Long-term Care Provision in Municipalities

20.08.2020

WIFO Study Identifies Lack of Coordination Between Federal Government, Länder and municipalities

On behalf of the largest private nursing home operator SeneCura and in cooperation with the Austrian Association of Municipalities, the Austrian Institute of Economic Research (WIFO) has conducted a study to identify and analyse the needs, concerns and challenges of long-term care provision in the municipalities and derived recommendations.

The survey, in which 649 municipalities (and thus 31 percent of the local communities) took part, showed that from the municipalities' point of view there is a deficit in the coordination of long-term care. On the one hand, a systematic approach to collecting information on the current and future long-term care needs of the local population. And on the other hand, to be able to offer the residents of the community competent information and advice close to their homes. This is where the municipal representatives diagnose a major deficit. As a solution, the establishment of regional long-term care information centres across all Länder finds strong support. On the one hand, these would provide a contact point for comprehensive advice and information on the topic of ageing and long-term care, and on the other hand, they would also be able to monitor and better forecast the development of regional long-term care needs. Improving the planning of demand for care services is seen by 64 percent (Tyrol) to 88 percent (Salzburg) of the municipalities as an important medium-term challenge.

The majority of municipalities do not currently seem to follow a systematic approach to collecting information on the current and future long-term care needs of the local population. This is problematic in two respects. Firstly, those in need of long-term care and their families need contact persons at regional level who is aware of the long-term care support possibilities in a region. On the other hand, information about regional long-term care needs can be used to adjust the range of long-term care services accordingly", says Ulrike Famira-Mühlberger, Deputy Director of the Austrian Institute of Economic Research (WIFO), summarising the findings.

According to the study, a major challenge for long-term care provision in Austria is the extremely complex financing structure with a high degree of interdependence between the regional authorities. "Financing and task responsibilities are distributed between different regional authorities – mostly without joint control, resulting in misdirected incentives and inefficiencies. While the payment of the long-term care allowance is the responsibility of the federal government, long-term care services are mainly financed by the Länder and municipalities," explains WIFO Director Christoph Badelt. According to the survey of municipalities conducted at the end of 2019, 67 percent of the municipalities criticise that, in their opinion, the needs of the municipal level have not been sufficiently considered when it comes to organising and financing care.

Please find the complete press text (in German) of the study presentation here.
A recording of the press conference is available here.
 

Publications

Pflegevorsorge in Gemeinden (Long-term Care in Municipalities)
Monographs, June 2020, 76 pages
Commissioned by: SeneCura Kliniken- und HeimebetriebsgmbH – Austrian Association of Municipalities
Study by: Austrian Institute of Economic Research
Online since: 20.08.2020 9:00
 
Aufgrund der demographischen Entwicklung steht die Organisation der Pflegevorsorge in den Gemeinden vor großen Herausforderungen. Auf Basis einer Befragung von Gemeinden präsentiert die vorliegende Studie die aktuelle Situation der Pflegeversorgung in den Gemeinden und einen Ausblick auf die Zukunft aus Gemeindesicht, um daraus pflegepolitische Handlungsspielräume abzustecken. Die Gemeinden profitieren demnach aus den Bedarfs- und Entwicklungsplänen der Länder nur wenig, obwohl sie die Entwicklung von regionalen Bedarfs- und Entwicklungsplänen befürworten. Zuspruch findet auch die Etablierung von regionalen Pflegeinformationsstellen mit Monitoringfunktion. Der regionale Ausbau des Pflegeversorgungssystems muss systematisch erfolgen, da sich auch nach Sicht der Gemeinden das Pflegepotential der Familie künftig verringern und die Nachfrage nach Pflegedienstleistungen steigen wird. Gemeinden setzen auf den Ausbau aller Arten von Pflegedienstleistungen mit Schwerpunkt auf dem Ausbau von betreutem oder betreubarem Wohnen und mobilen Diensten, aber auch von stationären und teilstationären Diensten (mit deutlichen Unterschieden zwischen den Bundesländern). Der zu erwartende Anstieg der Nachfrage nach stationärer Pflege kann durch den Ausbau und die Förderung von Alternativen verzögert und abgeschwächt, jedoch nicht verhindert werden. Die Gemeinden sehen – neben der Finanzierungsfrage – im drohenden Arbeitskräftemangel im Pflegesektor eine wesentliche Herausforderung für die Zukunft.
Please contact

Ulrike Famira-Mühlberger, PhD

Research groups: Labour Market, Income and Social Security
Markus Schwarz (COO SeneCura), Christoph Badelt (WIFO Director), Ulrike Famira-Mühlberger (WIFO Deputy Director), Alfred Riedl (President of the Association of Austrian Municipalities) © SeneCura Kliniken- und HeimebetriebsgmbH/APA-Fotoservice/Schedl
Markus Schwarz (COO SeneCura), Christoph Badelt (WIFO Director), Ulrike Famira-Mühlberger (WIFO Deputy Director), Alfred Riedl (President of the Association of Austrian Municipalities) © SeneCura Kliniken- und HeimebetriebsgmbH/APA-Fotoservice/Schedl