TY - JOUR
T1 - The Israeli long-term care insurance law
T2 - Selected issues in providing home care services to the frail elderly
AU - Schmid, Hillel
PY - 2005/5
Y1 - 2005/5
N2 - The paper describes and analyses selected issues related to the provision of home care services to frail elderly people following the Israeli Long-Term Care Insurance Law (1988). The goals and principles of the Law, which mandates the provision of home care services to frail elderly people, are presented. The paper also evaluates its contribution toward enhancing the well-being of elderly clients. Several major dilemmas that arose following implementation of the Law are analysed and evaluated in comparison with other countries that have enacted and implemented similar laws. These dilemmas are community vs institutional care; services in kind vs monetary allowances; service provision through contracting out with nongovernmental agencies; unstable and unskilled labour force; and service quality. Finally, policy implications are discussed, mainly in the following areas: investment in human resources as a condition for achieving high service quality, and the need for coordination between the agencies that provide long-term care services to elderly people.
AB - The paper describes and analyses selected issues related to the provision of home care services to frail elderly people following the Israeli Long-Term Care Insurance Law (1988). The goals and principles of the Law, which mandates the provision of home care services to frail elderly people, are presented. The paper also evaluates its contribution toward enhancing the well-being of elderly clients. Several major dilemmas that arose following implementation of the Law are analysed and evaluated in comparison with other countries that have enacted and implemented similar laws. These dilemmas are community vs institutional care; services in kind vs monetary allowances; service provision through contracting out with nongovernmental agencies; unstable and unskilled labour force; and service quality. Finally, policy implications are discussed, mainly in the following areas: investment in human resources as a condition for achieving high service quality, and the need for coordination between the agencies that provide long-term care services to elderly people.
KW - Community and institutional care
KW - Long-term care
KW - Quality of services
KW - Quasi-markets
KW - Services in kind
UR - http://www.scopus.com/inward/record.url?scp=17744390009&partnerID=8YFLogxK
U2 - 10.1111/j.1365-2524.2005.00548.x
DO - 10.1111/j.1365-2524.2005.00548.x
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C2 - 15819740
AN - SCOPUS:17744390009
SN - 0966-0410
VL - 13
SP - 191
EP - 200
JO - Health and Social Care in the Community
JF - Health and Social Care in the Community
IS - 3
ER -