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16 results

  • Figures

  • Edited by Jonathan Cylus, European Observatory on Health Systems and Policies, George Wharton, London School of Economics and Political Science, Ludovico Carrino, University of Trieste, Stefania Ilinca, World Health Organization, Manfred Huber, World Health Organization, Sarah Louise Barber, World Health Organization
  • Book:
    The Care Dividend
    Published online:
    21 March 2025
    Print publication:
    03 April 2025, pp xi-xii
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  • Contents

  • Edited by Jonathan Cylus, European Observatory on Health Systems and Policies, George Wharton, London School of Economics and Political Science, Ludovico Carrino, University of Trieste, Stefania Ilinca, World Health Organization, Manfred Huber, World Health Organization, Sarah Louise Barber, World Health Organization
  • Book:
    The Care Dividend
    Published online:
    21 March 2025
    Print publication:
    03 April 2025, pp ix-x
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  • 1 - Introduction

  • Edited by Jonathan Cylus, European Observatory on Health Systems and Policies, George Wharton, London School of Economics and Political Science, Ludovico Carrino, University of Trieste, Stefania Ilinca, World Health Organization, Manfred Huber, World Health Organization, Sarah Louise Barber, World Health Organization
  • Book:
    The Care Dividend
    Published online:
    21 March 2025
    Print publication:
    03 April 2025, pp 1-15
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  • Summary

    Population ageing coupled with a growing burden of disease and disability will cause long-term care needs to increase considerably around the world. Yet despite changing demographics, many countries do not invest adequately in long-term care systems. This chapter sets out the reasons that long-term care is often underprioritized by governments and begins to consider why countries need a re-think when it comes to the way they care for older adults.

  • Index

  • Edited by Jonathan Cylus, European Observatory on Health Systems and Policies, George Wharton, London School of Economics and Political Science, Ludovico Carrino, University of Trieste, Stefania Ilinca, World Health Organization, Manfred Huber, World Health Organization, Sarah Louise Barber, World Health Organization
  • Book:
    The Care Dividend
    Published online:
    21 March 2025
    Print publication:
    03 April 2025, pp 367-380
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  • Copyright page

  • Edited by Jonathan Cylus, European Observatory on Health Systems and Policies, George Wharton, London School of Economics and Political Science, Ludovico Carrino, University of Trieste, Stefania Ilinca, World Health Organization, Manfred Huber, World Health Organization, Sarah Louise Barber, World Health Organization
  • Book:
    The Care Dividend
    Published online:
    21 March 2025
    Print publication:
    03 April 2025, pp vi-viii
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  • Contributors

  • Edited by Jonathan Cylus, European Observatory on Health Systems and Policies, George Wharton, London School of Economics and Political Science, Ludovico Carrino, University of Trieste, Stefania Ilinca, World Health Organization, Manfred Huber, World Health Organization, Sarah Louise Barber, World Health Organization
  • Book:
    The Care Dividend
    Published online:
    21 March 2025
    Print publication:
    03 April 2025, pp xv-xxvi
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  • Acknowledgements:

  • from 8 - Sharing the burden: the impact of long-term care on the financial situation of families in Europe
  • Edited by Jonathan Cylus, European Observatory on Health Systems and Policies, George Wharton, London School of Economics and Political Science, Ludovico Carrino, University of Trieste, Stefania Ilinca, World Health Organization, Manfred Huber, World Health Organization, Sarah Louise Barber, World Health Organization
  • Book:
    The Care Dividend
    Published online:
    21 March 2025
    Print publication:
    03 April 2025, pp 266-298
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  • 3 - Who should be eligible for long-term care in older age? Policy trade-offs and implications for coverage, equity and wellbeing

  • Edited by Jonathan Cylus, European Observatory on Health Systems and Policies, George Wharton, London School of Economics and Political Science, Ludovico Carrino, University of Trieste, Stefania Ilinca, World Health Organization, Manfred Huber, World Health Organization, Sarah Louise Barber, World Health Organization
  • Book:
    The Care Dividend
    Published online:
    21 March 2025
    Print publication:
    03 April 2025, pp 48-120
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  • Summary

    This chapter examines the challenges in measuring long-term care needs to determine eligibility and the impact of eligibility rules on access to care and wellbeing, focusing on European countries with established long-term care systems. Eligibility rules are crucial for identifying individuals with the greatest need and ensuring equitable resource distribution, yet defining these rules is challenging due to the lack of a universal approach to measuring health and social needs. Consequently, some individuals with functional or cognitive limitations may be inadequately supported or face high out-of-pocket costs, leading to reliance on informal care or unmet needs. This can reduce their independence and increase the risk of costly hospitalizations. The chapter advocates for expanding eligibility rules to improve coverage, equity, and efficiency, highlighting their role in increasing access to care, reducing poverty due to care costs, and enhancing wellbeing.

  • Acknowledgments:

  • from 3 - Who should be eligible for long-term care in older age? Policy trade-offs and implications for coverage, equity and wellbeing
  • Edited by Jonathan Cylus, European Observatory on Health Systems and Policies, George Wharton, London School of Economics and Political Science, Ludovico Carrino, University of Trieste, Stefania Ilinca, World Health Organization, Manfred Huber, World Health Organization, Sarah Louise Barber, World Health Organization
  • Book:
    The Care Dividend
    Published online:
    21 March 2025
    Print publication:
    03 April 2025, pp 48-120
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  • 11 - Conclusion

  • Edited by Jonathan Cylus, European Observatory on Health Systems and Policies, George Wharton, London School of Economics and Political Science, Ludovico Carrino, University of Trieste, Stefania Ilinca, World Health Organization, Manfred Huber, World Health Organization, Sarah Louise Barber, World Health Organization
  • Book:
    The Care Dividend
    Published online:
    21 March 2025
    Print publication:
    03 April 2025, pp 351-366
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  • Summary

    This chapter concludes by summarizing the evidence presented in the book and considering the way forward by re-visiting the arguments in favour of investing in long-term care and the costs of inaction.

  • Boxes

  • Edited by Jonathan Cylus, European Observatory on Health Systems and Policies, George Wharton, London School of Economics and Political Science, Ludovico Carrino, University of Trieste, Stefania Ilinca, World Health Organization, Manfred Huber, World Health Organization, Sarah Louise Barber, World Health Organization
  • Book:
    The Care Dividend
    Published online:
    21 March 2025
    Print publication:
    03 April 2025, pp xiv-xiv
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  • Acknowledgements:

  • from 4 - How have countries configured long-term care service delivery to improve efficiency and access to needed services?
  • Edited by Jonathan Cylus, European Observatory on Health Systems and Policies, George Wharton, London School of Economics and Political Science, Ludovico Carrino, University of Trieste, Stefania Ilinca, World Health Organization, Manfred Huber, World Health Organization, Sarah Louise Barber, World Health Organization
  • Book:
    The Care Dividend
    Published online:
    21 March 2025
    Print publication:
    03 April 2025, pp 121-157
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  • Tables

  • Edited by Jonathan Cylus, European Observatory on Health Systems and Policies, George Wharton, London School of Economics and Political Science, Ludovico Carrino, University of Trieste, Stefania Ilinca, World Health Organization, Manfred Huber, World Health Organization, Sarah Louise Barber, World Health Organization
  • Book:
    The Care Dividend
    Published online:
    21 March 2025
    Print publication:
    03 April 2025, pp xiii-xiii
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The Care Dividend
  • Why and How Countries Should Invest in Long-Term Care
  • Edited by Jonathan Cylus, George Wharton, Ludovico Carrino, Stefania Ilinca, Manfred Huber, Sarah Louise Barber
  • Published online:
    21 March 2025
    Print publication:
    03 April 2025
  • Long-term care often falls by the wayside in national policy dialogues. As populations age around the world and the prevalence of chronic conditions increases, greater numbers of people will need care and support, putting added pressures on acute-care facilities, communities, and families, among others. This increase in demand for long-term care raises questions about the capacity of governments to provide access to needed care, how these services will be properly resourced and who should receive these benefits. The Care Dividend provides a roadmap for investing in long-term care systems. It argues for increased public investment in high-quality, universally accessible long-term care and explains why these systems benefit everyone: households, health systems, economies, and societies. Bringing together a team of academics and policy experts from around the world, this book explains why and how governments can, and should, take action.This title is also available as Open Access on Cambridge Core.

  • School-based group interpersonal therapy for adolescents with depression in rural Nepal: a mixed methods study exploring feasibility, acceptability, and cost

  • Kelly Rose-Clarke, Prakash B. K., Jananee Magar, Indira Pradhan, Pragya Shrestha, Eliz Hassan, Gerard J. Abou Jaoude, Hassan Haghparast-Bidgoli, Delan Devakumar, Ludovico Carrino, Ginevra Floridi, Brandon A. Kohrt, Helen Verdeli, Kathleen Clougherty, Alexandra Klein Rafaeli, Mark Jordans, Nagendra P. Luitel
  • Journal:
    Global Mental Health / Volume 9 / 2022
    Published online by Cambridge University Press:
    22 August 2022, pp. 416-428
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  • Background

    Adolescents with depression need access to culturally relevant psychological treatment. In many low- and middle-income countries treatments are only accessible to a minority. We adapted group interpersonal therapy (IPT) for adolescents to be delivered through schools in Nepal. Here we report IPT's feasibility, acceptability, and cost.

    Methods

    We recruited 32 boys and 30 girls (aged 13–19) who screened positive for depression. IPT comprised of two individual and 12 group sessions facilitated by nurses or lay workers. Using a pre-post design we assessed adolescents at baseline, post-treatment (0–2 weeks after IPT), and follow-up (8–10 weeks after IPT). We measured depressive symptoms with the Depression Self-Rating Scale (DSRS), and functional impairment with a local tool. To assess intervention fidelity supervisors rated facilitators' IPT skills across 27/90 sessions using a standardised checklist. We conducted qualitative interviews with 16 adolescents and six facilitators post-intervention, and an activity-based cost analysis from the provider perspective.

    Results

    Adolescents attended 82.3% (standard deviation 18.9) of group sessions. All were followed up. Depression and functional impairment improved between baseline and follow-up: DSRS score decreased by 81% (95% confidence interval 70–95); functional impairment decreased by 288% (249–351). In total, 95.3% of facilitator IPT skills were rated superior/satisfactory. Adolescents found the intervention useful and acceptable, although some had concerns about privacy in schools. The estimate of intervention unit cost was US $96.9 with facilitators operating at capacity.

    Conclusions

    School-based group IPT is feasible and acceptable in Nepal. Findings support progression to a randomised controlled trial to assess effectiveness and cost-effectiveness.