About this update | |
| Country | Italy |
|---|---|
| Section / Question | 1.04. Approach to care provision, including sector of ownership | |
Update
Municipalities, local health authorities and the National Institute of Social Security (INPS) are directly involved in the organisation of LTC services, but others are involved in planning and funding these services, including the central state, regions and provinces.
The table below classifies the Italian LTC system according to initiative and actor involved:
| Typology | Service/Intervention | Actors involved |
| Cash transfer | Companion Allowance (CA – Indennità di Accompagnamento) | National Social Insurance Agency |
| Monetary vouchers to finance informal caregiving or care services | Municipalities
Regions Local Health Authorities |
|
| In-kind services | Home care
Nursing homes Day care Informal caregiving |
Local Health Authorities and Municipalities
Municipalities and regions; providers (public, private, or not for profit) Relatives or migrant care workers |
(source: Notarnocola et al., 2021).
Informal care and migrant care workers, often with irregular contracts, play an important role in the organisation and provision of home care (European Commission, 2016).
References:
European Commission (2016), Italy – Health Care & Long-Term Care Systems. Excerpt from Joint Report on Health Care and Long-Term Care Systems & Fiscal Sustainability. Institutional Paper 37, volume 2, country documents. Economic and Financial Affairs, Economic Policy Committee. Retrieved from update_joint-report_it_en.pdf (europa.eu)
Notarnicola, E., Perobelli, E., Rotolo, A., & Berloto, S. (2021). Lessons Learned from Italian Nursing Homes during the COVID-19 Outbreak: A Tale of Long-Term Care Fragility and Policy Failure. Journal of Long-term Care, (2021), 221–229. DOI: http://doi.org/10.31389/jltc.73