Dataset Information

European long-term care programs: lessons for community living assistance services and supports?

ABSTRACT:

Objective

To uncover lessons from abroad for Community Living Assistance Services and Supports (CLASS), a federally run voluntary public long-term care (LTC) insurance program created under the Accountable Care Act of 2010.

Data sources

Program administrators and policy researchers from Austria, England, France, Germany, and the Netherlands.

Study design

Qualitative methods focused on key parameters of cash for care: how programs set benefit levels; project expenditures; control administrative costs; regulate the use of benefits; and protect workers.

Data collection/extraction methods

Structured discussions were conducted during an international conference of LTC experts, followed by personal meetings and individual correspondence.

Principal findings

Germany's self-financing mandate and tight targeting of benefits have resulted in a solvent program with low premiums. Black markets for care are likely in the absence of regulation; France addresses this via a unique system ensuing legal payment of workers.

Conclusions

Programs in the five countries studied have lessons, both positive and negative, relevant to CLASS design.

SUBMITTER: Nadash P

PROVIDER: S-EPMC3447249 | biostudies-literature | 2012 Feb

REPOSITORIES: biostudies-literature

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Publications

European long-term care programs: lessons for community living assistance services and supports?

Nadash Pamela P Doty Pamela P Mahoney Kevin J KJ Von Schwanenflugel Matthias M

Health services research 20111018 1 Pt 1

<h4>Objective</h4>To uncover lessons from abroad for Community Living Assistance Services and Supports (CLASS), a federally run voluntary public long-term care (LTC) insurance program created under the Accountable Care Act of 2010.<h4>Data sources</h4>Program administrators and policy researchers from Austria, England, France, Germany, and the Netherlands.<h4>Study design</h4>Qualitative methods focused on key parameters of cash for care: how programs set benefit levels; project expenditures; co ...[more]

PMID: 22091672

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Project description:IntroductionThe number of community paramedic (CP) programs has expanded to mitigate the impact of increased patient usage on emergency services. However, it has not been determined to what extent emergency medical services (EMS) professionals would be willing to participate in this model of care. With this project, we sought to evaluate the perceptions of EMS professionals toward the concept of a CP program.MethodsWe used a cross-sectional study method to evaluate the perceptions of participating EMS professionals with regard to their understanding of and willingness to participate in a CP program. Approximately 350 licensed EMS professionals currently working for an EMS service that provides coverage to four states (Missouri, Arkansas, Kansas, and Oklahoma) were invited to participate in an electronic survey regarding their perceptions toward a CP program. We analyzed interval data using the Mann-Whitney U test, Kruskal-Wallis one-way analysis of variance, and Pearson correlation as appropriate. Multivariate logistic regression was performed to examine the impact of participant characteristics on their willingness to perform CP duties. Statistical significance was established at p ? 0.05.ResultsOf the 350 EMS professionals receiving an invitation, 283 (81%) participated. Of those participants, 165 (70%) indicated that they understood what a CP program entails. One hundred thirty-five (58%) stated they were likely to attend additional education in order to become a CP, 152 (66%) were willing to perform CP duties, and 175 (75%) felt that their respective communities would be in favor of a local CP program. Using logistic regression with regard to willingness to perform CP duties, we found that females were more willing than males (OR = 4.65; p = 0.03) and that those participants without any perceived time on shift to commit to CP duties were less willing than those who believed their work shifts could accommodate additional duties (OR = 0.20; p < 0.001).ConclusionThe majority of EMS professionals in this study believe they understand CP programs and perceive that their communities want them to provide CP-level care. While fewer in number, most are willing to attend additional CP education and/or are willing to perform CP duties.

Dataset Information

European long-term care programs: lessons for community living assistance services and supports?

Objective

Data sources

Study design

Data collection/extraction methods

Principal findings

Conclusions

Publications

European long-term care programs: lessons for community living assistance services and supports?

Similar Datasets

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