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The Concept of Vulnerability: Clinical Versus Policy Perspectives

  • Agar Brugiavini
  • Ludovico Carrino
  • Cristina Elisa Orso
  • Giacomo Pasini
Chapter

Abstract

In Chap.  2, we address the substantial differences existing among the Western European LTC legislations (namely, Austria, Belgium, the Czech Republic, England, France, Germany, Italy and Spain), both between and within countries, on defining the target population in need of long-term care (LTC). Although the majority of programmes cover functional (mostly Activities of Daily Living [ADL] and Instrumental Activities of Daily Living [iADL]) and cognitive limitations, the assessment process appears in most countries as a patchwork of different rules and practices. These differences can give rise also to differential measurement criteria: the health outcomes may attract different weights within an assessment scale; some limitations are given more importance than others in determining eligibility; and there are legislations that characterize some deficit as necessary and/or sufficient for eligibility.

Keywords

Needs assessment process Access to care Target older population ADL/iADL limitations Cognitive limitations 

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Copyright information

© The Author(s) 2017

Authors and Affiliations

  • Agar Brugiavini
    • 1
  • Ludovico Carrino
    • 2
  • Cristina Elisa Orso
    • 1
  • Giacomo Pasini
    • 1
  1. 1.Department of EconomicsCa’ Foscari UniversityVeniceItaly
  2. 2.Department of Global Health & Social MedicineKing’s CollegeLondonUK

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