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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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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libraryname Biblioteca del Banco Mundial
language English
en_US
topic 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