Long-Term Care

Österle, August; Rothgang, Heinz

doi:10.1093/oxfordhb/9780198828389.013.30

Cited by 5 publications

(1 citation statement)

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“…In most of Europe, the policy affecting the organization and provision of long-term care (LTC) has to face several socio-cultural and economic challenges [ 1 ]. Ageing societies, a shortage of skilled workers, and the aim to maintain a high quality of care are just some of them [ 2 , 3 ]. There is a demand for the evidence-based development of new approaches for the organization of LTC.…”

Section: Introductionmentioning

confidence: 99%

Study protocol for the development, trial, and evaluation of a strategy for the implementation of qualification-oriented work organization in nursing homes

Burfeindt,

Darmann-Finck,

Stammann

et al. 2024

BMC Nurs

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Background Staffing ratios in nursing homes vary among the federal states of Germany, but there are no rational grounds for these variations. In a previous study, a new instrument for the standardized calculation of staffing requirements in nursing homes was developed (Algorithm1.0). The development was based on a new empirical data collection method that derives actual and target values for the time and number of care interventions provided. Algorithm1.0 found an increased requirement of 36% of staff in German nursing homes. Based on these results, the German legislature has commissioned a model program to trial and evaluate a complex intervention comprising increased staffing combined with strategies for organizational development. Methods The mixed-methods study consists of (i) developing a concept for restructuring the work organization, (ii) the application of this concept combined with increased staffing in 10 nursing homes (complex intervention), and the further development of the concept using a participatory and iterative formal evaluation process. The intervention consists of (a) quantitative measures of increased staffing based on a calculation using Algorithm1.0 and (b) qualitative measures regarding organizational development. The intervention will be conducted over one year. The effects of the intervention on job satisfaction and quality of care will be evaluated in (iii) a comprehensive prospective, controlled summative evaluation. The results will be compared with ten matched nursing homes as a control group. Finally, (iv) prototypical concepts for qualification-oriented work organization, a strategy for the national rollout, and the further development of Algorithm1.0 into Algorithm 2.0 will be derived. Discussion In Germany, there is an ongoing dynamic legislation process regarding further developing the long-term care sector. The study, which is the subject of the study protocol presented here, generates an evidence-based strategy for the staffing requirements for nursing homes. Ethics and dissemination. This study was approved by the Ethics Committee of the German Association of Nursing Science (Deutsche Gesellschaft für Pflegewissenschaft) on 02.08.2023 (amended on 20.09.2023). Research findings are disseminated through presentations at national and international conferences and publications in peer-reviewed scientific journals. Trial registration number: German Clinical Trails Register DRKS00031773 (Date of registration 09.11.2023).

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Section: Introductionmentioning

confidence: 99%

Study protocol for the development, trial, and evaluation of a strategy for the implementation of qualification-oriented work organization in nursing homes

Burfeindt,

Darmann-Finck,

Stammann

et al. 2024

BMC Nurs

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The social long-term care insurance model: comparing actor configurations across countries and time

Fischer

2022

J. int. comp. soc. policy

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To date, social long-term care insurance (SLTCI) systems have been introduced in six countries globally: the Netherlands, Israel, Germany, Japan, Luxembourg and South Korea. Applying an actor-centred, multi-dimensional framework and fuzzy-set analysis, the present article investigates the typical characteristics and variations of these SLTCI schemes at introduction and today. In short, we find that the SLTCI model features dominant social contribution financing, a mix of for- and non-profit providers, and state regulation. In light of the relevance of corporate self-regulation often associated with social insurance systems, the dominance of state regulation is unexpected. The analysis also reveals considerable variance between cases, most notably concerning the extent of private individual actors’ involvement. While geographical proximity of countries does not explain differences between SLTCI systems, “temporal clusters” seem to partly drive the variation of SLTCI actor configurations.

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Unpacking the “Eldercare Regime”

Doetter

Fischer

Rothgang

2023

The Oxford Handbook of Family Policy

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Addressing the long-term care (LTC) needs of the elderly as families’ capacity for caregiving decreases is both a policymaking priority and societal challenge facing many countries around the world. Care for older people relies heavily upon informal caregivers, traditionally women in the family. However, a growing role can be seen for formal services—either in place of or in conjunction with informal carers—made available by state, societal, or private market actors. This mix of formal and informal care arrangements, carried out by public and private actor types with varying degrees of engagement across a range of care settings can be said to come together to form an “eldercare regime.” In this chapter, the authors unpack the concept to understand the various ways that care manifests within and across societies. The focus is particularly on public versus private responsibility, as well as the intersections between the formal and informal within the care mix. The chapter proceeds to take inventory of care arrangements in place in different countries across Europe, North America, and Asia in which public LTC services and/or benefits have been introduced. The analysis demonstrates that, even among countries in which publicly financed care is available, a wide range of care constellations and actor emphases can be observed, culminating in distinct eldercare regimes. In a final section, the chapter explores differences between countries in financing, services provision, and regulation with respect to tradition, interdependencies with other areas of the welfare state, and normative standards.

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Long-Term Care

Cited by 5 publications

References 10 publications

Study protocol for the development, trial, and evaluation of a strategy for the implementation of qualification-oriented work organization in nursing homes

Study protocol for the development, trial, and evaluation of a strategy for the implementation of qualification-oriented work organization in nursing homes

The social long-term care insurance model: comparing actor configurations across countries and time

Unpacking the “Eldercare Regime”

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