Improving Long-Term Care in Croatia
The demand for help with daily activities - so-called long-term care - is set to increase in Croatia. The population is ageing at a faster rate than the EU average, and by 2050, about one-third of the population is projected to be aged 65 years and over. In addition, with one of the highest poverty...
| Autor principal: | |
|---|---|
| Autor Corporativo: | |
| Formato: | Libro electrónico |
| Idioma: | Inglés |
| Publicado: |
Paris, France :
Organization for Economic Co-operation and Development (OECD) Publishing
2023.
|
| Edición: | 1st ed |
| Materias: | |
| Ver en Biblioteca Universitat Ramon Llull: | https://discovery.url.edu/permalink/34CSUC_URL/1im36ta/alma991009759335006719 |
Tabla de Contenidos:
- Intro
- Foreword
- Acknowledgements
- Executive summary
- 1 Croatia has a fast ageing and vulnerable population
- Setting the scene: An ageing population and vulnerable population
- The demand for long-term care: A substantial share of older people has needs
- Low access to home health care for older people does not help preventing or delaying LTC needs
- 2 The supply of formal long-term care is low and uneven in Croatia
- Public support for long-term care is fragmented and based on disability benefits
- The coverage of social benefits is low
- The low coverage is driven by eligibility criteria that limit coverage to those with low means
- The system is underfunded: Estimated long-term care expenditure is among the lowest of EU countries
- Public social protection has limited impact on poverty risks associated with needing and paying for professional home assistance
- 3 Family carers need additional support
- Family carers are mostly older women who are poor and feel fulfilled to provide a lot of (unpaid) care, but it takes a toll on them
- Most carers are from lower-income households, but nearly half own their dwelling
- Most carers do not work
- Findings on paid informal carers are limited, but migration within and out of Croatia plays a role
- About three-quarters of carers provide personal care and help with household chores
- Even if 90% of carers report fulfilled from care tasks, caring takes a toll
- Preferred perceived options for improving care for the older people
- Focus group participants highlighted training needs and financial support for family carers
- Nursing homes are perceived as a last resort option
- Other types of care could be further developed
- 4 Strengthening long-term care in Croatia
- A comprehensive range of options to improve home and community care.
- A cash benefit for family carers and non-financial support are essential
- Formal home LTC could be improved while introducing a cash benefit for family carers
- Current cash benefits for care recipients could be combined in one cash benefit
- The eligibility criteria of in-kind home care benefit could be standardised and improved
- Foster care and family homes could be enhanced
- A new cash benefit to family carers: Eligibility criteria, generosity, and regulation
- Target population and eligibility criteria
- LTC needs of the care recipient
- Other characteristics of the care recipient
- Number of hours of care provided
- Characteristics of the family carers
- Amount of the cash benefit
- Type of regulation
- Training options for caregivers
- Leave and respite care
- References
- Annex A. Methodology of the field questionnaire and the focus groups
- Targeted sample size and response rates
- The questionnaire
- Methodology for the focus groups
- Targeted counties, selection of participants and length of focus groups
- Topics covered
- Annex B. The profile of care recipients
- Two-thirds of care recipients are poor older women, living with others
- Access to aids is not regarded as an issue in general, but it may be complicated in specific cases
- Co-ordination with the health care professionals could improve according to the focus group discussions
- Notes.
