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.


Measuring quality in long-term care

Quality is a difficult concept to define and operationalise for measurement purposes. A majority of countries do not systematically collect information on quality and many have not reached a national consensus regarding which indicators ought to be collected and reported regularly. The measurement of quality is held back by definitional and methodological challenges and the lack of a mandate to collect these data. This chapter discusses these challenges by documenting the approaches to measure long-term care quality in a selection of OECD countries, evaluates the advantages and limitations of the indicators used, and provides recommendations for the development of indicators to monitor LTC quality across OECD and EU countries.


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