IDEAS home Printed from https://ideas.repec.org/a/eee/hepoli/v122y2018i3p210-216.html
   My bibliography  Save this article

Ten Years after the Creation of the Portuguese National Network for Long-Term Care in 2006: Achievements and Challenges

Author

Listed:
  • Lopes, Hugo
  • Mateus, Céu
  • Hernández-Quevedo, Cristina

Abstract

The Portuguese National Network for Long-term Integrated Care (Rede Nacional de Cuidados Continuados, RNCCI) was created in 2006 as a partnership between the Ministry of Health and the Ministry of Labour and Social Solidarity. The formal provision of care within the RNCCI is made up of non-profit and non-public institutions called Private Institutions of Social Solidarity, public institutions belonging to the National Health Service and for-profit-institutions. These institutions are organized by type of care in two main settings: (i) Home and Community-Based Services and (ii) four types of Nursing Homes to account for different care needs. This is the first study that assess the RNCCI reform in Portugal since 2006 and takes into account several core dimensions: coordination, ownership, organizational structure, financing system and main features, as well as the challenges ahead. Evidence suggests that despite providing universal access, Portuguese policy-makers face the following challenges: multiple sources of financing, the existence of several care settings and the sustained increase of admissions at the RNCCI, the dominance of institutionalization, the existence of waiting lists, regional asymmetries, the absence of a financing model based on dependence levels, or the difficulty to use the instrument of needs assessment for international comparison.

Suggested Citation

  • Lopes, Hugo & Mateus, Céu & Hernández-Quevedo, Cristina, 2018. "Ten Years after the Creation of the Portuguese National Network for Long-Term Care in 2006: Achievements and Challenges," Health Policy, Elsevier, vol. 122(3), pages 210-216.
    • Handle: RePEc:eee:hepoli:v:122:y:2018:i:3:p:210-216
    DOI: 10.1016/j.healthpol.2018.01.001
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0168851018300034
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.healthpol.2018.01.001?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. repec:dau:papers:123456789/8243 is not listed on IDEAS
    2. Maarse, J.A.M. (Hans) & Jeurissen, P.P. (Patrick), 2016. "The policy and politics of the 2015 long-term care reform in the Netherlands," Health Policy, Elsevier, vol. 120(3), pages 241-245.
    3. Peña-Longobardo, Luz María & Oliva-Moreno, Juan & García-Armesto, Sandra & Hernández-Quevedo, Cristina, 2016. "The Spanish long-term care system in transition: Ten years since the 2006 Dependency Act," Health Policy, Elsevier, vol. 120(10), pages 1177-1182.
    4. repec:dau:papers:123456789/8245 is not listed on IDEAS
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Albuquerque, Paula C., 2022. "Met or unmet need for long-term care: Formal and informal care in southern Europe," The Journal of the Economics of Ageing, Elsevier, vol. 23(C).
    2. Chih-Hao Yang & Yen-Chi Chen & Wei Hsu & Yu-Hui Chen, 2023. "Evaluation of smart long-term care information strategy portfolio decision model: the national healthcare environment in Taiwan," Annals of Operations Research, Springer, vol. 326(1), pages 505-536, July.
    3. Waitzberg, Ruth & Schmidt, Andrea E. & Blümel, Miriam & Penneau, Anne & Farmakas, Antonis & Ljungvall, Åsa & Barbabella, Francesco & Augusto, Gonçalo Figueiredo & Marchildon, Gregory P. & Saunes, Ingr, 2020. "Mapping variability in allocation of Long-Term Care funds across payer agencies in OECD countries," Health Policy, Elsevier, vol. 124(5), pages 491-500.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Eva Boj del Val & M. Mercè Claramunt Bielsa & Xavier Varea Soler, 2020. "Role of Private Long-Term Care Insurance in Financial Sustainability for an Aging Society," Sustainability, MDPI, vol. 12(21), pages 1-21, October.
    2. Matus-López, Mauricio, 2021. "Diferencia entre cuidados a la dependencia y cuidados de larga duración o long-term care. Una aclaración necesaria [Difference between dependency care and long-term care. A necessary clarification]," MPRA Paper 107959, University Library of Munich, Germany.
    3. Mikkers, Misja, 2016. "The Dutch Healthcare System in International Perspective," Other publications TiSEM 800704a0-24ee-4830-8659-2, Tilburg University, School of Economics and Management.
    4. Rainer Kotschy & David E. Bloom, 2022. "A Comparative Perspective on Long-Term Care Systems," NBER Working Papers 29951, National Bureau of Economic Research, Inc.
    5. Costa-Font, Joan & Zigante, Valentina, 2020. "Building ‘implicit partnerships’? Financial long-term care entitlements in Europe," LSE Research Online Documents on Economics 106099, London School of Economics and Political Science, LSE Library.
    6. Quitterie Roquebert & Remi Kabore & Jerome Wittwer, 2018. "Decentralized policies and formal care use by the disabled elderly," PSE Working Papers halshs-01877829, HAL.
    7. Noort, Bart A.C. & Ahaus, Kees & van der Vaart, Taco & Chambers, Naomi & Sheaff, Rod, 2020. "How healthcare systems shape a purchaser’s strategies and actions when managing chronic care," Health Policy, Elsevier, vol. 124(6), pages 628-638.
    8. Bom, Judith & Stöckel, Jannis, 2021. "Is the grass greener on the other side? The health impact of providing informal care in the UK and the Netherlands," Social Science & Medicine, Elsevier, vol. 269(C).
    9. Vincenzo Atella & Federico Belotti & Ludovico Carrino & Andrea Piano Mortari, 2017. "The future of Long Term Care in Europe. An investigation using a dynamic microsimulation model," CEIS Research Paper 405, Tor Vergata University, CEIS, revised 08 May 2017.
    10. Amitabh Chandra & Courtney Coile & Corina Mommaerts, 2023. "What Can Economics Say about Alzheimer's Disease?," Journal of Economic Literature, American Economic Association, vol. 61(2), pages 428-470, June.
    11. Van der Aa, Maartje J. & Paulus, Aggie T.G. & Klosse, Saskia & Evers, Silvia M.A.A. & Maarse, Johannes A. M., 2019. "The impact of reforms of national health insurance on solidarity in the Netherlands: comparing health care insurance and long-term care insurance," LSE Research Online Documents on Economics 106225, London School of Economics and Political Science, LSE Library.
    12. van de Bovenkamp, Hester M. & Stoopendaal, Annemiek & Bochove, Marianne van & Bal, Roland, 2020. "Tackling the problem of regulatory pressure in Dutch elderly care: The need for recoupling to establish functional rules," Health Policy, Elsevier, vol. 124(3), pages 275-281.
    13. Marie Blaise & Laetitia Dillenseger, 2020. "Informal caregivers and life satisfaction: Empirical Evidence from the Netherlands," Working Papers of BETA 2020-55, Bureau d'Economie Théorique et Appliquée, UDS, Strasbourg.
    14. Portrait, France & Krabbe-Alkemade, Yvonne & Budding, Tjerk & Canoy, Marcel, 2023. "Passing on the hot potato. Dutch municipalities under financial pressure have incentives to shift the costs of social care for older people to the central government," Health Policy, Elsevier, vol. 137(C).
    15. Grol, Sietske & Molleman, Gerard & van Heumen, Nanne & Muijsenbergh, Maria van den & Scherpbier-de Haan, Nynke & Schers, Henk, 2021. "General practitioners’ views on the influence of long-term care reforms on integrated elderly care in the Netherlands: a qualitative interview study," Health Policy, Elsevier, vol. 125(7), pages 930-940.
    16. Marianne Tenand & Pieter Bakx & Eddy van Doorslaer, 2020. "Equal long‐term care for equal needs with universal and comprehensive coverage? An assessment using Dutch administrative data," Health Economics, John Wiley & Sons, Ltd., vol. 29(4), pages 435-451, April.
    17. Schichel, Mignon C.P. & Veenstra, Marja Y. & Kempen, Gertrudis I.J.M. & de Vugt, Marjolein E. & van der Zanden, Brigitte A.M. & Verhey, Frans R.J., 2020. "Senior Friendly Communities: Designing an approach for cross-border exchange of public health policy," Health Policy, Elsevier, vol. 124(10), pages 1129-1136.
    18. Alders, Peter & Schut, Frederik T., 2022. "Strategic cost-shifting in long-term care. Evidence from the Netherlands," Health Policy, Elsevier, vol. 126(1), pages 43-48.
    19. María Nieves Rodríguez-Madrid & María del Río-Lozano & Rosario Fernández-Peña & María del Mar García-Calvente, 2021. "Changes in Caregiver Personal Support Networks: Gender Differences and Effects on Health (CUIDAR-SE Study)," IJERPH, MDPI, vol. 18(21), pages 1-15, November.
    20. Waverijn, Geeke & Heijmans, Monique & Groenewegen, Peter P., 2017. "Neighbourly support of people with chronic illness; is it related to neighbourhood social capital?," Social Science & Medicine, Elsevier, vol. 173(C), pages 110-117.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:hepoli:v:122:y:2018:i:3:p:210-216. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu or the person in charge (email available below). General contact details of provider: http://www.elsevier.com/locate/healthpol .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.