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Contrasting European policies for the care of the elderly
- Editors:
- JAMIESON Anne, ILLSLEY Raymond
- Publisher:
- Avebury
- Publication year:
- 1990
- Pagination:
- 199p., tables, bibliogs.
- Place of publication:
- London
Looks at Belgium, Denmark, France, Greece, Germany, Ireland, Italy, the Netherlands, and the UK. Part 1 examines the relationship between formal and informal care, Part 2 deals with care systems and care delivery problems. Includes chapter by Ian Sinclair, Peter Gorbach, Enid Levin and Jenny Williams: 'Community care and residential admissions: results from two empirical studies'.
Care regimes on the move: comparing home care for dependent older people in Belgium, England, Germany and Italy
- Authors:
- DEGAVRE Florence, et al
- Publisher:
- Universite Catholique de Louvan. Centre Interdisciplinaire de Recherche Travail, Etat et Societe
- Publication year:
- 2012
- Pagination:
- 290p.
- Place of publication:
- Charleroi
Taking the reforms of the 1990s as its starting point, this report examines the dynamics of change experienced by Belgium, England, Germany and Italy in their home care sectors. Central to our analysis is the process of “marketisation”. This constitutes one of the major trends in all these four countries, yet its nature and impact show important national variations. The data referred to in this report relate to developments in and around various home care sectors, and cover both societal and organisational dynamics. Country-based research teams gathered the information, each team following identical methodological guidelines. This report uses official documents and grey literature from the care sector to analyse the discourses underpinning reforms in the field. The conclusions of this research will be of relevance for any country or region struggling to design a home care system for an ageing population. The coordinators of this research project have submitted a proposal for a special issue of Ageing and Society based on the main chapters of this report.
From subsidiarity to ‘free choice’: child- and elder-care policy reforms in France, Belgium, Germany and the Netherlands
- Author:
- MOREL Nathalie
- Journal article citation:
- Social Policy and Administration, 41(6), December 2007, pp.618-637.
- Publisher:
- Wiley
This article analyses the patterns of reform in care policies in Bismarckian welfare systems since the early 1980s. Based on a comparison of France, Germany, Belgium and the Netherlands, the article shows that these reforms share similar logics and trajectories, which can be explained by the shared conservative and corporatist traits of Bismarckian labour markets and welfare state institutions and their impact on labour market adjustment possibilities and preferences. Indeed, we argue that care policy reforms have been very closely linked to specific employment strategies, and the politics of welfare without work and subsequent attempts to shift away from such a labour-shedding strategy go a long way in explaining both the nature and the timing of child- and elder-care policy reforms in Bismarckian welfare systems. The article also shows how a focus on promoting ‘free choice’ in all four countries has justified the introduction of measures that have simultaneously reinforced social stratification in terms of access to the labour market – meaning that some women have much more ‘free choice’ than others – and weakened certain labour market rigidities. To conclude, we argue that care policy reforms have provided a backdoor for the introduction of labour-cheapening measures and for increasing employment flexibility in otherwise very rigid labour markets.
Incomes and living standards of older people: a comparative analysis
- Authors:
- WHITEFORD Peter, KENNEDY Steven
- Publisher:
- HMSO
- Publication year:
- 1995
- Pagination:
- 173p.,diags.,bibliog.
- Place of publication:
- London
Research study providing an empirical analysis of the incomes of older people in 11 countries. Also presents the results, for a narrower range of countries, of an analysis of living standards, defined to include the value of government provided health and education services, as well as disposable cash income. In addition, looks at the role of owner-occupied housing and liquid wealth.
The economics of care of the elderly
- Authors:
- PACOLET Jozef, WILDERCOM Celeste
- Publisher:
- Avebury
- Publication year:
- 1991
- Pagination:
- 241p.,tables,bibliogs.
- Place of publication:
- Aldershot
Set of papers given at a colloquium in March 1990 in Brussels, where a group of economists presented their theoretical and empirical progress on an EC initiated project on the care of elderly people. Divided into 4 parts: part 1: the ageing population and the organisation of the welfare state: macro economic analysis; part 2: significance of informal care of elderly people; part 3: how to meet the needs of elderly people: relevance of micro-economic analysis; and part 4: policy formation for older people. This section includes comparative studies of Belgium, Denmark, Spain, France, West Germany, Greece, Ireland, Italy, Luxembourg, the Netherlands, Portugal, and the United Kingdom.
Analysing equity in the use of long-term care in Europe
- Authors:
- RODRIGUES Ricardo, ILINCA Stefania, SCHMIDT Andrea
- Publisher:
- European Commission
- Publication year:
- 2014
- Pagination:
- 39
- Place of publication:
- Brussels
There are significant differences across social protection systems in Europe in the scope, breadth and depth of coverage of the risk to need long-term care in old-age. Together with other factors, such as education, household structure or societal values regarding care for frail older people, these differences can have a significant impact on the use of long-term care. Using SHARE data, this Research Note compares differences between European countries in the use of long-term care across income groups, for older people living at home. It analyses not only inequalities in the use of long-term care, but also differences in use that persist after differences in need have been taken into consideration, i.e. horizontal inequity. For this purpose, concentration indices, concentration curves and horizontal inequity indices are estimated for home care services and informal care. The countries analysed here are Austria, Germany, Sweden, the Netherlands, Spain, Italy, France, Denmark, Greece, Belgium and Czech Republic. The findings suggest that differences in use of home care services across income groups mostly reflect differences in need between those same groups. For informal care, the differences in use persist even after accounting for needs, and less affluent individuals are much more likely to use informal care. Some possible causes for these differences and policy implications are considered.
Ageing and health status in adults with intellectual disabilities: results of the European Pomona II study
- Authors:
- HAVEMAN Meindert, et al
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 36(1), March 2011, pp.49-60.
- Publisher:
- Taylor and Francis
POMONA II was a European Commission funded public health project collecting information from 14 countries using a set of key health indicators specifically relevant for people with intellectual disabilities. This research focused on age-specific differences relating to environmental and lifestyle factors and the 17 medical conditions measured by the POMONA Checklist of Health Indicators. The article describes how information was collected using the POMONA Health Interview Survey and Evaluation Form from a sample of 1,253 participants in Austria, Belgium, Finland, France, Germany, Ireland, Italy, Lithuania, the Netherlands, Norway, Romania, Slovenia, Spain, and the United Kingdom. It then presents the results of the analysis, with tables showing characteristics of people with intellectual disabilities in the study, frequency of social contacts with relatives or friends according to age, lifestyle risk factors in people with intellectual disabilities according to age, and general and age-specific prevalence rates of health problems. The authors discuss how healthy older adults with intellectual disabilities are with regard to lifestyle factors, and whether there are health disparities between older adults with and without intellectual disabilities. They note that some evidence of health disparities was found for older people with intellectual disabilities, particularly in terms of under diagnosed or inadequately managed preventable health conditions.
Rights, risks and restraint-free care of older people: person-centred approaches in health and social care
- Editors:
- HUGHES Rhidian, (ed.)
- Publisher:
- Jessica Kingsley
- Publication year:
- 2010
- Pagination:
- 224p., bibliog.
- Place of publication:
- London
This book provides health and social care professionals with an authoritative reading resource on the ethics and use of restraint. It provides an overview of the different forms of restraint, the conditions under which they are used and their implications for the health and wellbeing of older people. Practical approaches to minimising restraint are then explored, underlining the importance of person-centred care. Innovative programmes and approaches to reducing the use of restraint are described and assessed, and case studies are drawn upon to highlight practice challenges and their effective resolutions. The perspectives of older people and their carers and families, as well as of professionals, commissioners and regulators of health and social care, are also taken into account. The contributors are drawn from an international range of health and social care settings, as well as from the academic world.
Social care in Europe
- Editors:
- MUNDAY Brian, ELY Peter
- Publisher:
- Prentice Hall
- Publication year:
- 1996
- Pagination:
- 247p.,bibliogs.
- Place of publication:
- London
Collection of articles looking at the contexts for, and the outcomes of, the diversity of social care provision by the member states of the European Union. The book first addresses how we define social care in Europe and looks at the differences between member states. Goes on to look in more detail at the context for social care provision and the constitutional framework provided by the European Union itself. Further chapters cover Europe's mixed economy of welfare and provide detailed analysis of the impact of social care provision on 3 key clients groups: children and families, disabled people and older people.
Family care of the older elderly: casebook of initiatives
- Authors:
- STEENVOORDEN M., van der PAS F., de BOER N
- Publisher:
- European Foundation for the Improvement of Living and Working Conditions
- Publication year:
- 1993
- Pagination:
- 88p.
- Place of publication:
- Dublin
Contains 14 examples of projects and initiatives from EC member states designed to support carers of older people. These include: a sitting service; leave of absence and allowances for carers; support groups for carers; advice bureau for carers; help for dementia sufferers and their carers; local day centres; and respite care.