A competent and stable workforce is critical to the delivery of quality long-term care in nursing homes and residential settings. Yet, long-term care staff—particularly frontline nursing assistants and home care aides—are undervalued and receive inadequate attention and investments from policymakers, employers and consumers.
The COVID-19 pandemic has illuminated the plight of these essential workers in many countries. In this presentation, Robyn Stone will describe the current state of LTC workforce development in the United States and will share with us strategies and solutions.
Robyn I. Stone, DrPH, isSenior Vice President for Research at LeadingAge and Co-Director of the LeadingAge LTSS Center at the University of Massachusetts Boston. She is a noted researcher and internationally recognized authority on long-term care and aging policy, and has been engaged in policy development, program evaluation, large-scale demonstrations and other applied research activities in these areas for over 40 years. Dr. Stone has held senior research and policy positions in both the federal government and the private sector, including serving in the U.S. Department of Health and Human Services as Deputy Assistant Secretary for Disability, Aging and Long-term Care Policy and Assistant Secretary for Aging in the Clinton administration. Her work bridges the worlds of research, policy and practice to improve the care delivered to older adults--particularly lower-income populations—and to ensure the best quality of life for these individuals and their families. Dr. Stone is a distinguished speaker and has been published widely in the areas of long-term care policy and quality, chronic care for older adults and people with disabilities, aging services workforce development, the link between low income senior housing and health and family caregiving. She is a fellow of the Gerontological Society of America and the National Academy of Social Insurance and was elected to the National Academy of Medicine in 2014. She serves on numerous provider and non-profit boards that focus on aging issues.
Demand for long-term services will probably continue to increase in the Latin American and the Caribbean region as a result of population aging. The growth in the number of people with functional dependence could more than triple by 2050, exceeding 27 million. In several countries of the region LTC workers do not receive specific education or training to work in this sector and many elderlies and their families are struggling to attract a retain workers to care for older people dependent on others for care. Comprehensive strategies to develop quality human resources for LTC are needed. Offering quality long-term care is crucial because quality affects health outcomes, autonomy, and life conditions of care-dependent older people and their families.
Join us in our webinar on January 21st, 2021 at 9:00 am EST (Washington DC time) titled “Training of human resources for long-term care: learning from the Korean experience”. In this event, Ph.D. Sang-Baek Chris Kang, Director-General of Global Cooperation of the National Health Insurance Service (NHIS) from The Republic of Korea, will present the Korean experience in developing and guaranteeing quality of human resources for its long-term care system. His presentation will be followed by a Q&A session.
Director-General of Global CooperationNational Health Insurance Service (NHIS) of the Republic of Korea
El Dr. Sang-Baek "Chris" Kang es Director General de Cooperación Global del Servicio Nacional de Seguros de Salud (NHIS) de la República de Corea. Cuenta con diversas experiencias de consultoría internacional y creación de capacidad/proyectos ODA con bancos multilaterales de desarrollo: BID, WorldBank, BAD y AfDB. Recientemente completó el proyecto de consultoría de seguros de salud de Nepal, que tiene la intención de aumentar las suscripciones de seguros públicos de las áreas locales. También se unió al comité técnico de salud de la Asociación Internacional de la Seguridad Social (ISSA). Sus intereses incluyen Big Data, AI, CRVS e infraestructura TIC para servicios de salud ciudadana. Tiene un Máster en Economía de Políticas en la Universidad de Illinois en Urbana-Champaign, Administración de Empresas PH.D. de la Universidad de Missouri – St.Louis, EE. UU.
At the second meeting of RedCuidar+, held on 13 November 2020, there was a debate on how to increase the supply of dependency care services, both through diversification (residences, day centres, home care, teleassistance services, family support, etc.) and through the involvement of other actors (private sector , non-profit organizations, local communities, etc.). It was based on the concrete experience that some countries in the region (Costa Rica and Chile) and the European Union (Italy) and generated an exchange space where participants were able to delve into the experiences presented.
00:00 - OPENING
09:00 - TOWARDS BUILDING A CARE POLICY IN COSTA RICA: CHALLENGES AND SUCCESSES IN COORDINATING THE SUPPLY OF SERVICES
Francisco Delgado Jiménez, Vice-minister, Instituto Mixto de Ayuda Social [Mixed Social Assistance Institute], Costa Rica.
29:00 - PUBLIC LONG-TERM CARE PROGRAMS AND SERVICES IN CHILE
Mónica Cristina Gamín Guzmán, Head of the Department of Operations of the Social Protection and Promotion Division of the Ministerio de Desarrollo Social [Ministry of Social Development], Chile.
57:28 - LESSONS LEARNED FROM THE EUROPEAN EXPERIENCE IN LTC SERVICES
Emmanuele Pavolini, Italian expert on well-being and care and professor at the University of Macerata, Italy.
Vice-ministerInstituto Mixto de Seguridad Social, Costa Rica
Francisco Delgado is Vice Minister of Human Development and Social Inclusion of Costa Rica. He holds a Master's degree in Public Administration in International Development from Harvard University and a bachelor's degree in Economics from the University of Costa Rica. He has worked as a social policy economist in Costa Rica at the Joint Aid Institute and the Social Development and Family Allowances Fund. Deputy Minister Delgado has published academic research on poverty, inequality and the labour market, and has taught at the School of Economics of the University of Costa Rica.
Head of the Operations Department of the Division of Promotion and Social ProtectionMinistry of Social Development, Chile
Anthropologist and Master in Rural Development of the Universidad Austral de Chile, Diploma in Social Management and Public Policies, Latin American Faculty of Flacso Social Sciences -Chile and Diploma in Social Protection for Cohesive Societies. Faculty of Economics and Business, University of Chile (Eurosocial Convention). She currently serves as Head of the Operations Department of the Division of Promotion and Social Protection, undersecretary of social services of the Ministry of Social Development and Family, and member of the design and implementation team of the National Support and Care System of which she has been coordinator for 3 years.
Full Professor in Economic Sociology and Social Policy University of Macerata, Italy
Emmanuele Pavolini is Full Professor in Economic Sociology and Social Policy at the University of Macerata (Italy). As an economic sociologist he has focused his research interests in two fields: a) welfare state studies from a comparative perspective, with specific attention to the Italian and Southern European welfare states, social policies (i.e. family policies, elderly care / LTC, child care, social care and health care and, more recently, education), inequalities in the access to welfare state provision, occupational welfare, welfare mix and third sector organizations; b) labour market research and economic development. A large part of his research has been dedicated to long-term care. He is co-chair of the board of Italian ESPAnet and he has been a former member of the ESPANet board. He is currently a National Expert for Italy of the European Commission Expert Network ESPN (European Social Policy Network) and co-editor of the Journal of European Social Policy.
“COVID-19 crisis has highlighted the ongoing global lack of preparedness for dementia, one of the biggest health and social care crises of this and future generations”.
In World Alzheimer’s Month, as part of Panorama activities we invite you to our next webinar on September 25, at 10:00 AM (EST) titled “Let’s talk about dementia in Latin America and the Caribbean”.
Paola Barbarino will provide a global perspective on dementia, with a specific focus on Latin America and the Caribbean. During her presentation she will introduce dementia, and how it is positioned within policy surrounding mental health and non-communicable diseases. She will outline the role of Alzheimer’s Disease International (ADI) in addressing the global dementia pandemic, and in particular the organization’s response to the global COVID-19 pandemic, and finally she will posit potential points of collaboration between ADI and IADB.
Paola is CEO of Alzheimer’s Disease International. Prior to this, she was CEO of LIFE and occupied senior positions with Cass Business School, Tate, British Library and IIED. She is a Board Member of the World Dementia Council, a Trustee of The Postal Museum and of Lauderdale House. Previously she was a Non-Executive Director of the Non-Communicable Disease Alliance (NCDA), a Trustee of Shelter, the housing/homelessness charity, and of MLA London. She holds a degree cum laude in Classics from Federico II Napoli University, an MA in Field and Analytical Techniques in Archaeology and an MA in Library and Information Science both from University College London.
The speed and scale of the response required by the COVID-19 pandemic has highlighted how the fragmentation in current health and care systems significantly impairs their ability to respond effectively. The health and long-term care service delivery system is in general compartmentalized. Health services are provided by physicians or medical specialists responsible for inpatient and outpatient care. This care is often separate from primary care and from rehabilitation and home care provided after patients leave hospital, and from long-term care that provides extended care for people with functional dependency, whether in a nursing home or in the community. Long-term care includes services provided by a nurse or therapist or trained caregiver, or a family member/informal caregiver. The challenges posted by COVID-19 present an opportunity to reset fragmented health and care systems so that they are integrated, driven by people and communities and resilient in the face of future systemic shocks.
In this webinar, Dr Edelweiss Aldasoro from The International Foundation for Integrated Care (IFIC), will present an overview of integrated care and IFICs recent report “Realising the true value of integrated care: Beyond COVID-19”. After this presentation practice-based examples that enable better linkage, coordination and integration of care will be examined. First, Fatima Palmeira Bombarda, Health Care Networks Manager at São Paulo State Secretariat of Health’s Health in Action Programme, and Anne Hendry, Senior Associate and Director of IFICs hub in Scotland, will present the experience of integrated care in the development of a Regional Health Care Network across four municipalities (Ubatuba, Caraguatatuba, São Sebastião and Ilhabela) in the Litoral Norte region of Brazil. Finally, Galileo Pérez Hernández, Board member of IFIC, will analyze implications for current and future integrated care projects in Latin American countries using implementation science lens and will discuss its relationship with the health systems resilience concept.
Senior ResearcherInternational Foundation for Integrated Care
Edelweiss joined IFIC in 2018 as a Senior Fellow to support the creation of the Knowledge Centre and Resource Area. She works on a range of education and communication projects, and three European research projects: EURIPHI, VIGOUR and Digital Health Europe. A qualified medical doctor, Edelweiss specialized in General Internal Medicine and Infectious Diseases (Osakidetza, Basque Country, Spain), and completed postgraduate studies including an MSc in Epidemiology (London School of Hygiene and Tropical Medicine), Diploma in Health Research Methodology (Autonomous University of Barcelona) and Advanced Studies in Development, Globalization and International Cooperation (University of the Basque Country and HEGOA). Edelweiss is a PhD candidate in the Doctoral Programme in Medicine and Translational Research in the International Health track in the subject of adult Chagas Disease treatment (University of Barcelona and ISGlobal, Spain). Her main clinical and research expertise is in international health and specifically in adults with Chagas disease. She has also worked with adults with cystic fibrosis, chronic diseases and elderly and general internal medicine. Edelweiss is specially interested in the integrated care for vulnerable populations with chronic and incurable conditions that have a wide clinical expression and life quality impact.
Senior Associate and Director for IFICs hub in ScotlandInternational Foundation for Integrated Care
Anne is a Senior Associate with the International Foundation for Integrated Care, Director for IFICs hub in Scotland and holds honorary academic posts with the University of the West of Scotland, the University of Glasgow, and NHS Lanarkshire. Currently deputy honorary secretary of the British Geriatrics Society, previous national roles include clinical lead for the Long-Term Conditions Collaborative; Healthcare Quality Strategy; Reshaping Care for Older People programme; and Integrated health and social care in Scotland. From 2017 to 2019, Anne led the models of care work package for the European Commission’s policy Joint Action on Frailty involving a broad range of stakeholders from 22 Member States. Throughout 2019 Anne led an interdisciplinary team to support São Paulo State Secretary of Health and Regional Department of Health implement a pilot project on integrated care in Litoral Norte region of Brazil. She is currently part of an international expert group working with Age Platform Europe to support the government of Bizkaia province in the Basque region to establish a model for long term care.
Health Care Networks Manager, Health in Action ProgrammeSão Paulo State Secretariat of Health
Fátima graduated in Nursing and Obstetrics by the Faculty of Health Sciences Farias Brito. He holds a Specialization in Public Health and Health Law and a Master’s in public health by the University of São Paulo. She is former Coordinator of the Health Regions Coordination of São Paulo State Secretariat of Health. Currently she is working as Health Care Networks Manager at the state Health in Action Programme, co-financed by the Inter-American Development Bank. Within the scope of this Programme, Fatima has supported Transforming Together - a pilot project on Integrated Care - and many other projects that aim to strengthen primary, secondary, and tertiary care and focus on the needs of the population.
Board MemberInternational Foundation for Integrated Care
Dr. Pérez-Hernández is holds a medical degree from the Metropolitan Autonomous University (Mexico), an MSc of Global Health from the University of Barcelona (Spain) and postgraduate training on Health Management and Integrated Medicine. He is a Board Member of the International Foundation for Integrated Care. He is also an Associate Editor of the International Journal of Integrated Care. Currently, he is dedicated to creating collaboration networks on integrated and people-centered care in Latin America. Galileo has also worked with the Pan-American Health Organization/World Health Organization providing technical cooperation on different projects including consultations on chronic care, integrated and people-centered services, and universal health. At national level he has served at the Ministry of Health of Mexico as a clinician and manager. He was also named Honorary Professor of Integrated Medicine at the Faculty of Health Science of Anahuac University (Mexico). His experience includes developing, implementing, managing, and evaluating Non-Communicable Diseases, emergencies, and disasters programs.
Latin America and the Caribbean is the fastest aging region in the world. This creates opportunities to improve the quality of life of older adults, create new jobs, promote gender equity and reduce health costs, among others. At the same time, it poses important challenges. One of them is the growth in the number of people with functional dependence, which could more than triple by 2050, exceeding 27 million. This increase, together with the decrease in the availability of informal care due to the decrease in the size of families and to the larger labor participation of women, pressures the countries of the region towards the search of solutions for long-term care. In this context, some countries in the region have begun - little by little - to implement national dependency care systems or, at least, to include the issue in the policy agenda. However, much remains to be done. In this Webinar we present the challenges facing the region to meet the growing demand for long-term care, and we offer concrete recommendations for the design and implementation of such systems.
Social Protection and Health ConsultantInteramerican Development Bank
Nadín Medellín is a consultant for the IDB’s Social Protection and Health Division. She has worked with the division since 2014 in developing research and designing and implementing operations related to conditional cash transfers, health, aging and dependence. Nadin has more than 10 years of experience working in development, including three years working in the public sector in his native Mexico and more than seven years working for international institutions including the IDB and the World Bank. Nadin earned a Bachelor’s degree in Economics and a Master’s in Economics and Public Policy from the Tecnológico de Monterrey, as well as a Master's degree in Urbanization and Development from the London School of Economics and Political Science.
Lead Specialist - Social Protection and Health DivisionInteramerican Development Bank
Marco Stampini joined the IDB's Social Protection and Health Division in May 2011. His work focuses on the preparation and evaluation of social protection strategies for the poor and vulnerable, with an emphasis on conditional cash transfer programs. Before joining the IDB, he was Principal Research Economist at the African Development Bank (2008-2011), a researcher at the Sant’Anna School of Advanced Studies (2002-07), and a consultant on various development topics for the Food and Agriculture Organization of the United Nations (FAO) and the World Bank. He was also a Visiting Fellow at Harvard University and the University of Brasilia, and Senior Lecturer at the Catholic University of America. His work has been published in peer-reviewed journals such as World Development, Demography and the Journal of Comparative Economics. Marco is a native of Italy, holds a doctorate in economics from Sant’Anna School of Advanced Studies and is a Fellow at the Institute of Labor (IZA) in Germany.