Ulla Melin Emilsson
Researcher
Improving the mix of institutional and community care for older people with dementia : an application of the balance of care approach in eight European countries
Author
Summary, in English
Objectives: To examine whether the mix of community and institutional long-term care (ILTC) for people with dementia (PwD) in Europe could be improved; assess the economic consequences of providing alternative services for particular groups of ILTC entrants and explore the transnational application of the ‘Balance of Care’ (BoC) approach. Method: A BoC study was undertaken in Estonia, Finland, France, Germany, the Netherlands, Spain, Sweden, and the UK as part of the RightTimePlaceCare project. Drawing on information about 2014 PwD on the margins of ILTC admission, this strategic planning framework identified people whose needs could be met in more than one setting, and compared the relative costs of the possible alternatives. Results: The findings suggest a noteworthy minority of ILTC entrants could be more appropriately supported in the community if enhanced services were available. This would not necessarily require innovative services, but more standard care (including personal and day care), assuming quality was ensured. Potential cost savings were identified in all countries, but community care was not always cheaper than ILTC and the ability to release resources varied between nations. Conclusions: This is believed to be the first transnational application of the BoC approach, and demonstrates its potential to provide a consistent approach to planning across different health and social care systems. Better comparative information is needed on the number of ILTC entrants with dementia, unit costs and outcomes. Nevertheless, the findings offer important evidence on the appropriateness of current provision, and the opportunity to learn from different countries' experience.
Department/s
- Older people's health and Person-Centred care
- School of Social Work
Publishing year
2016-12-01
Language
English
Pages
1327-1338
Publication/Series
Aging and Mental Health
Volume
20
Issue
12
Document type
Journal article
Publisher
Taylor & Francis
Topic
- Geriatrics
- Health Care Service and Management, Health Policy and Services and Health Economy
Keywords
- balance of care
- dementia
- home care
- institutionalisation
- resource allocation
Status
Published
Research group
- Older people's health and Person-Centred care
ISBN/ISSN/Other
- ISSN: 1360-7863