北马其顿私营部门参与老年人长期护理的评估（英）2026

BARBARA O’HANLON • SARAH COLL-BLACK • ALI HAMANDI • CHRISTABEL NGWASHI AN ASSESSMENT OFPRIVATE SECTORENGAGEMENTIN LONG-TERM CAREFOR THE ELDERLY INNORTH MACEDONIA BARBARA O’HANLON • SARAH COLL-BLACK • ALI HAMANDI • CHRISTABEL NGWASHI TABLE OF CONTENTS 1.1 Context and Rationale .................................................................................................................................................... 101.2 Objective ........................................................................................................................................................................... 111.3 Scope ................................................................................................................................................................................. 111.4 Methodology .................................................................................................................................................................... 131.5 Organization ..................................................................................................................................................................... 13 Section 2: Framework and Key Concepts .................................................................................................................. 14 2.1.1 Core Market Functions (Supply and Demand) .................................................................................................. 142.1.2 Enabling Environment – Rules ............................................................................................................................ 142.1.3 Enabling Environment – Supporting Function .................................................................................................. 14 2.2.1 The Private Sector in an LTC Mixed System ...................................................................................................... 142.2.2 Private Sector Engagement ................................................................................................................................. 162.2.3 Strategic Objectives to Engage the Private Sector ............................................................................................ 17 Section 3: Overview of the LTC Sector and Stakeholders ....................................................................................... 19 3.1 Policy Framework Governing LTC .................................................................................................................................. 193.2 Institutional Arrangements ............................................................................................................................................ 203.2.1 Government Entities ............................................................................................................................................ 203.2.2 Civil Society ............................................................................................................................................................ 223.2.3 Roles and Responsibilities ................................................................................................................................... 23 Section 4: Core Market Function – Supply ................................................................................................................. 24 4.1 Public–Private Mix of LTC Services ................................................................................................................................ 244.2 Private LTC Service Providers by Ownership ................................................................................................................ 254.3 Distribution of LTC Service Providers ............................................................................................................................ 264.4 Human Resources for LTC Services ........................................................................................................................... 264.5 Description of Private LTC Services in Three Sub-Markets ...............................................................................284.5.1PrivateFor-ProfitResidentialServices...............................................................................................................284.5.2PrivateNon-ProfitDayCareServices.................................................................................................................314.5.3PrivateNon-ProfitHomeCareServices.............................................................................................................33 5.1.1 Population Size ..................................................................................................................................................... 355.1.2 Age Structure of the Elderly Population ..................................................................................