Long Term Care In Developing Countries

About long-term care for chronically ill and disabled persons and the elderly.

"Population aging is challenging countries around the globe to adapt their public policy responses to the new world. Long-term care is a relevant topic today both because of the rapid growth in long-term care needs in every country and the lack of responses from governments. The Future of Long-term Care explores some issues related to the implementation of long-term care responses in different countries. Looking at six different cases, the book highlights the need to foster an urgent debate in the area, as well as emphasizing the need for action in the coming years. The examples analyzed show common problems faced by countries trying to respond to their people's needs, as well as the dissimilar stages, contexts, and paths followed by each one in the endeavour for providing long-term care services to the population. Whether the analysis is carried out in countries with well-established long-term care systems or in places where the debate is just starting, the book proves that this is an area in which many challenges remain. Learning lessons from others is important but providing a space for countries to frame their problems and propose their solutions is crucial. This book contributes to fill this gap and contribute to a debate that is just starting in many places around the world"--

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This book examines the challenges countries are facing with regard to providing and paying for long-term care.

The Asian Development Bank is at the forefront of providing countries across Asia and the Pacific with the technical assistance needed to develop long-term care systems and services for older people. This report shares insights from six diverse countries at different stages of demographic change: Indonesia, Mongolia, Sri Lanka, Thailand, Tonga, and Viet Nam. It explores the situation of long-term care development in these countries, identifies common challenges and promising practices, and recommends key priorities for future action in system strengthening and service delivery.

Since the early 1990s, long-term care policies have undergone significant transformations across OECD countries. In some countries these changes have responded to the introduction of major policy reforms while in others, significant transformations have come about through the accumulation of incremental policy changes. The book brings together evidence from over 15 years of care reform to examine changes in long-term care systems occurring in OECD countries. It discusses and compares key changes in national policies and examines the main successes and failures of recent reforms. Finally, it suggests possible policy strategies for the future in the sector. With contributions from a wide range of experts across EECD countries, this book is essential reading for academics, researchers and policy-makers in the field of long-term care policy.

Countries are facing increasing life expectancy and a shrinking family size and in effect, this may escalate demands for medical and supportive services. The role of families in providing informal care will remain important. However, the simultaneous decline in the supply of informal caregiving caused by changes in family structure and higher female labour-market participation necessitate the expansion of the public role in care provision. This book analyses the challenges of long-term care (LTC) policy development and implications from advanced LTC systems and a current trajectory in emerging economies in Asia. The book approaches the subject through comparative analysis on what works and what does not to provide insight into public policy options for sustainable LTC provision and financing mechanisms. How the countries adopt different approaches to health and social systems towards LTC development could provide important insight and perspectives into policy options in the region. This book aims at academics, policymakers and practitioners in health, social, and aged care services and could also be used as a teaching resource for undergraduate students in health and social sciences and postgraduate programs in public health, epidemiology, social demography, gerontology, and nursing. The book will be of interest to a wider audience not only on social and health consequences of population ageing but also health and social policy relating to older persons.

In Latin America and the Caribbean, more than 8 million older people are unable to independently complete at least one basic activity of daily living, such as eating, bathing or showering, or getting in and out of bed. This situation, called care dependence, affects 12% of people over age 60 and nearly 27% of people over age 80 in the region. The demand for long-term care services will more than triple in the next 30 years, due primarily to population aging and the epidemiological transition. The region will also see a drop in the traditional supply of long-term care services, which are based mainly on the unpaid work of women in families. Given this outlook, societies and governments must ready themselves to support care-dependent people and their caregivers, while at the same time advancing gender equity. Countries need to design long-term care systems, and they need to do so now. This publication addresses five key questions for countries in the region that wish to start this process: 1) Why is long-term care an issue that cannot wait?; 2) How do countries design a long-term care system?; 3) What are the countries in the region doing?; 4) How much would a long-term care system cost?; 5) Where should we start? This is the first IDB publication that is interactive and accessible to as many people as possible.