LONG-TERM ELDERLY CARE: QUALITY ASSURANCE CHALLENGES FOR LOCAL GOVERNMENTS

The purpose of this article is to address the quality assurance challenges for local governments in long-term elderly care. The research is based on the qualitative approach. Theoretical approach is based on active aging ideas and quality assurance principles. Authors have started analysis on how to adapt the quality principles of European Quality Framework for Long-Term Care Services in the Latvian elderly long-term care institutions. The experts' view on evaluation is one of the methods of how to assess the quality principles in long-term care for elderly. The research results show different approaches to quality assurance principles and evaluation at the level of local and central government and the necessity to move towards a unified understanding. Experts emphasised the necessity to discuss quality principles in long-term care institutions and the division of responsibility for elderly care between the local and central government. The main findings are that none of the experts would like to spend the rest of their life, when they reach an old age, in a long-term institution. Principle ranking was successfully used in semi-structured expert interviews. The results show a great extent of variety in evaluating the quality principles of European Quality Framework for Long-Term Care Services in Latvian elderly long-term care institutions.