{"id":987683320,"date":"2024-02-20T20:16:52","date_gmt":"2024-02-20T19:16:52","guid":{"rendered":"https:\/\/p4h.world\/?post_type=documents&p=987683320"},"modified":"2024-03-18T20:47:07","modified_gmt":"2024-03-18T19:47:07","slug":"long-term-care-financing-lessons-for-low-and-middle-income-settings-brief-3-how-countries-finance-long-term-care","status":"publish","type":"documents","link":"https:\/\/p4h.world\/en\/documents\/long-term-care-financing-lessons-for-low-and-middle-income-settings-brief-3-how-countries-finance-long-term-care\/","title":{"rendered":"Long-term care financing: lessons for low- and middle-income settings: brief 3: how countries finance long-term care"},"content":{"rendered":"

[et_pb_section fb_built=”1″ admin_label=”!!! PLEASE DO NOT EDIT !!!” _builder_version=”4.16″ global_colors_info=”{}”][et_pb_row admin_label=”! !! NE PAS MODIFIER ! !!” _builder_version=”4.16″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||”][et_pb_text admin_label=”TO BE EDITED – SUMMARY – Click on the WHEEL icon to open the textarea where you can paste or type your text. Summary condenses the main point of the document. It must be in bold, 250-300 characters \/ 3-4 lines. The counter at the bottom helps.” _builder_version=”4.21.0″ _module_preset=”default” custom_padding=”||20px||false|false” global_colors_info=”{}”]<\/p>\n

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Low- and middle-income countries rely on informal caregivers and private funds for LTC, leading to access disparities. High-income countries invest in public LTC, mainly funded by taxation and insurance, but challenges remain in countries with large informal workforces: WHO Centre for Health Development\u00a0<\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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Key messages<\/p>\n

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  • In low- and middle-income countries where no formal, public long-term care (LTC) system exists, the costs of care are covered by private individuals, families and the health sector. This can result in inequities in access to needed services and pressure on informal caregivers to reduce their participation in the labour market, which affects the broader economy.<\/li>\n
  • Some middle- and high-income countries have invested public funds in LTC to provide financial protection and coverage for older people, and reduce pressure on the health sector to provide mostly non-medical care.<\/li>\n
  • Spending on LTC in countries reporting to the Organisation for Economic Co-operation and Development is projected to increase to 2.3% of gross domestic product by 2040, in comparison with 1.8% in 2021. The major source of LTC financing in high-income settings are general taxation and compulsory insurance.<\/li>\n
  • General taxation provides a broad funding base and flexibility in covering benefits; it can ensure coverage for those who are unemployed and those in the informal workforce.<\/li>\n
  • Mandatory insurance, usually funded by payroll contributions, is a stable source of LTC funding in high-income settings where most adults are in the formal workforce. In low- and middle-income countries with a large informal workforce, such insurance mechanisms are less feasible for extending LTC coverage and generating revenues.<\/li>\n
  • Revenues to fund LTC can be collected nationally or subnationally. Under decentralized funding or management, local purchasing and administration may create inequities in the availability of and access to LTC services within a given country if central guidance and support are absent.<\/li>\n
  • Countries with a mix of universal and selective approaches to LTC can have multiple payers and financing sources that may result in cost-shifting, in which people are shifted from one programme to another to reduce costs.<\/li>\n<\/ul>\n

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    Low- and middle-income countries rely on informal caregivers and private funds for LTC, leading to access disparities. High-income countries invest in public LTC, mainly funded by taxation and insurance, but challenges remain in countries with large informal workforces: WHO Centre for Health Development\u00a0 \u00a0 Key messages In low- and middle-income countries where no formal, public…<\/p>\n","protected":false},"author":559,"featured_media":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":""},"categories":[172],"tags":[116],"document_type":[2324],"acf":[],"_links":{"self":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/documents\/987683320"}],"collection":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/documents"}],"about":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/types\/documents"}],"author":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/users\/559"}],"replies":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/comments?post=987683320"}],"version-history":[{"count":4,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/documents\/987683320\/revisions"}],"predecessor-version":[{"id":987683345,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/documents\/987683320\/revisions\/987683345"}],"wp:attachment":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/media?parent=987683320"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/categories?post=987683320"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/tags?post=987683320"},{"taxonomy":"document_type","embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/document_type?post=987683320"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}