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Peer Review in Slovenia: Long-term care – the problem of sustainable financing

18/11/2014

Like most of Europe, Slovenia faces rapid population ageing. This places huge strain on long-term care (LTC) in particular, and the country has no unified system for providing it. To address this deficiency, a new Act on long-term care, personal assistance and long-term care insurance is being drafted. One crucial issue is how to fund LTC in a fair and sustainable way. This Peer Review will enable Slovenia to learn about the experiences of Member States where various different funding arrangements are used – in line with the Social Investment Package (SIP), which emphasises knowledge transfer and mutual learning as a way of ensuring the adequate and sustainable delivery of LTC.

Host Country: Slovenia

Date: 18-19 November 2014

Peer countries: Austria – Belgium – Bulgaria – Czech Republic – Denmark – Croatia – Hungary – Ireland – Spain

Current LTC arrangements in Slovenia are haphazard: different forms of service are governed by different regulations, and there is little uniformity, transparency or predictability in provision. There are various sources of funding, but population ageing means that the amount required tends to increase constantly (a problem highlighted in SIP). In 2013, the decision was taken to draft a new Act regulating both LTC services and LTC funding. There is broad agreement on what services are required, but not on how to ensure financial sustainability.

European countries adopt various approaches to funding (e.g. some based mainly on social insurance contributions; others mainly on taxation). This Peer Review will assist Slovenia and other countries in their search for a sustainable and socially just solution to the funding challenge.