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Long-Term Care Reforms in OECD Countries$
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Cristiano Gori, Jose-Luis Fernandez, and Raphael Wittenberg

Print publication date: 2015

Print ISBN-13: 9781447305057

Published to Policy Press Scholarship Online: January 2017

DOI: 10.1332/policypress/9781447305057.001.0001

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Policy instruments to promote good quality long-term care services

Policy instruments to promote good quality long-term care services

(p.167) Eight Policy instruments to promote good quality long-term care services
Long-Term Care Reforms in OECD Countries

Juliette Malley

Birgit Trukeschitz

Lisa Trigg

Policy Press

This chapter describes and compares the policy instruments and approaches used across OECD countries to promote the quality of LTC services. Across the OECD, there is a generalized drive to improving the quality of LTC services, with a number of policy instruments used to pursue this aim. These instruments can be grouped in three typologies: regulatory, economic and information-based policy ones. The regulatory instruments are the most commonly used. Set standards, through a mostly top-down approach, and find proper mechanisms to assure providers comply with them represent everywhere the main pillar of quality policies. Looking at economic instruments, internationally, most interest has been raised by pay-for-performance, with mixed results. With respect to information-based systems, considerable attention has been paid to public reporting schemes, developed in the hope that the publication of quality-related information affects the choices of care providers by older people and their families, and in turn raises the quality of the services on offer.

Keywords:   quality, standards, economic incentives, information, indicators

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