Efficiency of the Long-Term Care Sector in Poland based on an Activities of Daily Living evaluation

The aim of the article is to examine the efficiency of Long-Term Care Sector in Poland. Detailed analysis of the level of dependency was carried out, measured by the number, structure and sequence of ADL loss among residents based on data collected between 2021 and 2022 in Polish private rest homes, social residential homes and nursing homes. We have used 3 scenarios based on care and home modernization vouchers to calculate alternative public LTC costs. In the 5 years’ perspective, it seems that solutions based on care vouchers: home care vouchers for 0–2 ADL group without cognitive impairment or mental disorders and inpatient care vouchers for 0–2 ADL group with mentioned impairments, lead to the highest public savings. Better allocation of people with a low level of dependency and without cognitive impairment results in lower public spending on LTC and increased access for people with a higher level of dependency.