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.
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Banco Mundial |
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Estados Unidos |
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America del Norte |
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Biblioteca del Banco Mundial |
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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 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 |
spellingShingle |
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 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 World Bank Long-Term Care and Ageing |
description |
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. |
format |
Report |
topic_facet |
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 |
author |
World Bank |
author_facet |
World Bank |
author_sort |
World Bank |
title |
Long-Term Care and Ageing |
title_short |
Long-Term Care and Ageing |
title_full |
Long-Term Care and Ageing |
title_fullStr |
Long-Term Care and Ageing |
title_full_unstemmed |
Long-Term Care and Ageing |
title_sort |
long-term care and ageing |
publisher |
Washington, DC |
publishDate |
2010-11 |
url |
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 |
work_keys_str_mv |
AT worldbank longtermcareandageing AT worldbank casestudiesbulgariacroatialatviaandpoland |
_version_ |
1807156413810606080 |
spelling |
dig-okr-10986278482024-08-08T15:51:19Z Long-Term Care and Ageing Case Studies - Bulgaria, Croatia, Latvia and Poland World Bank 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 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. 2017-08-15T18:57:49Z 2017-08-15T18:57:49Z 2010-11 Report Rapport Informe 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 English en_US CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank application/pdf text/plain Washington, DC |