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Country Profiles of Eligibility Legislations in Europe

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

Abstract

In this chapter, we detail the main LTC legislations in Austria, Belgium, the Czech Republic, England, France, Germany, Italy and Spain. Each country profile includes up-to-date legislative information, details on the assessment of need procedures, the eligibility rules and the in-kind or in-cash benefits for the eligible population. The chapters for Belgium and Italy are organised at the regional level, given the high degree of heterogeneity of the local LTC programmes.

Keywords

Long-term care legislation LTC benefits Regional programmes 

References

  1. AGENAS. (2014). Ricognizione della normativa regionale sulla Non Autosufficienza: AGEnzia NAzionale per i Servizi sanitari regionali.Google Scholar
  2. AgeUK. (2017). Briefing: Health and care of older people in England 2017. Retrieved from http://www.ageuk.org.uk/Documents/EN-GB/For-professionals/Research/The_Health_and_Care_of_Older_People_in_England_2016.pdf?dtrk=true
  3. Bäcker, G. (2016). Reform of the long-term care insurance in Germany. ESPN Flash Report, 2016/43.Google Scholar
  4. Barthel, D. (1965). Functional evaluation: The Barthel Index. Maryland State Medical Journal, 14, 16–65.Google Scholar
  5. BMASK. (2013a). Ein : Blick 5. Pflege. Orientierungshilfe Zum Thema Behinderungen. (978-3-85010-315-2). Wien: Bundesministerium für Arbeit, Soziales und Konsumentenschutz. Retrieved from http://www.sozialministerium.at/site/Soziales/Menschen_mit_Behinderungen/EINBLICK.
  6. BMASK. (2013b). Informationen zum Pflegegeld. (978-3-85010-315-2). Wien: Bundesministerium für Arbeit, Soziales und Konsumentenschutz. Retrieved from http://www.sozialministerium.at/site/Soziales/Pflege_und_Betreuung/Pflegegeld/.
  7. BMG. (2015). Gesetzentwurf der Bundesregierung. Entwurf eines Zweiten Gesetzes zur Stärkung der pflegerischen Versorgung und zur Änderung weiterer Vorschriften (Zweites Pflegestärkungsgesetz—PSG II). Bundesministerium für Gesundheit.Google Scholar
  8. Castro-Costa, E., Dewey, M., Stewart, R., Banerjee, S., Huppert, F., Mendonca-Lima, C., … Prince, M. (2007). Prevalence of depressive symptoms and syndromes in later life in ten European countries: The SHARE study. The British Journal of Psychiatry, 191, 393-401. doi:  https://doi.org/10.1192/bjp.bp.107.036772 CrossRefGoogle Scholar
  9. Colombo, F., Llena-Nozal, A., Mercier, J., & Tjadens, F. (2011). OECD Health policy studies help wanted? Providing and paying for long-term care: Providing and paying for long-term care (Vol. 2011): Paris, France: OECD Publishing.Google Scholar
  10. Comas-Herrera, A., Pickard, L., Wittenberg, R., Malley, J., & King, D. (2010). The long-term care system for the elderly in England. ENEPRI Research Report (74).Google Scholar
  11. Courbage, C., & Roudaut, N. (2010). On insurance for long-term care in France. CESifo DICE Report, 8(2), 24–28.Google Scholar
  12. Da Roit, B., & Le Bihan, B. (2010). Similar and yet so different: Cash-for-care in six European countries’ long-term care policies. Milbank Quarterly, 88(3), 286–309.CrossRefGoogle Scholar
  13. Dewey, M. E., & Prince, M. J. (2005). Mental health. In A. Börsch-Supan & H. Jürges (Eds.), Health, ageing and retirement in Europe—First results from the Survey of Health, Ageing and Retirement in Europe (Vol. SHARE Codebook 8). Mannheim: MEA Eigenverlag.Google Scholar
  14. Dupourqué, E., Schoonveld, S., & Bushey, J. B. (2012). AGGIR, the Work of Grids. Long-term Care News, 32.Google Scholar
  15. European Commission. (2013a). Your social security rights in Czech Republic. European Commission. Retrieved from http://ec.europa.eu/social/main.jsp?catId=858.
  16. European Commission. (2013b). Your social security rights in France. European Commission. Retrieved from http://ec.europa.eu/social/main.jsp?catId=858.
  17. Fernanda Gutierrez, M., Jimenez-Martin, S., Vegas Sanchez, R., & Vilaplana, C. (2010). The Spanish long-term care system. ENEPRI Research Report No. 88, 15 June.Google Scholar
  18. Gori, C. (2013). L’assistenza agli anziani non autosufficienti in italia: Maggioli Editore.Google Scholar
  19. Gori, C., & Fernandez, J.-L. (2015). Long-term care reforms in OECD countries. UK: Policy Press.CrossRefGoogle Scholar
  20. INAMI. (2016). La réglementation décryptée pour l’infirmier en soins à domicile.Google Scholar
  21. Jiménez-Martín, S., & Prieto, C. V. (2010). A double sample selection model for unmet needs, formal care and informal caregiving hours of dependent people in Spain. Documento de Trabajo, 2010, 25.Google Scholar
  22. Kalwitzki, T., Müller, R., Rothgang, H., Runte, R., & Unger, R. (2015). BARMER GEK Pflegereport 2015.Google Scholar
  23. Karakaya, G. (2009). Long-term care: Regional disparities in Belgium. Journal of Applied Economic Sciences, 4(7).Google Scholar
  24. Katz, S., Downs, T. D., Cash, H. R., & Grotz, R. C. (1970). Progress in development of the index of ADL. The Gerontologist, 10(1 Part 1), 20–30.  https://doi.org/10.1093/geront/10.1_Part_1.20 CrossRefGoogle Scholar
  25. Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. The Gerontologist, 9(3).Google Scholar
  26. MDS. (2013). Richtlinien des GKV-Spitzenverbandes zur Begutachtung von Pflegebedürftigkeit nach dem XI. Buch des Sozialgesetzbuches. Essen: Medizinischer Dienst des Spitzenverbandes Bund der Krankenkassen (MDS).Google Scholar
  27. MISSOC. (2014). Comparative tables on social protectionṣ—XII. Long term care. European Commission, Department of Employment, Social Affairs and Inclusion: Mutual Information System on Social protection. Retrieved from http://ec.europa.eu/social/main.jsp?catId=815&langId=en.
  28. Morris, J., Fries, B., Steel, K., Ikegami, N., Bernabei, R., Carpenter, G., … Topinkova, E. (1997). Comprehensive clinical assessment in community setting: Applicability of the MDS-HC. Journal of the American Geriatrics Society, 45(8), 1017–1024.CrossRefGoogle Scholar
  29. MPSV. (2005). Preliminary National Report on health care and long-term care in the Czech Republic. Ministry of Labour and Social Affairs of the Czech Republic. Retrieved from http://www.mpsv.cz/files/clanky/1343/report_health_care.pdf.
  30. MPSV. (2009). Social services and care allowance in the Czech Republic. Paper presented at the Social Services—A Tool for Mobilizing Workforce and Strenthening Social Cohesion, Prague. Retrieved from http://www.mpsv.cz/files/clanky/7033/leaflet_on_social_services.pdf.
  31. NNA (Network Non Autosufficienza). (2015). L’assistenza agli anziani non autosufficienti in Italia. In N. N. N. Autosufficienza (Ed.), 5° Rapporto. Un futuro da ricostruire (p. 188). Santarcangelo di Romagna.Google Scholar
  32. OECD. (2011). Health at a glance: OECD indicators. Retrieved from Paris: http://dx.doi.org/10.1787/health_glance-2011-en.
  33. Paaßen, G. (2012). Pflegereform 2012. Essen: Pflegestufe.info.Google Scholar
  34. Peña-Longobardo, L. M., Oliva-Moreno, J., García-Armesto, S., & Hernández-Quevedo, C. (2016). The Spanish long-term care system in transition: Ten years since the 2006 Dependency Act. Health Policy, 120(10), 1177–1182.  https://doi.org/10.1016/j.healthpol.2016.08.012. CrossRefGoogle Scholar
  35. Pensionsversicherungsanstalt. (2009). Gutachterfibel-Bundespflegegeld. Wien: .Pensionsversicherungsanstalt. Retrieved from http://www.pensionsversicherung.at/.
  36. Pfeiffer, E. (1975). A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. Journal of the American Geriatrics Society, 23(10), 433–441.CrossRefGoogle Scholar
  37. Pilotto, A., Gallina, P., Fontana, A., Sancarlo, D., Bazzano, S., Copetti, M., … Pellegrini, F. (2013). Development and validation of a Multidimensional Prognostic Index for mortality based on a standardized multidimensional assessment schedule (MPI-SVaMA) in community-dwelling older subjects. Journal of the American Medical Directors Association, 14(4), 287–292.CrossRefGoogle Scholar
  38. Profili, F., Razzanelli, M., Soli, M., & Marini, M. (2009). Il bisogno socio-sanitario degli anziani in Toscana: i risultati dello studio epidemiologico di popolazione BiSS. Documenti dell’Agenzia Regionale di Sanità della Toscana. Disponibile presso: www. ars. toscana. it/c/document_library/get_file.Google Scholar
  39. Ranci, C., & Pavolini, E. (2012). Reforms in long-term care policies in Europe: Investigating institutional change and social impacts. Springer.Google Scholar
  40. Rebba, V. (2010). Il long term care in Italia: l’attuale mix pubblico-privato e il possibile ruolo della assicurazioni integrative. Politiche sanitarie, 11, 113–133.Google Scholar
  41. Riedel, M., & Kraus, M. (2010). The Austrian long-term care system. ENEPRI Research Report, 69.Google Scholar
  42. Rothgang, H. (2010). Social insurance for long-term care: An evaluation of the German model. Social Policy & Administration, 44(4), 436–460.CrossRefGoogle Scholar
  43. SCIE. (2015). Eligibility determination for the Care Act 2014. Retrieved from London: https://www.scie.org.uk/care-act-2014/assessment-and-eligibility/eligibility/.
  44. Sermeus, W., Pirson, M., Paquay, L., Pacolet, J., Falez, F., Stordeur, S., & Leys, M. (2010). Le financement des soins infirmiers à domicile en Belgique. Retrieved from Bruxelles: https://kce.fgov.be/fr/le-financement-des-soins-infirmiers-%C3%A0-domicile-en-belgique.
  45. Sowa, A. (2010). The system of long-term care in the Czech Republic. ANCIEN project report. Warsaw: Centre for Social and Economic Research.Google Scholar
  46. Syndicat National de Gérontologie Clinique. (1994). AGGIR Guide pratique pour la codification des variables. Principaux profils des groupes iso-ressources. La revue de Gériatrie, (19), 249–259.Google Scholar
  47. Tediosi, F., & Gabriele, S. (2010, June 15). Long-term care in Italy. ENEPRI Research Report No. 80.Google Scholar
  48. Untermarzoner, J. (2016). L’assegno di cura in Alto Adige: Stato attuale. Sviluppo. Prospettive. Retrieved from Bolzano: www.afi-ipl.org.
  49. Visca, M., Profili, F., Federico, B., Damiani, G., Francesconi, P., Fortuna, P., … Bellentani, M. D. (2012). La Ricerca AGENAS. La presa in carico degli anziani non autosufficienti. I QUADERNI DI MONITOR, 30(A), 145–183.Google Scholar
  50. WHO. (2002). Towards a common language for functioning, disability and health. Geneva: World Health Organization Retrieved from http://www.who.int/classifications/icf/en/.
  51. Willemé, P. (2010). The long-term care system for the elderly in Belgium. ENEPRI Research Report (70).Google Scholar

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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