CONTENTS
1. Introduction = 1
1.1 Definitions = 1
1.2 Background = 2
1.3 Terms of reference = 3
2. Target groups, scope and elements of home-based long-term care = 6
2.1 Target groups = 6
2.2 Types and sources of long-term care = 8
2.3 Elements of home-based long-term care = 8
2.4 Care and dependence as elements of human development = 9
2.5 Questions to be considered = 10
3. Home-based long-term care in health and social systems = 11
3.1 National-level responsibilities = 12
3.2 District-level responsibilities = 13
3.3 Community-level responsibilities = 14
3.4 Integration of services = 14
3.4.1 Integrating long-term care into the health services = 15
3.4.2 Integration of home-based long-term care across different etiologies of functional dependence and across age groups = 16
3.5 Adaptation of home-based long-term care policies to countries at different levels of economic development = 17
3.6 Quality assurance = 20
3.7 Selected strategies for home-based long-term care = 20
3.8 Questions to be considered = 21
4. Financing of long-term care = 23
4.1 Financing mechanisms = 23
4.2 Eligibility for long-term care services = 24
4.3 Legislation on home-based and institutional long-term care insurance = 24
4.4 Cost containment and priority-setting in long-term care = 25
4.5 Trade-offs = 26
4.6 Questions to be considered = 26
5. Material resources = 26
5.1 Supplies and equipment = 27
5.2 Questions to be considered = 27
6. Human resources = 28
6.1 Informal human resources = 28
6.2 Gender roles in the provision of care = 28
6.3 Caregiving over the life course = 29
6.4 Formal human resources = 30
6.5 Questions to be considered = 31
7. Conclusions = 32
7.1 Lessons from the experience of developed and developing countries = 32
7.2 Priority steps for developing long-term care = 33
8. Recommendations = 34
Acknowledgements = 35
References = 36
Annex 1 : Definition of integrated health services = 37
Annex 2 : Integrating home-based long-term care into the health and social system = 39
Annex 3 : Availability of material resources for home-based long-term care in countries at different stages of economic development = 42
