The Israeli Long Term Care Insurance Law (LTCIL) was one of the first long term care insurances in the world to support older adults and their family members and allow them to stay in their homes for as long as possible. The present study aimed to evaluate the perspectives of older adults, their family members and home care workers regarding the LTCIL. Views of workers of the National Insurance Institute (NII), which is directly responsible for the enactment of the law, are also integrated. Interviews were conducted between June 2016 and June 2017. Thematic qualitative analysis is based on interviews with 15 NII workers, 31 older adults, 31 family members, and 6 paid home care workers. The present study stresses the tension between the LTCIL and older adults' perceived rights and needs. It also demonstrates how even though the NII workers are engaged with various stakeholders, they often lack direct contact with older adults, their family members and paid home care workers: those most directly influenced by the LTCIL. Policy considerations are discussed.

REFERENCES

Arber, S., Fenn, K., & Meadows, R. (2014). Subjective financial well-being, income and health inequalities in mid and later life in Britain. Social Science & Medicine, 100, 12–20.
10.1016/j.socscimed.2013.10.016
PubMed Web of Science® Google Scholar
Asiskovitch, S. (2013). The Long-Term Care Insurance Program in Israel: Solidarity with the elderly in a changing society. Israel Journal of Health Policy Research, 2, 3–3. https://doi.org/10.1186/2045-4015-2-3
10.1186/2045-4015-2-3
PubMed Web of Science® Google Scholar
Ayalon, L. (under review). Perceived discrimination in the context of the Long Term Care Insurance Law from the perspectives of the Arab and the Jewish sectors in the North of Israel.
Google Scholar
Ayalon, L. (2009). Fears come true: The experiences of older care recipients and their family members of live-in foreign home care workers. International Psychogeriatrics, 21(4), 779–786. https://doi.org/10.1017/s1041610209990421
10.1017/S1041610209990421
PubMed Web of Science® Google Scholar
Ayalon, L. (2018). Family relations and elder care among Arabs in the North of Israel. Research on Aging. https://doi.org/10.1177/0164027517749612
10.1177/0164027517749612
PubMed Google Scholar
Borowski, A. (2015). Israel's long-term care social insurance scheme after a quarter of a century. Journal of Aging & Social Policy, 27(3), 195–214.
PubMed Web of Science® Google Scholar
Borowski, A., & Schmid, H. (2001). Israel's Long-Term Care Insurance Law after a decade of implementation. Journal of Aging & Social Policy, 12(1), 49–71.
10.1300/J031v12n01_05
PubMed Google Scholar
Bowling, A. (2005). Just one question: If one question works, why ask several? Journal of Epidemiology and Community Health, 59(5), 342–345.
10.1136/jech.2004.021204
PubMed Web of Science® Google Scholar
Brodsky, J., Shnoor, Y., & Be'er, S. (2012). The elderly in Israel: Statistical abstract (Hebrew). Retrieved from http://www2.jdc.org.il/sites/default/files/eshel-doc-shnaton2013.pdf
Google Scholar
Brown, J. R., & Finkelstein, A. (2009). The private market for long-term care insurance in the U.S.: A review of the evidence. The Journal of Risk and Insurance, 76(1), 5–29. https://doi.org/10.1111/j.1539-6975.2009.01286.x
10.1111/j.1539-6975.2009.01286.x
PubMed Web of Science® Google Scholar
Corbin, J., & Strauss, A. (1990). Grounded theory research: Procedures, canons, and evaluative criteria. Qualitative Sociology, 13(1), 3–21. https://doi.org/10.1007/bf00988593
10.1007/BF00988593
Web of Science® Google Scholar
Elo, S., & Kyngäs, H. (2008). The qualitative content analysis process. Journal of Advanced Nursing, 62(1), 107–115.
10.1111/j.1365-2648.2007.04569.x
CAS PubMed Web of Science® Google Scholar
Iecovich, E. (2012). The long-term care insurance law in Israel: Present and future. Journal of Aging & Social Policy, 24(1), 77–92.
10.1080/08959420.2012.628892
PubMed Web of Science® Google Scholar
Khalaila, R., & Litwin, H. (2011). Modernization and future care preferences: A cross-sectional survey of Arab Israeli caregivers. Journal of Advanced Nursing, 67(7), 1614–1624.
10.1111/j.1365-2648.2010.05606.x
PubMed Web of Science® Google Scholar
Khalaila, R., & Litwin, H. (2012). Modernisation and filial piety among traditional family care-givers: A study of Arab-Israelis in cultural transition. Ageing & Society, 32(5), 769–789.
10.1017/S0144686X11000572
Web of Science® Google Scholar
Meyers, N. (2000). The graying of Israel. The World & I, 15(6), 202.
Google Scholar
Miles, M. B., Huberman, A. M., & Saldana, J. (2013). Qualitative data analysis. Thousand Oaks, CA: Sage.
Google Scholar
Pavolini, E., & Ranci, C. (2008). Restructuring the welfare state: Reforms in long-term care in Western European countries. Journal of European Social Policy, 18(3), 246–259. https://doi.org/10.1177/0958928708091058
10.1177/0958928708091058
Web of Science® Google Scholar
Reichert, M., Naegele, G., Katz, R., Lowenstein, A., & Halperin, D. (2014). Long-term care needs and long-term care policy: Comparing Germany and Israel. Family and health: Evolving needs, responsibilities, and experiences (pp. 131–167). Bingley, UK: Emerald Group Publishing Limited.
10.1108/S1530-35352014000008B014
Google Scholar
Rothgang, H. (2010). Social insurance for long-term care: An evaluation of the German model. Social Policy & Administration, 44(4), 436–460.
10.1111/j.1467-9515.2010.00722.x
Web of Science® Google Scholar
Schmid, H. (2005). The Israeli long-term care insurance law: Selected issues in providing home care services to the frail elderly. Health & Social Care in the Community, 13(3), 191–200.
10.1111/j.1365-2524.2005.00548.x
CAS PubMed Web of Science® Google Scholar
Schwiter, K., Berndt, C., & Truong, J. (2015). Neoliberal austerity and the marketisation of elderly care. Social & Cultural Geography, 1–21. https://doi.org/10.1080/14649365.2015.1059473AU
Google Scholar
Spalter, T., Brodsky, J., & Shnoor, Y. (2013). Improvements and decline in the physical functioning of Israeli older adults. The Gerontologist, 54(6), 919–929. https://doi.org/10.1093/geront/gnt084
10.1093/geront/gnt084
PubMed Web of Science® Google Scholar
Strier, R., & Werner, P. (2016). Tracing stigma in long-term care insurance in Israel: Stakeholders' views of policy implementation. Journal of Aging & Social Policy, 28(1), 29–48. https://doi.org/10.1080/08959420.2016.1111726
10.1080/08959420.2016.1111726
PubMed Web of Science® Google Scholar
Tamiya, N., Noguchi, H., Nishi, A., Reich, M. R., Ikegami, N., Hashimoto, H., … Campbell, J. C. (2011). Population ageing and wellbeing: Lessons from Japan's long-term care insurance policy. The Lancet, 378(9797), 1183–1192. https://doi.org/10.1016/S0140-6736(11)61176-8
10.1016/S0140-6736(11)61176-8
PubMed Web of Science® Google Scholar
The Israel Central Bureau of Statistics. (2008). The Arab population (Hebrew). Retrieved from http://www.cbs.gov.il/www/statistical/arab_pop08.pdf
Google Scholar
The National Insurance Institute. (1995). The implementation of the Long Term Care Insurance Law in the Arab sector (Hebrew). Jerusalem: The National Insurance Institute. Retrieved from https://www.btl.gov.il/SiteCollectionDocuments/btl/Publications/seker_126.pdf
Google Scholar

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Between older adults' needs and the law: The Israeli Long Term Care Insurance Law from the Perspectives of Service Users and Providers

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