who.int (12.11.2024) The State of long-term care (‎State of LTC)‎ toolkit is designed to support policy- and decision-makers in their efforts to reform and transform long-term care systems by promoting learning, collaboration and trust. It proposes a conceptual framework and a methodological approach to knowledge generation, grounded in participatory governance. The conceptual framework focuses on five key components – population care needs, system inputs, outputs, outcomes and population-level impact – disaggregated into 25 analytical domains. Rooted in a person-centred approach and emphasizing that individual care needs, preferences and expectations should inform system design and reforms, the conceptual framework links in a causal chain structure the available resources in the system to the outputs the system produces and the system-level outcomes obtained. The State of LTC Toolkit is a key deliverable of the European Care Strategy and aims to support the implementation of the Council Recommendation on access to affordable high-quality long-term care.