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9 - The regulatory structure of Spanish long-term care: the case of Catalonia’s service structures and quality assurance systems

Published online by Cambridge University Press:  05 February 2014

Sergio Ariño Blasco
Affiliation:
Granollers General Hospital, Barcelona
Meritxell Solé
Affiliation:
University of Barcelona and CREB
Gloria Rubert
Affiliation:
University of Barcelona
José M. Sanjuan
Affiliation:
University of Barcelona
Joan Gil
Affiliation:
University of Barcelona
Vincent Mor
Affiliation:
Brown University, Rhode Island
Tiziana Leone
Affiliation:
London School of Economics and Political Science
Anna Maresso
Affiliation:
London School of Economics and Political Science
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Summary

Introduction

The rapid ageing of populations in western countries since the mid-twentieth century and the profound social and epidemiological transitions that have occurred over this time are leading us to a new paradigm for dependent elderly people (Lee, 2011) and a new set of guiding principles for contemporary health reform: the importance of increasing accessibility to services, the need to offer quality care and the need to guarantee the financial sustainability of social care schemes (Council of the European Union, 2003; Huber et al., 2011). In the course of history, dependent elderly people in western societies have received care according to a variety of models that have in turn reflected our changing social values (Parkin, 2003; Shahar, 1997; Hirshbein, 2001). Since the mid-twentieth century and mainly as a consequence of the rapid increase in the number of older people in the world, welfare states have been obliged to design more specific social and healthcare policies. In Europe, the implementation of international recommendations after the First World Assembly on Aging (Vienna, 1982) paved the way for a specific plan of action for policy makers responding to the challenges of an ageing society.

In this context, services for long-term care must be understood as the set of activities carried out by informal caregivers (relatives, friends or neighbours) and formal caregivers (health and social service professionals) and intended to provide the best possible quality of life for dependent people according to their individual preferences, allowing them the highest possible degree of independence, autonomy, participation, personal fulfilment and human dignity (WHO and Milbank Memorial Fund, 2000). The definition of long-term care is invariably tied to the concept of dependency – long-term care is about best-quality care, whether formal or informal, and whether provided by health professionals or by professionals in social services. Obviously, dependency is not exclusively a characteristic of the elderly, although it is well documented that in Spain the elderly make up the largest group of dependent people (i.e., 1,462,292 (68 per cent) out of a total of 2,141,404 dependent people are in the 65+ age group). In this chapter, therefore, we will focus on the elderly population and on formal long-term care services rather than informal care (Huber et al., 2011; Rodriguez Cabrero, 1999).

Type
Chapter
Information
Regulating Long-Term Care Quality
An International Comparison
, pp. 240 - 264
Publisher: Cambridge University Press
Print publication year: 2014

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References

Abellán García, A. and Esparza Catalán, C. (2011). Un perfil de las personas mayores en España, 2011. Indicadores estadísticos básicos [A profile of elderly people in Spain, 2011. Basic statistical indicators]. Informes Portal Mayores, 127.Google Scholar
Abellán-García, A. and Hidalgo-Checa, R. (2011). Definiciones de discapacidad en España. Informes Portal Mayores, 109. Available at: .Google Scholar
Berwick, D. M. (2002). A user’s manual for the IOM’s ‘Quality Chasm’ report. Health Affairs (Millwood), 21: 80–90.CrossRefGoogle ScholarPubMed
CatSalut, (2003). L’atenció socioanitària a Catalunya vida als anys. Barcelona: Generalitat de Catalunya Departament de Sanitat i Seguretat Social.Google Scholar
Catsalut, (2007). Pla d’enquestes de sateisfacció d’assegurats del Catsalut per línea de servei. Barcelona: Atenció Sociosanitaria.Google Scholar
Central de Resultats (2010). Primer informe de la Central de Resultats. Available at: .
Col·legi Oficial de Metges de Barcelona (2002). Com prestar una assitènmcia de qualitat a persones que estan en residències geriàtriques. Quaderns de la bona praxis. Barcelona: Col·legi Oficial de Metges de Barcelona.Google Scholar
Council of the European Union (2003). Joint report by the Commission and the Council on supporting national strategies for the future of healthcare and care for the elderly. Available at: .
Departament de Benestar Social i Familia (2010). Pla de Qualitiat dels Serveis Socials de Catalunya [Catalonian Social Services Quality Programme]. Barcelona: Generalitat de Catalunya, Departament de Benestar Social i Familia.Google Scholar
Díaz Martín, R. (2009). Las Personas Mayores en España. Datos Estadísticos Estatales y por Comunidades Autónomas. Informe 2008, Madrid: GRAFO, S.A.Google Scholar
Fundacio Avedis Donabedian and Pla Director Sociosanitari (2007). 3ª Avaluació d’Indicadors de Qualitat Dispositius Sociosanitaris [Third Report on Evaluation of Quality Indicators in Social and Health Care Settings]. Barcelona: Departament de Salut Pla Director Sociosanitari.Google Scholar
Fundación Edad y Vida (2008). Calidad y acreditación para entidades prestadoras de servicios de atención a las personas mayores en situación de dependencia. Madrid: Fundación Edad y Vida.Google Scholar
Fundación Edad y Vida y Applus (2011). Calidad y acreditación para entidades prestadoras de servicios de atención a las personas mayores en situación de dependencia. Madrid, Fundación Edad y Vida.Google Scholar
García Armesto, S., Abadía Taira, B., Durán, A. and Bernal Delgado, E. (2010). Sistemas Sanitarios en Transición. España: Análisis del Sistema Sanitario 2010 (resumen y conclusiones). Health Systems in Transition, 12(4): 1–240.Google Scholar
Generalitat de Catalunya Departament de Salut i CatSalut (2010a) Presentació dels resultats de benchmarking en atenció sociosanitaria. Caixa Forum Barcelona: CatSalut. Available at: .
Generalitat de Catalunya Departament de Salut y Catsalut (2010b). La veu de la ciutadania. Barcelona: Departament de Salut.Google Scholar
Generalitat de Catalunya Departament de Salut y Catsalut (2012). The Voice of Citizens. How the Perception of Citizens Is Linked to the Improvement in Health Services and the Catalan Health System. Barcelona: Catalan Ministry of Health, Catalan Health Service.Google Scholar
Helfrich, E. (2005). Staffing levels for long-term care. Cmaj, 173, 467–8.CrossRefGoogle ScholarPubMed
Hilarion, P., Suñol, R., Groene, O., Vallejo, P., Herrera, E. and Saura, R. M. (2009). Making performance indicators work: the experience of using consensus indicators for external assessment of health and social services at regional level in Spain. Health Policy, 90(1): 94–103.CrossRefGoogle ScholarPubMed
Hirshbein, L. D. (2001). William Osler and the Fixed Period: Conflicting Medical and Popular Ideas About Old Age. Archives of Internal Medicine, 161: 2074–8.CrossRefGoogle Scholar
Huber, M., Hennessy, P., Izumi, J., Kim, W. and Lundsgaard, J. (2011). The OECD Health Project. Long-Term Care for Older People. Paris: Organization for Economic Co-operation and Development.Google Scholar
INE (Instituto Nacional de Estadística) (2011). Spain in Figures, 2010. Madrid: INE.Google Scholar
Instituto Nacional de Servicios Sociales (1993). Plan Gerontológico Nacional. Madrid.Google Scholar
del Estado, Jefatura (2006). Ley 39/2006, de 14 de diciembre, de Promoción de la Autonomía Personal y Atención a las personas en situación de dependencia [Law 39/2006, 14th December on Promotion of Personal Autonomy and Care for Dependent Persons]. Boletin Oficial del Estado, 299: 44142–56.Google Scholar
Lee, R. (2011). The Outlook for Population Growth. Science, 333: 569–73.CrossRefGoogle ScholarPubMed
Ministerio de Educación Política Social y Deporte (2008). Resolución de 2 de Diciembre de 2008. Crietrios comunes de acreditación para garantizar la calidad de los centros y servicios del SAAD [Resolution on common criteria for accreditation and quality assurance of SAAD’s centres and services]. Boletin Oficial del Estado, 3.
Ministerio de Sanidad y Consumo (2003). Real Decreto de 10 de octubre, por el que se establecen las bases generales sobre autorización de centros, servicios y establecimientos sanitarios. Boletin oficial del Estado, 23: 37,893–902.Google Scholar
Observatorio Estatal de la Discapacidad (2010). El desarrollo y aplicación de la ley de promoción de la autonomía personal y atención a las personas en situación de dependencia. Olivenza: Informe Olivenza.Google Scholar
Parkin, T. (2003). Old Age in the Roman World: a Cultural and Social History, Baltimore: The Johns Hopkins University Press.Google Scholar
Rodriguez Cabrero, G. (1999). La protección social de la dependencia, Madrid: Ministerio de Trabajo y Asuntos Sociales (IMSERSO).Google Scholar
Saura, R., Suñol, R., Gil-Origuen, A. and Casals, I. (2001). Estudio de satisfacción en las residencias de personas mayores. Revista de Calidad Asistencial, 16: 519–60.Google Scholar
Shahar, S. (1997). Growing Old in the Middle Ages. London: Routledge.Google Scholar
Verdugo Alonso, M., Arias Martinez, B. L. G. S. and Schalock, R. (2008). Escala GENCAT. Manual l’Escala GENCAT de Qualitat de Vida, Barcelona: Generalitat de Catalunya. Institut Català d’Assisència i Serveis Socials.Google Scholar
WHO and Milbank Memorial Fund (2000). Towards an international consensus on policy for long-term care of the ageing. Available at: .
WHO Regional Office for Europe (2008). Home care in Europe. Copenhagen: WHO. Available at: .Google Scholar

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