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Research output: Contribution to Journal/Magazine › Journal article › peer-review
Research output: Contribution to Journal/Magazine › Journal article › peer-review
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TY - JOUR
T1 - Ten Years since the 2006 Creation of the Portuguese National Network for Long-Term Care
T2 - Achievements and Challenges
AU - Lopes, Hugo
AU - Mateus, Céu
AU - Hernández-Quevedo, Cristina
PY - 2018/3
Y1 - 2018/3
N2 - 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 policymakers 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.
AB - 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 policymakers 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.
KW - Long-term care
KW - Portugal
KW - Assessment
KW - Nursing Homes
KW - Home and Community-Based Services
U2 - 10.1016/j.healthpol.2018.01.001
DO - 10.1016/j.healthpol.2018.01.001
M3 - Journal article
VL - 122
SP - 210
EP - 216
JO - Health Policy
JF - Health Policy
SN - 0168-8510
IS - 3
ER -