Improving Long-term Care for the Elderly

By: Virginija Poskute   Rūta Kazlauskaite   Irmina Matonytė   Lineta Ramonienė  

Rapid ageing of Western societies is leading to an increasing demand for long-term care (LTC) services for the elderly, which stands out as a major challenge and risk, and calls for immediate action. The situation is even more critical in Southern and Eastern Europe where social norms towards filial responsibility for old parents are still strongly rooted and where informal care for the elderly prevails, as many of these countries are also facing depopulation and changes in the family structure and life-style (more single people, less children per family, higher divorce rates, increased migration, etc.). A close collaboration among all key stakeholders across all the sectors stands out as an imperative in meeting LTC needs, improving and sustaining service quality and reducing public costs. Such cooperation is increasingly becoming commonplace; nevertheless, it is facing multiple challenges. Research on inter-sectoral and organisational collaboration in LTC is thus divided in regards to its effectiveness and calls for strategies for its successful implementation. In this paper we offer a multi-level framework for key stakeholder collaboration in LTC organising and delivery. We develop this framework on the results of a mixed-method research conducted in Lithuania: a key stakeholder survey (N=280) and focus group discussions (eight discussions, 54 participants). Our framework includes a number of national, organisational, and individual level factors that are proposed as enablers of enhanced and sustained key stakeholder collaboration in LTC organising and delivery.

Long-term care, Elderly, Inter-sectoral Collaboration, Inter-Organisational Collaboration
Social and Cultural Perspectives on Aging
Paper Presentation in a Themed Session

Dr. Virginija Poskute

ISM University of Management and Economics, Lithuania

Dr. Virginija Poskute is economist and social policy analyst. Virginija acquired her academic degrees and qualifications at several educational institutions: Vilnius University (Lithuania), Roskilde University (Denmark), University of Bath (UK), Tilburg University (The Netherlands). Virginija was Fulbright researcher at Darden Graduate School, University of Virginia (USA); was increasing her academic qualifications at Harvard Business School (USA) and Fudan University, Shanghai (China). Virginija has extensive international job experience (UNDP/Lithuania; International Master’s programme “European Social Policy Analysis” by CEPS/INSTEAD, Luxembourg and Leuven University, Belgium; various projects for World Bank, UN, UNDP, European Commission) as well as experience in projects by national institutions (Ministry of Social Security and Labour, Ministry of Environment, Ministry of Economics, various NGO’s) on economic and social policy issues. Currently Virginija works for the ISM University of Management and Economics in Lithuania. Virginija’s main research and teaching interests are within social policy, welfare economics, competitiveness, public and private sector integration, business ethics and corporate social responsibility.

Prof. Rūta Kazlauskaite


Ruta Kazlauskaite is a Professor at ISM University of Management and Economics, Kaunas,Lithuania. Her current research interests include Long-term care fol older persons, socially responsible HRM, workl environment.

Irmina Matonytė

Professor, ISM University of Management and Economics

Lineta Ramonienė

Associate Professor, ISM University of Management and Economics