Mapping variability in allocation of Long-Term Care funds across payer agencies in OECD countries
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11120%2F20%3A43926568" target="_blank" >RIV/00216208:11120/20:43926568 - isvavai.cz</a>
Result on the web
<a href="https://doi.org/10.1016/j.healthpol.2020.02.013" target="_blank" >https://doi.org/10.1016/j.healthpol.2020.02.013</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1016/j.healthpol.2020.02.013" target="_blank" >10.1016/j.healthpol.2020.02.013</a>
Alternative languages
Result language
angličtina
Original language name
Mapping variability in allocation of Long-Term Care funds across payer agencies in OECD countries
Original language description
Introduction: Long-term care (LTC) is organized in a fragmented manner. Payer agencies (PA) receive LTC funds from the agency collecting funds, and commission services. Yet, distributional equity (DE) across PAs, a precondition to geographical equity of access to LTC, has received limited attention. We conceptualize that LTC systems promote DE when they are designed to set eligibility criteria nationally (vs. locally); and to distribute funds among PAs based on needs-formula (vs. past-budgets or government decisions). Objectives: This cross-country study highlights to what extent different LTC systems are designed to promote DE across PAs, and the parameters used in allocation formulae. Methods: Qualitative data were collected through a questionnaire filled by experts from 17 OECD countries. Results: 11 out of 25 LTC systems analyzed, fully meet DE as we defined. 5 systems which give high autonomy to PAs have designs with low levels of DE; while nine systems partially promote DE. Allocation formulae vary in their complexity as some systems use simple demographic parameters while others apply socio-economic status, disability, and LTC cost variations. Discussion and conclusions: A minority of LTC systems fully meet DE, which is only one of the criteria in allocation of LTC resources. Some systems prefer local priority-setting and governance over DE. Countries that value DE should harmonize the eligibility criteria at the national level and allocate funds according to needs across regions. (C) 2020 The Authors. Published by Elsevier B.V.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30304 - Public and environmental health
Result continuities
Project
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Continuities
N - Vyzkumna aktivita podporovana z neverejnych zdroju
Others
Publication year
2020
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
Health Policy
ISSN
0168-8510
e-ISSN
1872-6054
Volume of the periodical
124
Issue of the periodical within the volume
5
Country of publishing house
IE - IRELAND
Number of pages
10
Pages from-to
491-500
UT code for WoS article
000532671800001
EID of the result in the Scopus database
2-s2.0-85081891951