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The changing mix of welfare in health care and community support services
- Author:
- FINE Michael
- Publisher:
- University of New South Wales. Social Policy Research Centre
- Publication year:
- 1995
- Pagination:
- 25p.,bibliog.
- Place of publication:
- Sydney, NSW
Paper presenting a brief overview of changes in responsibility of the state for the provision of welfare in Australia.
Flavour of the month or taste of the future?
- Author:
- FINE Michael
- Journal article citation:
- Social Policy Research Centre Newsletter, 54, September 1994, pp.1-3.
- Publisher:
- University of New South Wales. Social Policy Research Centre
The growth of community care has made it hard for policymakers, practitioners and researchers to decide what community care should or should not do. The Social Policy Research Centre undertook a review of research in this area for the Department of Human Services and Health in Australia.
Community support services and their users: the first eighteen months
- Author:
- FINE Michael
- Publisher:
- University of New South Wales. Social Policy Research Centre
- Publication year:
- 1992
- Pagination:
- 146p.,tables,bibliog.
- Place of publication:
- Kensington, NSW
Research report focusing on the development of community care in Australia. Examines the effects of implementation, and includes a field study of 60 predominantly elderly people in a suburban community.
Individualising care. The transformation of personal support in old age
- Author:
- FINE Michael D.
- Journal article citation:
- Ageing and Society, 33(3), 2013, pp.421-436.
- Publisher:
- Cambridge University Press
This paper considers developments in long-term care that are increasingly focused around the individual. Emphasising the social theory behind the shift, it is argued that understanding the individualisation of care cannot be reduced to a simple dichotomy of good or bad. Individualised care promises much, but the concept is applied to a wide range of phenomena, often in ways that conceal rather than reveal the character of the transactions involved. For individualisation to become meaningful it must be developed as a condition of recognition that is equally applicable to those who provide and those who depend on care. It is also important to distinguish individualised care finance arrangements from real attainments in the practice of providing care. These distinctions are necessary if we are to distinguish its use as an ideological justification for welfare cutbacks and the restructuring of care provisions as markets from the liberating potential that the approach can present when care practices are more truly based around the recognition of the individuals concerned: those who receive and depend on assistance as well as those who provide it. (Edited publisher abstract)
Care: a critical review of theory, policy and practice
- Authors:
- RUMMERY Kirstein, FINE Michael
- Journal article citation:
- Social Policy and Administration, 46(3), June 2012, pp.321-343.
- Publisher:
- Wiley
This article critically examines developments in the theory, policy and practice of social care, drawing on interdisciplinary developments in political theory, sociology and social policy. Using feminist and disability-rights theories, it explores a critical synthesis of conflicting normative and theoretical positions regarding the giving and receiving of care, and of the ethics and justice of care. It examines case studies of current comparative policy developments across a range of different welfare regimes, exploring ideological and normative trends in the design of contemporary policies. It discusses the impact of theory and policy on the practice of care, particularly in the context of long-term care for disabled and older adults. Finally, the article argues for the development of a citizenship-based approach to care that decouples it from individualistic and paternalistic paradigms that disempower those who both give and receive care.
Employment and informal care: sustaining paid work and careging community and home based care
- Author:
- FINE Michael D.
- Journal article citation:
- Ageing International, 37(1), March 2012, pp.57-68.
- Publisher:
- Springer
- Place of publication:
- New York
Informal care provides the often hidden foundations of policies promoting care in the community and ageing in place. This paper examines the issues for those who are employed and seek to provide care, and looks at the possibilities for finding a way through the existing conflict between sustaining employment and providing informal care in the home. Focusing on the issues that emerge regarding support of older care recipients, the paper first considers the demographic, economic and democratic and governmental policy causes of the current problems. It then examines the emerging care gap expressed through the joint crisis of informal and formal care. The final section considers the solutions proposed to help re-embed care in the societies of the 21st century. These include developments related to the workplace and employment, as well as solutions concerned with providing extra services, expanding the care workforce, paying family caregivers and using technology.
A caring society?: care and the dilemmas of human service in the 21st century
- Author:
- FINE Michael D.
- Publisher:
- Palgrave Macmillan
- Publication year:
- 2007
- Pagination:
- 259p., bibliog.
- Place of publication:
- Basingstoke
Care is no longer a private concern. In the twenty-first century, characterized by population aging, family fragmentation and the entry of women into the paid workforce, it has become a major public issue. This text offers a systematic, comparative analysis of the sociology, philosophy and emergent practices of care in the context of the political economy of post-industrial societies.
Dependence, independence or inter-dependence? Revisiting the concepts of 'care' and 'dependency'
- Authors:
- FINE Michael, GLENDINNING Caroline
- Journal article citation:
- Ageing and Society, 25(4), July 2005, pp.601-621.
- Publisher:
- Cambridge University Press
Research and theory on ‘dependency’ and ‘care-giving’ have to date proceeded along largely separate lines, with little sense that they are exploring and explaining different aspects of the same phenomenon. Research on ‘care’, initially linked to feminism during the early 1980s, has revealed and exposed to public gaze what was hitherto assumed to be a ‘natural’ female activity. Conversely, disability activists and writers who have promoted a social model of disability have seen the language of and the policy focus upon ‘care’ as oppressive and objectifying. ‘Dependency’ is an equally contested concept: sociologists have scrutinised the social construction of dependency; politicians have ascribed negative connotations of passivity; while medical and social policy discourse employs the term in a positivist sense as a measure of physical need for professional intervention. Autonomy and independence, in contrast, are promoted as universal and largely unproblematic goals. These contrasting perspectives have led social theory, research and policies to separate and segregate the worlds of ‘carers’ from those for whom they ‘care’. Drawing on the work of Kittay and others, this paper explores the ways in which sociological perspectives can develop new understanding of the social contexts of ‘care’ and ‘dependence’.
'User pays' and other approaches to the funding of long-term care for older people in Australia
- Authors:
- FINE Michael, CHALMERS Jenny
- Journal article citation:
- Ageing and Society, 20(1), January 2000, pp.5-32.
- Publisher:
- Cambridge University Press
It has been argued that without some system in which future generations of users are able to pay for their care cost of services for an increasingly large group of older people will be borne by a declining base of economically active younger people. Looks at the idea of a user pays approach to the financing of aged care and reviews this concept and its recent history in Australia. On the basis of a brief review of alternative funding systems, it also considers the potential of public and private insurance schemes to increase funding by potential service users and underwrite the long-term viability of funding for aged care services.
Coordinating health, excluded care and community support services: reforming aged care in Australia
- Author:
- FINE Michael D.
- Journal article citation:
- Journal of Aging and Social Policy, 11(1), 1999, pp.67-90.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
Under pressure to maximize the cost-effectiveness of programs, efforts to improve coordination have become increasingly central to the development of the broader health and welfare service delivery system in Australia in the past few years. This article reviews recent experience in two related fields: (1) the coordination of different community care services for older people with disabilities, funded by the Home and Community Care program; and (2) the attempt to enhance links between community and residential care services, hospitals, and other health care providers.