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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
[Medical care in the nursing home]
C Becker1, P Koczy, U Rissmann
1Klinik für Geriatrische Rehabilitation, Robert-Bosch-Krankenhaus, Stuttgart, Auerbachstr. 110, 70101, Stuttgart. clemens.becker@rbk.de
Germany's mandatory long-term care insurance (LTCI) reform in 1995 significantly altered nursing home medical services. Proposed system fusions and upcoming LTCI changes are set to further reshape elder care delivery.
Area of Science:
- Healthcare policy
- Gerontology
- Health services research
Context:
- The 1995 introduction of German mandatory long-term care insurance (LTCI) initiated significant shifts in nursing home care.
- Factors influencing these changes include evolving assessment processes, demographic shifts, altered facility access, and socioeconomic changes for informal caregivers.
Purpose:
- To provide an expert overview of recent developments and proposed reforms within the German long-term care insurance system.
- To analyze the anticipated impacts of merging health care and long-term care insurance systems.
Summary:
- The mandatory long-term care insurance (LTCI) enacted in 1995 has profoundly impacted medical service delivery in German nursing homes.
- Current proposals advocate for fusing the health care and long-term care insurance systems, signaling further substantial changes.
Impact:
- Anticipated system fusion and announced LTCI modifications will likely lead to further transformations in elder care.
- Expert opinions suggest these changes will necessitate adaptation in service provision and resource allocation within the long-term care sector.
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