Evaluation Of Policy Analysis On LTC Program In Hong Kong

Evaluate a policy analysis document on a Hong Kong government's program based on the concepts and techniques covered in my lectures.

The issue of LTC SERVICES All RCHEs need to meet the approving essentials of SWD in giving a tasteful standard of care, paying little heed to that there is a wide disparity of size, nature of organizations and level of costs charged among private RCHEs. Reasons for such disparity are multi-faceted however happy goals have every one of the reserves of being the key components (Matsuoka et al., 2017). There is an extraordinary lack of land in Hong Kong for the progression of RCHEs and remembering that subvented RCHEs are set up in areas arranged straightforwardly holding up endowments or reason created complex given by the Government, private RCHEs are generally arranged in business or private structures which are for the most part less open however more exorbitant in rental cost. There radiates an impression of being a need to redesign the advantage nature of private RCHEs by establishing measures, for instance, capable codes and ethics of care, better direction and planning for experts at various levels.

The examination group likewise gathered an immense measure of data about the LTC approach and works on, including the financing mode and the administration extension and varieties, in 19 part nations of the Organization for Economic Co-operation and Development (OECD) and Asian nations/economies, which gave a system of correlation with the circumstance in Hong Kong (Fu et al., 2017).

A survey of existing means-test instruments in Hong Kong was led to give reference to the components that must be considered if a methods test were to be executed alongside the money related help (voucher) plot for financed RCS.

Identification of a policy problem is generally accompanied by adoption of certain goals that the policy intends to accomplish. These goals are most often translated ot objectives that encompass the desired end results along with information on the target population, limitation of resources and time tables. There are several qualitative and quantitative criteria that were used to evaluate the effectiveness of this policy. These criteria were utilised for assessing the effectiveness of this policy on meeting the goals of the proposed problem. The criteria that were used for evaluation were straightforward and unambiguous.

The evaluation criteria that were used in this scenario are mentioned below-

1. Cost efficiency- It measured whether the policy is able to establish reliable investment conditions and contributes to dynamic efficiency in the long run. The cost of borrowing funds, indirect costs, capital expenditures, training, operational costs and expenditures that were directly attributable to the policy were measured.
2. Effectiveness- This helped in determining whether the policy involved any uncertain projections that might occur in future. It also evaluated whether the policy is capable of attaining the goals.
3. Equity- This evaluated whether the benefits and burdens of the policy was equally distributed among all people of the society. It investigated the impact of the policy on the benefits and burden on the society.
4. Political feasibility- The acceptance of this policy to decision makers, powerful groups, and legislators was assessed.
5. Social feasibility- It was determined whether the policy had the power of getting accepted from the public.
6. Technical feasibility- This criterion determined if there was any technology available for implementing the policy.

Face-to-confront interviews. A sum of 2183 elderly individuals matured 65 or more, and 1144 matured 45-64 were talked with up close and personal in the investigation time frame.

Evaluation

Telephone interviews - notwithstanding the up close and personal meetings of the elderly individuals and the 'prospective old' from the different classifications specified above, it would likewise be attractive to request the perspectives of a gathering of individuals who are living in the group and are aware of individual wellbeing and home security by utilizing a telehealth framework. This gathering of individuals is utilizing an individual crisis interface benefit (PE Link) which is a 24-hour propelled correspondence framework worked by the Senior Citizen Home Safety Association (HE & CHOU, 2017). Its clients can address the administrator through the fundamental unit at home by squeezing a catch and the administrator is along these lines ready to distinguish the requirements of the guest and give the essential help administrations.

To meet the LTC needs of our maturing society in an economical way, the policy formulated several policy options and also evaluated their benefits and harms. These alternatives might be embraced in the mix as they are not totally unrelated.

Status quo - expanding the arrangement of financed private care places at the present pace

Should financed private care places be expanded at the present pace, it is likely that the sitting tight time for sponsored RCS can be kept at a specific level in the short to medium term. However, as the populace continues maturing, it is inescapable that the new supply would not have the capacity to get up to speed with the regularly developing interest (Lai, & Yamamoto-Mitani, 2015).

Adjusting the "double choice" plan since 2000, the Government has executed the Standardized Care Need Assessment Mechanism for Elderly Services (SCNAMES) to survey the care need of candidates for sponsored LTC benefits and to find out their qualification. Under the component, a globally perceived appraisal instrument is embraced to determine the care needs of older folks and matches them with proper administrations including "RCS just", "CCS just" or "double alternative" (Tong, 2014).

The presentation of a methods test system would enable the Government to center its constrained assets to the individuals who are most in require and abbreviate the sitting tight rundown for financed private care puts in the more drawn out term.

A mean-tried voucher plot for RCS

With a view to advancing further advancement of value self-financing/private RCS and empowering shared duties among people, their families and society in meeting the LTC needs of the elderly, we have investigated the plausibility of presenting a voucher plot for RCS.

Evaluation Criteria

The audit of worldwide encounters in LTC arrangement and financing uncovers that an openly subsidized, non-contributory arrangement of arrangement would, as a rule, be given on a specific premise. This is started on the way that given restricted open income, assets ought to be used in the most productive way and in this manner benefit arrangement ought to be given to those most in require (Lloyd-Sherlock, 2014). This is to be figured in acknowledgment of the low duty administration of Hong Kong which would most likely render the current freely financed, vigorously sponsored LTC conveyance display not supportable over the long haul. Universally, this particular arrangement would regularly be actualized by methods for a few systems of means-testing, to learn the failure of the freely supported administration beneficiaries to manage the costs of the administration’s (Lu & Ottervik, 2017). 

The arrangement of LTC administrations could be either in kind (administrations) or, then again in real money (endowments or voucher) or both, regardless of the method of financing. The gadget of money appropriation (or voucher) gives higher adaptability and more prominent customer decision, with the goal that the end-clients of the administrations could profit most. Universally, money endowments (or voucher) are typically given just to CCS as opposed to for RCS (Law & Ng, 2018). The money related states of elderly individuals in Hong Kong have been a noteworthy worry in social arrangement definition. As uncovered in the different neighborhood thinks about, the money related status of the present partner of elderly individuals is, to a specific degree, observed to be ominous. This is inferable from a large group of variables, including, right off the bat that a considerable lot of them have not been profited by any retirement security plans, also, their low instruction and abilities had confined them to low-wage occupations amid their working age, thirdly, their low limit with regards to funds because of low earnings (Lum et al., 2013). Nonetheless, with the usage of the Mandatory Provident Store in 2000 and the evolving financial profile, it could be expected that the future companion of elderly individuals could be better situated monetarily to seek after a long haul retirement arranging, counting providing food for the requirement for medicinal and LTC administrations.

The audit of global encounters in LTC arrangement and financing uncovers that an openly supported, non-contributory arrangement of arrangement would ordinarily be given on a particular premise. This is prefaced on the way that given constrained open income, assets ought to be used in the most productive way and along these lines benefit arrangement ought to bgiven to those most in require. This is to be figured in acknowledgment of the low assessment administration of Hong Kong which would likely render the current freely supported, intensely financed LTC conveyance show not manageable over the long term (Chin & Phua, 2016). Universally, this specific arrangement would typically be actualized by methods for a few components of means-test, in order to find out the failure of the freely subsidized administration beneficiaries to manage the costs of the administrations.

Policy Options

The money related states of elderly individuals in Hong Kong have been a noteworthy is anxious in social agreement detailing. As uncovered in different nearby examinations, the budgetary status of the present partner of elderly individuals is, to a specific degree, observed to be ominous. The cost benefits of the policy options are:

• Pricing of the status quo mainly aims at maintaining the industry. In this case, if policy lowers its costs from its competitors than it can face the risk of leading to the price war.
• The costing of CCS (community care services) is very low as they are being looked that if proper food, shelter and medication is being provided or not. The benefits are the olderly people stays well and their lifespan increases.
• The benefits of the means-test mechanism are good as they used to target the resources those who need help. On the other hand there are bad effects too that is they used to suffer from non-take up which is caused from social stigma and the different costs related with the claim of the policy.
• The cost benefits of RCS (residential care services) with respect to the elderly people who are eligible and in need of the financial support according to their means.

The arrangement of LTC administrations could be either in kind (administrations) or, on the other hand in real money (appropriations or voucher) or both, independent of the method of financing. The gadget of money appropriation (or voucher) gives higher adaptability and more noteworthy buyer decision, so the end-clients of the administrations could profit most. Globally, money appropriations (or voucher) are typically given just to CCS instead of for RCS (Cheng et al., 2013).

Reserve in 2000 and the evolving financial profile, it could be foreseen that the future partner of elderly individuals could be better situated monetarily to seek after a long haul retirement arranging, counting cooking for the requirement for restorative and LTC administrations (Ansah et al., 2017). In this light, the Government may need to proceed with its freely subsidized method of administration arrangement for the present accomplice of monetarily generally impeded elderly individuals; yet prepare for contriving a few new methods of financing and arrangement for the future associate of elderly individuals who may likely be in a superior position for taking up contributory frameworks.

References

Ansah, J. P., Koh, V., Qureshi, M. A., & Matchar, D. B. (2017). Modeling to Inform Long-Term Care Policy and Planning for an Aging Society. In Innovative Healthcare Systems for the 21st Century (pp. 183-224). Springer International Publishing.

Cheng, S. T., Lum, T., Lam, L. C., & Fung, H. H. (2013). Hong Kong: Embracing a fast aging society with limited welfare. The Gerontologist, 53(4), 527-533.

Chin, C. W. W., & Phua, K. H. (2016). Long-term care policy: Singapore’s experience. Journal of aging & social policy, 28(2), 113-129.

Fu, Y. Y., Chui, E. W. T., Kan, W. S., & Ko, L. (2017). Improving primary level home and community care services for older people: The case of Hong Kong. International Journal of Social Welfare.

HE, A. J., & CHOU, K. L. (2017). Long-term care service needs and planning for the future: a study of middle-aged and older adults in Hong Kong. Ageing & Society, 1-33.

Lai, C. K. Y., & Yamamoto-Mitani, N. (2015). Cross-cultural examination of long-term care services (ltc) in China, Hong Kong, and Japan: philosophies, realities, and mapping out the future.

Law, V. T., & Ng, C. W. (2018). Corporate Social Responsibility of Long-Term Care Service Enterprises. In Sustainable Health and Long-Term Care Solutions for an Aging Population (pp. 203-215). IGI Global.

Lloyd-Sherlock, P. (2014). Beyond neglect: Long-term care research in low and middle income countries. International Journal of Gerontology, 8(2), 66-69.

Lu, S., & Ottervik, M. G. (2017). 11 Transforming long-term care of the elderly in three Chinese societies. Transforming Society: Strategies for Social Development from Singapore, Asia and Around the World, 91, 144.

Lum, T., Chui, E., Lou, V., & Lau, M. (2013). Rebalancing long term care in Hong Kong. Journal of Nutrition, Health and Aging.

Matsuoka, Y., Saito, M., Wada, R., & Akiyama, M. (2017). RESIDENTS’STRENGTHS AND INFLUENCING FEATURES IN A SUPER-AGED SOCIAL HOUSING COMMUNITY. Innovation in Aging, 1(suppl_1), 446-447.

Tong, K. W. (Ed.). (2014). Community care in Hong Kong: Current practices, practice-research studies and future directions. City University of HK Press.