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KDI 경제교육·정보센터

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국제무역
Assessing Needs, Enabling Care: A Comparative Framework for Long-Term Care Needs Assessments
World Bank
2026.04.13
As countries confront the aging of their populations, ensuring that people with long-term care (LTC) needs receive timely and appropriate support has become a central policy priority. Individual needs assessments - structured evaluations of people’s functional, cognitive, psychosocial, and/or environmental circumstances play a critical role in determining eligibility, tailoring care plans, and guiding system-wide planning. Yet, despite their importance, global guidance on how such assessments can be designed and implemented remains limited. This paper fills this gap by introducing the CARES+ Framework (which stands for Comprehensiveness, Accountability, Regularity, Equity, Standardization, and Personalization) and an accompanying checklist, which provide a structured way to design, evaluate, and/or compare needs assessment systems across six dimensions: comprehensiveness (the breadth and depth with which multiple domains of need are assessed and the feasibility of doing so in a given system), accountability (the use of qualified and independent assessors supported by clear grievance mechanisms), regularity (the frequency and timeliness of reassessments), equity (the extent to which assessment processes are accessible to all individuals, regardless of geography, language, or personal circumstances), standardization (the consistent use of common tools, measurement scales, digital systems, and entry points), and personalization (the degree to which the assessment process captures individual preferences, involves users, and situates evaluations in the person’s actual living environment). By applying this framework to nine countries - Finland, Germany, India (Kerala), Japan, Mauritius, Saudi Arabia, South Korea, Thailand, and Uruguay―the paper offers a comparative analysis of how different systems design and implement LTC needs assessments.