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A good life in old age?
 — Monitoring and improving quality in long-term care
Corporate AuthorOrganisation for Economic Co-operation and Development - OECD; European Commission
PublisherOrganisation for Economic Co-operation and Development, Paris, June 2013
Pages265 pp (OECD health policy studies)
AnnotationWith the ageing populations and growing costs, ensuring and improving the quality of longterm care (LTC) services has become an important policy priority across OECD countries. The share of those aged 80 years and over is expected to increase from 4% in 2010 to nearly 10% in 2050, while in 2010 OECD countries allocated 1.6% of groos domestic product (GDP) to public spending on LTC, on average. The goal of good quality care is to maintain or, when feasible, to improve the functional and health outcomes of frail older people, the chronically ill and the physically disabled, whether they receive care in nursing homes, assisted living facilities, community-based or home care settings. This report is the outcome of a two-year collaboration between the OECD Health Division and the Directorate General for Employment, Social Affairs and Inclusion of the European Commission. It was developed by Francesca Colombo, who led the project, and Yuki Murakami, from the OECD Secretariat. It contains written contributions from experts and academics from countries across Europe, Canada and the United States. The report discusses the importance of developing metrics for measuring safe, effective and responsive long-term care services, and looks at on-going country initiatives to improve the quality of life of frail older people, as well as the technical and broader challenges to measurement and improvement. The report focuses on three aspects generally accepted as critical to quality care: effectiveness and care safety; patient-centredness; and responsiveness and care co-ordination. The report is organised in three parts: measuring quality in long-term care; policies to drive the quality in long-term care; and case studies: Europe and the United States.
Accession NumberCPA-130920001 E

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