Department of Economics and Finance, Università Cattolica del Sacro Cuore, Milan, Italy.
CEIS EEHTA (Economic Evaluation & Health Technology Assessment), Università di Roma "Tor Vergata," Roma, Italy.
Int J Health Policy Manag. 2017 Aug 1;6(8):467-471. doi: 10.15171/ijhpm.2017.22.
The ageing of European population has been rapidly increasing during the last decades, and the problem of elderly care financing has become an issue for policy-makers. Long-term care (LTC) financing is considered a suitable proxy of the resources committed to elderly care by each government, but the preciseness of this approximation depends on the extent to which LTC is representative of elderly care within each country. Since there is a broad heterogeneity in LTC funding, organization and setting among European States, it is difficult to find a common parameter representing the public resources destined to the elderly care. We address these topics employing as a case study an Italian region, Lombardy, which in terms of population, dimension, healthcare organization and economic development could be compared to other European countries. The method we suggest, which consists basically in a careful estimate of all the public resources employed in the provision of services exclusively destined to the elderly, could be applied, with the due differences, to other European countries or regions.
过去几十年里，欧洲人口老龄化迅速加剧，老年人护理融资问题已成为政策制定者关注的焦点。长期护理（LTC）融资被认为是政府为老年人护理投入资源的合适指标，但这种近似的准确性取决于 LTC 在每个国家的老年人护理中的代表性程度。由于欧洲各国的 LTC 资金、组织和设置存在广泛的异质性，因此很难找到一个共同的参数来代表用于老年人护理的公共资源。我们以意大利伦巴第大区作为案例研究来解决这些问题，该地区在人口、规模、医疗保健组织和经济发展方面可与其他欧洲国家相媲美。我们建议的方法，主要是对专门用于老年人的服务提供中使用的所有公共资源进行仔细估算，该方法可以在适当的差异下应用于其他欧洲国家或地区。
