A Good Life in Old Age?

Monitoring and Improving Quality in Long-term Care

image of A Good Life in Old Age?

As ageing societies are pushing a growing number of frail old people into needing care, delivering quality long-term care services – care that is safe, effective, and responsive to needs – has become a priority for governments. Yet much still remains to be done to enhance evidence-based measurement and improvement of quality of long-term care services across EU and OECD countries. This book offers evidence and examples of useful experiences to help policy makers, providers and experts measure and improve the quality of long-term care services.


Incentives for providers and choice for consumers

Many OECD countries are looking at ways to change providers’ and users’ behaviours by strengthening incentives for quality improvement and creating a quality “culture”. This chapter discusses the use of incentives to deliver responsive, safe, and effective care, addressing four main issues: 1) consumer-based initiatives such as those leveraging consumer choice and centredness; 2) the impact of performance incentives to encourage and reward providers to deliver higher quality care; 3) incentives to encourage care co-ordination and integration, the lack of which can have important consequences for safety, responsiveness and care effectiveness; and 4) the role of information technology in promoting outcome improvements and independent living.


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