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Expanded, but not regulated: ambiguity in home-care policy in Ireland
- Authors:
- TIMONEN Virpi, DOYLE Martha, O’DWYER Ciara
- Journal article citation:
- Health and Social Care in the Community, 20(3), May 2012, pp.310-318.
- Publisher:
- Wiley
The article examines this incompatibility between the expansion of home-care services in Ireland, and the failure to develop policies to govern access to and quality of services. It suggests that the key factors that motivated home-care expansion in the Irish case were: problems in the acute hospital sector and the perception of home care as a partial solution to these; and significant GDP growth that provided politicians with the means to fund expansion in home-care services. The key factors that inhibited the development of a policy framework to govern home-care services were: weak governance structures in health services and decision-making at national level based on short-term political gain; Ireland’s adherence to the liberal welfare state model and concern about uncontrollable care costs in the face of population ageing; until 2010, paucity of attention to home-care issues in the Irish media; and weak provider interest representation.
Home care for ageing populations: a comparative analysis of domiciliary care in Denmark, the United States and Germany
- Authors:
- DOYLE Martha, TIMONEN Virpi
- Publisher:
- Edward Elgar
- Publication year:
- 2007
- Pagination:
- 154p., bibliog.
- Place of publication:
- Cheltenham
At a time when the desire to “age in place” has emerged as a rallying cry among elderly and disabled adults and their advocates, this book provides an important new analysis of the ways in which three countries are facing the challenge of assuring the adequacy and quality of in-home care. Drawing on both primary and secondary sources, the book examines the ways in which home care is organized, financed, and delivered in Denmark, Germany, and the United States, countries that represent three different types of long-term care systems.
The different faces of care work: understanding the experiences of the multi-cultural care workforce
- Authors:
- DOYLE Martha, TIMONEN Virpi
- Journal article citation:
- Ageing and Society, 29(3), April 2009, pp.337-350.
- Publisher:
- Cambridge University Press
An increased demand for long-term care services coupled with the decreased availability of informal (family) carers in many industrialised countries has led to the employment of growing numbers of ‘migrant care workers’. Little is known about this heterogeneous group or of their experience of employment in long-term care. Providing an important insight into a hitherto little researched and poorly understood topic, this article presents the findings of a qualitative study in Ireland that sought greater understanding of migrant carers' experience of care work and of the intra-group differences among them. The findings suggest that some members of the long-term care workforce are more likely to confront obstacles and discrimination than others. The data indicate that the experiences of European, South Asian and African carers are significantly different and that relationships may exist between carers' region of origin and their experience of care work, employment mobility and long-term plans for remaining in the sector. The findings underscore the significance of acknowledging the unique barriers and obstacles faced by particular populations of care workers. A better understanding of the changing demographic profile and needs of both care recipients and their paid (migrant) care-givers is required to ensure that appropriate policy and practical interventions are developed to support both groups.