At at least 70% of the over 65s will require some long-term care (LTC) services during their lives, and pojections suggest that over the next twenty years the total cost of LTC will rise by 110%. Ensuring the quality of the long term care services and learning from current experience will continue to be of great importance.
The current issue of Eurohealth (v. 16(2), 2010 published by LSE Health, London School of Economics and Political Science, examines approaches to measuring quality in seven countries:
US: Vincent Mor discusses the advancement of public reporting of provider performance as a means of introducing quality based competition.
Germany: Andreas Büscher describes Germany's program of publishing overall quality scores for LTC facilities for the general public, and in order to develop expert standards and quality indicators.
Finland: Harriet Finne-Soveri and colleagues review nine years experience using the US originated Resident Assessment Instrument benchmarking system.
Austria: Birgit Trukeschitz describes the introduction, not only of a national quality certificate for care homes, but also a tool to be used in respect of quality of home-based care provided by nursing staff.
England: Juliette Malley takes a critical look at the impact of quality measures, and their usefulness as independent, reliable measures of quality.
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