Publication: Poland Long-Term Care Regional Spending Review: Pomorskie Region
Date
2018
ISSN
Published
2018
Author(s)
World Bank
Abstract
Poland is facing an enormous demographic
change as the population age at unprecedented pace. Life
expectancy is steadily increasing while birth rates for
years have remained below simple replacement rate. Access to
and quality of long-term care (LTC) services (support for
people who are dependent over a long period of time on help
with their daily living) will be crucial, especially in the
context of the pension reform that implies a significant
reduction of replacement rates at retirement and potentially
an increased risk of poverty among the older population. The
LTC arrangements in Poland, traditionally based on informal
family support, will have to be adjusted with increasing
role of the public sector, which in turn will have
implications for the stability of public finance. The
motivation of this work is to provide an extensive review of
public and private expenditure on LTC services and other
related services provided to old age population (65 ). The
focus is on the use and real cost of LTC services and the
existing financing arrangements as of 2016 which as a
starting point help to picture the scale of challenges up to
2050 using the official demographic projections. This
spending review has a regional focus that enables to better
grasp the challenges under specific regional circumstances
and to conduct the bottom-up analysis with data collected
from various sources locally. This study provides a pioneer
attempt to estimate costs related to LTC services at the
regional (poviat) level looking at two poviats in pomorskie
region: wejherowski and człuchowski. The study is organized
as follows: chapter I discusses demand for LTC with detailed
discussion on demographic prospects for Poland followed by
the analysis for człuchowski and wejherowski poviats.
Chapter II focus on supply and costs of LTC services; again
the overview of LTC services in Poland is followed by the
section discussing supply and costs in the two analyzed
poviats. Chapter III provides conclusions and discusses the
challenges of LTC system in Poland.
Citation
“World Bank. 2018. Poland Long-Term Care Regional Spending Review; Poland Long-Term Care Regional Spending Review : Pomorskie Region. © World Bank, Washington, DC. http://openknowledge.worldbank.org/handle/10986/34185 License: CC BY 3.0 IGO.”