Long-Term Care and Ageing

As gains in basic health care increase life expectancy, more people live past the age of 65, a time when the risk of dementia and other degenerative diseases is higher and people are more likely to require long-term care (LTC) services. Whether at home or in an institution, such care is an important way to protect the lives and dignity of a country's elderly citizens. Unfortunately, the cost of LTC, especially in institutions, can be catastrophic for families. Without public social protection systems many people cannot afford the care they need or the high cost of care sends them and their families into poverty. Thus, LTC is not only a health issue, but also a fiscal issue and as the European population ages, it is crucial for states to develop comprehensive LTC systems that address this interrelated issue. The next section explores the demographic background of the Bulgarian population, which is one of the fastest aging in Europe. This is followed by s short-description of the macro-economic and fiscal framework in post-crisis Bulgaria. Next, an overview of LTC service provisions is given, followed by a section on financing of LTC services. The last section concludes by introducing some guiding principles for future policy reforms.

Bibliographic Details

Main Author:	World Bank
Format:	Report biblioteca
Language:	English en_US
Published:	Washington, DC 2010-11
Subjects:	ACCESS TO HEALTH SERVICES, AGED, AGING, AGING POPULATION, AMBULATORY MEDICAL CARE, BASIC HEALTH CARE, BASIC NEEDS, BEDS, CANTEENS, CAREGIVERS, CERTIFICATION, CHRONIC CONDITIONS, CITIZENS, CLINICS, COMMUNITIES, COUNSELORS, DAY CARE, DEMAND FOR SERVICES, DEMOGRAPHIC CHANGE, DEMOGRAPHIC PROJECTIONS, DEMOGRAPHIC TRENDS, DEPENDENCY RATIO, DESCRIPTION, DISABILITIES, DISABILITY, DISABLED PEOPLE, DISADVANTAGED GROUPS, DISEASES, DISTRICTS, DOCTORS, ECONOMIC CAPACITIES, ECONOMIC DEVELOPMENT, ECONOMIC GROWTH, ELDERLY, ELDERLY CARE, ELDERLY MEN, ELDERLY PEOPLE, ELDERLY PERSONS, ELDERLY POPULATION, ELDERLY WOMEN, EMPLOYEE, EMPLOYMENT, EMPLOYMENT OPPORTUNITIES, EXISTING CAPACITY, EXPENDITURES, FAMILIES, FAMILY CARE, FAMILY MEMBERS, FAMILY STRUCTURE, FAMILY SUPPORT, FEWER BIRTHS, FORECASTS, FORMAL CARE, FOSTER FAMILIES, GERIATRICS, GERONTOLOGY, GOVERNMENT PROGRAMS, GROSS DOMESTIC PRODUCT, HEALTH CARE, HEALTH CARE REFORM, HEALTH CARE SECTOR, HEALTH CARE SERVICES, HEALTH CARE SYSTEM, HEALTH INSTITUTIONS, HEALTH INSURANCE, HEALTH MINISTRIES, HEALTH SERVICE, HEALTH SERVICES, HEALTH SPECIALIST, HEALTH WORKERS, HOME CARE, HOMES, HOSPICE, HOSPICES, HOSPITAL, HOSPITAL PATIENTS, HOSPITALS, HOUSEHOLDS, HUMAN DEVELOPMENT, HUMAN RESOURCE MANAGEMENT, ILLNESS, ILLNESSES, INCOME, INDIVIDUAL NEEDS, INFRASTRUCTURE DEVELOPMENT, INSTITUTIONAL CAPACITY, INSTITUTIONALIZATION, INTEGRATION, INTERNATIONAL ASSISTANCE, ISOLATION, LEGAL PROTECTION, LIFE EXPECTANCY, LIVING ARRANGEMENTS, LOCAL COMMUNITY, LOCAL GOVERNMENTS, LOCAL MUNICIPALITIES, LONG-TERM CARE, LOWER BIRTH RATES, MEDICAL CARE, MEDICAL DOCTOR, MEDICAL DOCTORS, MEDICAL PERSONNEL, MEDICAL SERVICES, MEDICAL TREATMENT, MINISTRY OF HEALTH, MOBILITY, NATIONAL HEALTH INSURANCE, NATIONAL LEVEL, NATURAL ENVIRONMENT, NEIGHBORHOOD, NUMBER OF CHILDREN, NUMBER OF CHILDREN PER FAMILY, NUMBER OF PEOPLE, NURSE, NURSES, NURSING, NURSING CARE, OCCUPANCY, OLD AGE, OLD-AGE, PATIENT, PATIENTS, PENSION, PENSIONERS, PERSONAL HYGIENE, PERSONS WITH DISABILITIES, PHYSICIANS, POLICY GOALS, POPULATION DISTRIBUTION, POPULATION DIVISION, POPULATION GROWTH, POPULATION GROWTH RATE, POPULATION SIZE, PREVAILING ATTITUDES, PRIMARY CAREGIVERS, PRIMARY HEALTH CARE, PROGRESS, PROVISION OF CARE, PUBLIC HEALTH, PUBLIC SERVICE, PUBLIC SERVICES, PURCHASING POWER, QUALITY OF CARE, QUALITY OF HEALTH, QUALITY OF LIFE, QUALITY OF SERVICES, QUALITY SERVICES, REHABILITATION CENTERS, RESIDENTIAL CARE, RESPITE CARE, SERVICE DELIVERY, SERVICE PROVIDER, SERVICE PROVIDERS, SERVICE PROVISION, SOCIAL ASSISTANCE, SOCIAL ISOLATION, SOCIAL POLICY, SOCIAL PROTECTION, SOCIAL REHABILITATION, SOCIAL SECTOR, SOCIAL SERVICE, SOCIAL SERVICES, SOCIAL STRUCTURE, SOCIAL SYSTEMS, SOCIAL WELFARE, SOCIAL WORKERS, SPOUSAL SUPPORT, SPOUSE, SPOUSES, SURGERY, TOWNS, TRANSPORTATION, TREATY, URBAN AREAS, USER FEES, VILLAGES, VULNERABLE GROUPS, WAR, WOMAN, WORKING POPULATION, WORLD HEALTH ORGANIZATION, WORLD POPULATION,
Online Access:	http://documents.worldbank.org/curated/en/783001468016232798/World-Bank-report-long-term-care-and-ageing-case-studies-Bulgaria-Croatia-Latvia-and-Poland https://hdl.handle.net/10986/27848
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