. Allocation formulae vary in their complexity as some systems use simple demographic parameters while others apply socio-economic status, disability, and LTC cost variations. DISCUSSION AND CONCLUSIONS: A minority of LTC systems fully meet DE, which is only one of the criteria in allocation of LTC resources. Some systems prefer local priority-setting and governance over DE. Countries that value DE should harmonize the eligibility criteria at the national level and allocate funds according to needs across regions.