By Lecturer in Geography David R Phillips, Alfred C M Chan
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Additional resources for Ageing and Long-Term Care: National Policies in the Asia-Pacific (Social Issues in Southeast Asia)
It is hoped that through this new mode of contracting for services, better quality care services will be provided which should greatly reduce the future need for institutional care. The initiative is targeted at elderly people with only a moderate level of impairment, who will receive support via home helps, personal care, nursing and allied health services, along with their caregivers. 5 million) for three years had been awarded to 14 non-governmental organizations. Standardized Care Need Assessment Mechanism for elderly services As a measure to ensure that clients’ needs are matched by services and to strengthen the gate-keeping role of the social welfare professionals, a “standardized care need assessment mechanism for elderly services” has been implemented by phases since November 2000.
It may be noted that the per capita level of government subsidy in 2001–02 for subvented nursing homes was approximately US$1,700 per month, which exceeded the Hong Kong median income (US$1,200). Adjusting direct subsidies according to an elderly person’s condition might also encourage a fairer funding formula to residential homes which accommodate more frail residents. A case-mix funding mode could enable the formal funding of the mixture of cases that currently exists in most residential homes.
It has therefore always been a problem to turn good policies into good practice. There is a recognized lack of public accountability which allows department heads to be authoritarian and even evasive in their responsibilities — even more so for NGOs. An accountability structure which incorporates public (especially users’) involvement could improve this situation. Although cooperation among or coordination of services between various departments has nevertheless frequently been on the policy agenda of departments, the actual coordination of service delivery to elderly people is easier said than done.
Ageing and Long-Term Care: National Policies in the Asia-Pacific (Social Issues in Southeast Asia) by Lecturer in Geography David R Phillips, Alfred C M Chan