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These can There is general agreement that access to between Member States. SMD is commonly used with minicomputers and mainframes. These can vary from region to the elderly, dependents, disabled tial waiting times for treatment, and for to region within the same country, not just and chronically ill; residential care in particular. Opmerkingen Lever je verslagen in voor zaterdag binnen moeten zijn anders 2 strafpunten. De convergentie naar gemak.

Loading Preview Sorry, preview is currently unavailable. You can download the paper by clicking the button above. It Kim Signals Binary Options the find- Introduction Access to adequate long-term care High level quality in LTC services Long-term sustainability As a result there is a wealth ability to pay.

To avoid such a scenario, of experience and ideas to refer to as the a sustainable mix of public and private Member States seek to modernise, expand financing may need to be found. Meanwhile, and improve services in response to demo- better value for money and continuity in graphic ageing and other challenges. They community-based care over provision in responsible for the use that may be made of the information contained in this publication.

Obtaining the high- For any use or reproduction of photos which are not under European Communities copyright, permission must be sought directly from the copyright holder s. A great deal of additional information on the European Union is available on the Internet.

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The European Union also offers support I am confident that this publication will give © European Communities, for mutual learning among Member States readers the chance to learn much about Reproduction is authorised provided the source is acknowledged. This enables national recent developments in long-term care authorities to learn from each other, drawing systems across Europe and I commend it Luxembourg: Office for Official Publications of the European Communities, the best from experience gained and crystal- to them.

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DOI Long-term this pledge to the elderly become harder to pensions, health care and long-term care care can include rehabilitation, basic medical overcome. This is true now and will become LTC. We focus on the last of those four areas. These reflect the oldest age groups… who are most at risk differences over the length of stay, range of of long-standing chronic conditions causing compared to According to line between the available medical health- a Eurobarometer survey, a majority of care and non-medical social services.

Some As Europeans live longer, the public resources Europeans think that it is likely, or unlikely countries, for instance, prefer to concentrate devoted to health and long-term care Kim Signals Binary Options the but possible, that they will be dependent on on out-patient rehabilitation treatment earlier second largest component of overall social long-term care at some point in their lives.

With Against that background, projections pre- citizens living longer, there will be an even pared by the Economic Policy Committee greater demand to provide LTC services, either and the European Commission inin a domiciliary or institutional setting. These include: for the services provided: universal access, obstacles continue to exist. Hurdles range Spain: Tackling waiting times high quality and long-term sustainability. Access to adequate long-term care tive procedures.

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These can vary from region to the elderly, dependents, disabled tial waiting times for treatment, and for to region within the same country, not just and chronically ill; residential care in particular.

These can There is general agreement that access to between Member States.

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The need for care, should of care some people need. Efforts in some co-payments; and bility a priority of social inclusion policy not lead to poverty or financial dependency. The system home and community care services. Modern includes a wide range of care services at Costs are also a barrier, especially for low in- home and in centres, along with financial come groups who may have to meet some of and daily support for families.

Many countries, such as Cyprus, Estonia and Ireland, have introduced co-payments for long-term care. The shift in emphasis allows fees in nursing homes. This is in addition to individuals to have a greater freedom of specific long-term care insurance and social choice over the care they require.

The result assistance mechanisms. High level quality in LTC services national, regional and local authorities and constructive partnerships with the private Tailor-made services: The quality of LTC services people receive and voluntary sectors are required. Failure Czech Republic varies enormously. So, it is Kim Signals Binary Options surprising that to develop this integrated approach can surveys Kim Signals Binary Options reports have revealed Kim Signals Binary Options of lead to fragmentation between services and In Ceska Lìpa, daily short-term hospital dissatisfaction and drawn attention to defi- administrative hurdles that make it harder for services have been developed as a result ciencies.

The issues raised range from inad- people to receive the care they need. A locally funded in nursing homes to excessive use of restraint As an example: people discharged from day centre has also been opened for the and Crypt investeerida mais. In Os- the reasons Member States are developing home care provision or receive these serv- trava, several commu nity-oriented ser- or changing regulations and legislation to ices within a community setting.

When such vices have been developed as existing ensure sufficiently high standards are put in Kim Signals Binary Options provision does not exist, acces- residential facilities are renovated and place and respected.

Fromthis will settings like nursing homes or hospitals, but care provided at home by informal carers. Some Netherlands, Slovakia are using ture size of rooms and staff ratiosprocess quality accreditation measures, coupled with the mechanisms and assessments in place monitoring systems Cyprus, Germany, Greece, and outcome prevalence of certain medical France, the Netherlands.

Others Germany, conditions. These reveal that in general the Luxembourg employ clinical guidelines based trend is towards an improvement in quality. At the same time, mechanisms. But they are still Kim Signals Binary Options the early stages patients.

This was repeatedly stressed during Sweden: Freedom of choice and in many Member States. All participants Sweden has recently introduced a system the capacity of the long-term care workforce emphasised that respecting the dignity and enabling people to choose where they and the technologies which can help them fundamental rights of the frail and elderly is would like to receive their long-term health in their tasks.

Evaluating the standard of care a major challenge facing European society. They can select between private pro- people receive is complex.

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To ensure patients have than institutional setting, and is often based lines, quality standards in long-term care real choice, it is generally agreed they on measurements of satisfaction levels and homes, training of professionals and support must have access to sufficient informa- unmet needs. They could use a virtual account These include Nursing Care Allowance, combined with external controls according to buy care, employ assistants or pay for in-kind benefits, and other entitlements to nation-wide uniform quality inspection personal services suited to their parti- such as pension contributions, accident guidelines.

LTC assurance is guaranteed cular needs. The former oversee the visits, trained carers provide compulsory care Professionaalsed valikud Merchant IV meeter of care provided in care institutions consultancy, and long-term care insurers and have sanction powers.

Under these are required to hold free care courses for contractual arrangements, purchasers have family members and volunteers.

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Additional the right to inspect establishments and im- services outpatient facilities such as resi- pose penalties if they are not satisfied with dential facilities, technical aids etc also aim the conditions.

Long-term sustainability While recognising the need to find an adequate mix between public and private sources of The long-term sustainability of public expen- finance, there is general agreement that a diture on health care, and on LTC in particular, social insurance or tax-based system is more will come under heavy strain as societies have efficient than one left entirely to private initia- to cope with ageing populations.

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However, tives. At the same time, Member States are these pressures could be mitigated if citizens considering a potential mix of public and remain in good health as they grow older. A preventive approach, the integration of The latter sources of finance tend to contain health and long-term care services and use two separate elements.

The second keep costs under control. Vaccination and screening Effective promotion of such care, as Kim Signals Binary Options private sector responsibility for LTC. As recognition of the need to ensure a solid programmes, and campaigns to promote States have recognised, requires the exist- long-term financing base for LTC grows, healthy ageing are in place in most EU coun- ence of well trained and qualified staff and Comprehensive public programmes can be several Member States Germany, Luxem- tries.

While such programmes are an important efficient use of information and communica- financed in the following ways: bourg, Netherlands, Sweden are looking step forward, it is too early to assess their tion technology ICT. Slovakia: Prevention and rehabilitation Municipal authorities in Zavar and Banska possible. In Zavar, social workers propose Bystrica Suurte valikutehingute pakkumine have introduced projects invol- treatment and care plans, involving ergo ving local stakeholders, residents and part- therapy, psycho-pharmaceutical treatment ners to help the mentally ill and severely and rehabilitation.

These are centred on disabled receiving institutional care to live individual needs and enable patients to in as dignified and inclusive a fashion as participate actively in local activities. This is cient use of resources and the tailored and and social care between different levels especially important given Kim Signals Binary Options LTC is usually seamless treatment care some patients may of government devolved and handled by sub-national levels require.

It involves coordination between Under a far reaching reform of the LTC of government Spain, Sweden, United King- national, regional and local authorities and system, care will be provided Kim Signals Binary Options Three social protocols have been signed dom. Similar objectives can be achieved services to anticipate and overcome obsta- a wide range of multidisciplinary services: between the Federal Government and through framework contracts, as in Germany, cles that may arise.

Problems can stem convalescence units, medium-term reha- the regional and community authorities between LTC insurers and providers. Two of these, agreed Integration of LTC delivery can be achieved delivery and the many bodies involved in the centres and units for promoting func- inaim to improve working condi- through single entry points or local assess- health and social sectors.

In particular, of medical care for patients and the United Kingdom. Several countries Belgium, the network created will encourage con- introduction of specific employment Germany, Spain, Finland have made or are in tinuity between community-based care, contracts for LTC staff.

The third protocol the process Hungary, Latvia, Malta, Poland hospital care for acute patients and Kuidas kaubelda voimalus Indias sets out budgetary and organisational of making arrangements to integrate LTC support, complementing primary care arrangements over six years.

Collective provision and to ensure uninterrupted care. Flexibility employment agreements are needed enables the system to be adapted to to put elements of the package into © iStockphoto different needs around the country.

The fact that these are slow in coming has meant that only a small number of residential homes have been converted into facilities with more developed medical Kim Signals Binary Options.

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The test of success in providing a continuum provision of services and better management of care can be measured by the extent to of transfers between care settings the home, which the medical, nursing and social serv- hospital and nursing home. National author- ices provided fit together for the specific ities are now devoting more attention to needs of individual patients. To achieve this, introducing measures that will make different two elements are important: the coordinated services work more effectively together.

This can include information, train- care components: services. Attracting the formalisation and financial support. Some Poland, Latvia Estonia together is as efficient as possible. The Where home care is not an option, social are improving working conditions and pay guidelines are set centrally, but the degree workers help place patients in either to discourage specialised staff from seeking of coordination and cooperation is decided a medical establishment hospice or reha- Bollingerihma Amzn. abroad.

The geriatric and after-care ward in as a nursing home or sheltered housing, Kim Signals Binary Options hospital which focuses on psycho- according to their needs. This Long-term Care in the European Union centres leading to professional nursing will come at a time when the number of diplomas and to make it easier for people working age women and men, able to Luxembourg: Office for Official Publications of the European Communities already working in the sector to acquire provide informal care will decrease just as these professional qualifications.

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In addition, the trend towards smaller families and rise in incidences of ISBN single parent families reduce the pool of DOI