Mapping variability in allocation of Long-Term Care funds across payer agencies in OECD countries
dc.contributor.author | Waitzberg, Ruth | |
dc.contributor.author | Schmidt, Andrea E. | |
dc.contributor.author | Blümel, Miriam | |
dc.contributor.author | Penneau, Anne | |
dc.contributor.author | Farmakas, Antonis | |
dc.contributor.author | Ljungvall, Åsa | |
dc.contributor.author | Barbabella, Francesco | |
dc.contributor.author | Augusto, Gonçalo Figueiredo | |
dc.contributor.author | Marchildon, Gregory P. | |
dc.contributor.author | Saunes, Ingrid Sperre | |
dc.contributor.author | Vočanec, Dorja | |
dc.contributor.author | Miloš, Iva | |
dc.contributor.author | Contel, Joan Carles | |
dc.contributor.author | Murauskiene, Liubove | |
dc.contributor.author | Kroneman, Madelon | |
dc.contributor.author | Tambor, Marzena | |
dc.contributor.author | Hroboň, Pavel | |
dc.contributor.author | Wittenberg, Raphael | |
dc.contributor.author | Allin, Sara | |
dc.contributor.author | Or, Zeynep | |
dc.date.accessioned | 2022-03-15T15:40:27Z | |
dc.date.available | 2022-03-15T15:40:27Z | |
dc.date.issued | 2020-02-29 | |
dc.description.abstract | 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. | en |
dc.identifier.eissn | 1872-6054 | |
dc.identifier.issn | 0168-8510 | |
dc.identifier.uri | https://depositonce.tu-berlin.de/handle/11303/16562 | |
dc.identifier.uri | http://dx.doi.org/10.14279/depositonce-15339 | |
dc.language.iso | en | en |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/4.0/ | en |
dc.subject.ddc | 610 Medizin und Gesundheit | de |
dc.subject.other | long-term care | en |
dc.subject.other | equity | en |
dc.subject.other | funds allocation | en |
dc.subject.other | payer agencies | en |
dc.subject.other | allocation formula | en |
dc.title | Mapping variability in allocation of Long-Term Care funds across payer agencies in OECD countries | en |
dc.type | Article | en |
dc.type.version | publishedVersion | en |
dcterms.bibliographicCitation.doi | 10.1016/j.healthpol.2020.02.013 | en |
dcterms.bibliographicCitation.journaltitle | Health Policy | en |
dcterms.bibliographicCitation.originalpublishername | Elsevier | en |
dcterms.bibliographicCitation.originalpublisherplace | Amsterdam | en |
dcterms.bibliographicCitation.pageend | 500 | en |
dcterms.bibliographicCitation.pagestart | 491 | en |
dcterms.bibliographicCitation.volume | 124 | en |
tub.accessrights.dnb | free | en |
tub.affiliation | Fak. 7 Wirtschaft und Management::Inst. Technologie und Management (ITM)::FG Management im Gesundheitswesen | de |
tub.affiliation.faculty | Fak. 7 Wirtschaft und Management | de |
tub.affiliation.group | FG Management im Gesundheitswesen | de |
tub.affiliation.institute | Inst. Technologie und Management (ITM) | de |
tub.publisher.universityorinstitution | Technische Universität Berlin | en |