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Long-Term Care Needs Assessment: From Frameworks to Practice.

Pablo Villalobos Dintrans1

  • 1Facultad de Medicina y Ciencias de la Salud, Universidad Mayor, Santiago, Chile; Millennium Institute for Care Research (MICARE), Santiago, Chile.

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|December 15, 2024
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Summary
This summary is machine-generated.

This study analyzed long-term care (LTC) assessment instruments across 27 countries, comparing them to WHO healthy aging frameworks. Findings reveal variations in standardized tools for functional ability assessment, highlighting areas for improvement in LTC systems globally.

Keywords:
Functional abilityfunctional assessmentlong-term care systems

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Area of Science:

  • Gerontology
  • Public Health
  • Health Policy

Background:

  • Long-term care (LTC) systems are crucial for supporting aging populations.
  • Standardized functional ability assessment is key for equitable eligibility and benefit allocation in LTC.
  • The World Health Organization (WHO) proposes healthy aging frameworks focusing on intrinsic capacity and functionality.

Purpose of the Study:

  • To identify and describe instruments used globally for functional ability assessment in LTC eligibility.
  • To compare these instruments against WHO's healthy aging frameworks (intrinsic capacity and functionality).

Main Methods:

  • A descriptive, case study approach was employed.
  • Data on LTC systems and assessment instruments were collected from 27 countries.
  • Assessment tool features were systematically compared with WHO's intrinsic capacity and functionality domains.

Main Results:

  • Countries were categorized into three groups based on LTC systems and standardized assessment tools (6 with systems and tools, 8 with initiatives but no standardized tool, 13 with no information).
  • Standardized instruments assessed intrinsic capacity domains (cognition, mobility, psychological capacity) and most functional ability domains, excluding "contribute."

Conclusions:

  • Functional ability assessment for LTC eligibility is complex but essential.
  • Countries can leverage existing instruments, frameworks, and international experiences to refine their LTC assessment processes.
  • Adapting assessment tools to specific national contexts is vital for effective LTC system design and redesign.