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Long-term care in international perspective.

P Doty

    Health Care Financing Review
    |November 5, 1988
    PubMed
    Summary
    This summary is machine-generated.

    This study compares long-term care policies across 18 nations, finding minimal demographic influence on elderly institutionalization rates. Financing models for long-term care services are also detailed.

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    Area of Science:

    • Gerontology
    • Health Policy
    • Social Sciences

    Background:

    • Long-term care (LTC) policies vary significantly worldwide.
    • Understanding cross-national differences in elderly care is crucial for policy development.
    • International organizations like the International Social Security Association (ISSA) and the Organization for Economic Cooperation and Development (OECD) focus on social security and economic cooperation, including LTC.

    Purpose of the Study:

    • To conduct a cross-national comparison of institutionalization rates for the elderly.
    • To analyze the differences in the use of medically oriented versus nonmedical residential long-term care facilities.
    • To describe the various modes of financing long-term care services.

    Main Methods:

    • Data collection via a questionnaire survey conducted under the auspices of the International Social Security Association (ISSA).

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  • Supplementation of survey data with published documents and government statistics.
  • Cross-national comparative analysis focusing on institutionalization rates and facility types.

    • Main Results:

    • Differences in the utilization rates of medically oriented facilities are less pronounced than those for nonmedical residential long-term care facilities.
    • Demographic factors, such as an older or more female elderly population, explain only a small portion of the variation in higher institutionalization rates.
    • Significant variations exist in the financing mechanisms for long-term care across the studied countries.

    Conclusions:

    • Elderly institutionalization rates are influenced by factors beyond simple demographics.
    • Nonmedical residential care shows greater variation in use rates internationally compared to medical facilities.
    • Understanding diverse financing models is essential for effective long-term care policy planning and reform.