Consumer Direction and Choice in Long-Term Care for Older Persons, Including Payments for Informal Care: How Can it Help Improve Care Outcomes, Employment and Fiscal Sustainability?
As the number of older persons in need of long-term care increases, efforts to support older persons remaining in their home are intensified in most OECD countries. In this context of ageing in place, there is a movement towards allowing more individual choice for older persons receiving publicly funded long-term care at home. Having more flexibility in terms of how to receive care can increase the older person’s self-determination and that of his/her informal care givers. Having a choice among alternative care providers can empower older persons as consumers and may help strengthen the role of households in the care-management process. Choice can also help address quality aspects that are difficult to quantify but easy to experience for users, such as the personal interaction between the older person and the care giver. Le nombre de personnes âgées en perte d’autonomie augmentant, les efforts à leur intention destinés à leur permettre de continuer à vivre chez elles s’intensifient, dans la plupart des pays de l’OCDE. Dans cette logique du maintien à domicile, la tendance est à donner une liberté de choix de plus en plus grande aux personnes âgées qui bénéficient, chez elles, d’une aide et de services financés sur fonds publics. En acceptant plus de flexibilité dans les modalités de déploiement de la prestation on peut renforcer la capacité de décision de la personne âgée et des aidants informels. Le fait de donner à la personne âgée la liberté de choix entre différents prestataires peut lui conférer un certain poids en tant que consommateur, et cela peut contribuer à renforcer le rôle des ménages dans le processus de gestion de la prise en charge. La faculté de choisir peut aussi aider à prendre en compte les aspects qualitatifs, qui sont difficiles à mesurer mais très importants pour l’utilisateur, comme la qualité des échanges entre la personne âgée et la personne qui s’occupe d’elle.
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Paper provided by OECD Directorate for Employment, Labour and Social Affairs in its series OECD Health Working Papers with number
20.
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