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Help from spouse and from children among older people with functional limitations: comparison of England and Finland
- Authors:
- BLOMGREN Jenni, et al
- Journal article citation:
- Ageing and Society, 32(6), August 2012, pp.905-933.
- Publisher:
- Cambridge University Press
This study, using nationally representative data from England and Finland, investigated receipt of help from spouse and children among community-dwelling people aged 70+ years with functional limitations. In both countries, women and those with more functional limitations had higher odds of receiving spousal and filial help. In England, but not in Finland, those receiving formal public help had lower odds of receiving spousal help than those with no formal help. Those with low education received more filial help in England, but no association was found between formal and filial help. In Finland, the effect of education was not significant but those receiving formal help had higher odds of also receiving filial help. The results suggest that in a liberal market-led state, the role of children may be to help their parents living alone and with low financial resources. The authors concluded that, in the context of a generous welfare state, children may function more as active agents bridging the gap between their parents and traditional services.
Investigating burden of informal caregivers in England, Finland and Greece: an analysis with the short form of the Burden Scale for Family Caregivers (BSFC-s)
- Authors:
- KONERDING Uwe, et al
- Journal article citation:
- Aging and Mental Health, 22(2), 2018, pp.280-287.
- Publisher:
- Taylor and Francis
Objectives: The burden of informal caregivers might show itself in different ways in different cultures. Understanding these differences is important for developing culture-specific measures aimed at alleviating caregiver burden. Hitherto, no findings regarding such cultural differences between different European countries were available. In this paper, differences between English, Finnish and Greek informal caregivers of people with dementia are investigated. Methods: A secondary analysis was performed with data from 36 English, 42 Finnish and 46 Greek caregivers obtained with the short form of the Burden Scale for Family Caregivers (BSFC-s). The probabilities of endorsing the BSFC-s items were investigated by computing a logit model with items and countries as categorical factors. Statistically significant deviation of data from this model was taken as evidence for country-specific response patterns. Results: The two-factorial logit model explains the responses to the items quite well (McFadden's pseudo-R-square: 0.77). There are, however, also statistically significant deviations (p < 0.05). English caregivers have a stronger tendency to endorse items addressing impairments in individual well-being; Finnish caregivers have a stronger tendency to endorse items addressing the conflict between the demands resulting from care and demands resulting from the remaining social life and Greek caregivers have a stronger tendency to endorse items addressing impairments in physical health. Conclusion: Caregiver burden shows itself differently in English, Finnish and Greek caregivers. Accordingly, measures for alleviating caregiver burden in these three countries should address different aspects of the caregivers’ lives. (Publisher abstract)
Regulating long-term care quality: an international comparison
- Editors:
- MOR Vincent, LEONE Tiziana, MARESSO Anna
- Publisher:
- Cambridge University Press
- Publication year:
- 2014
- Pagination:
- 519
- Place of publication:
- Cambridge
This edited book provides a comprehensive international survey of long-term care provision and regulation, built around a series of case studies from Europe, North America and Asia. The analytical framework allows the different approaches that countries have adopted to be compared side by side and readers are encouraged to consider which quality assurance approaches might best meet their own country's needs. Wider issues underpinning the need to regulate the quality of long-term care are also discussed. The book is aimed at policymakers working in the health care sector, researchers and students taking graduate courses on health policy and management. (Edited publisher abstract)
Livindhome: living independently at home: reforms in home care in 9 European countries
- Authors:
- ROSTGAARD Tina, et al
- Publisher:
- Danish National Centre for Social Research
- Publication year:
- 2011
- Pagination:
- 252p., bibliog.
- Place of publication:
- Copenhagen
This report presents findings from the project Living Independently at Home: Reforms in organisation and governance of European home care for older people and people with disabilities (LIVINDHOME). The study provides an overview of recent and current reforms in the organisation and governance of home care systems in nine European countries, and analyses the intended and unintended results of these reforms, in particular, how the reforms have affected the organisation, supply and quality of care. The focus of the study is home care for older people and for people with disabilities. In countries that have more family-oriented welfare traditions (Austria, Germany, Italy, Ireland), comprehensive approaches to long-term care have started to develop only relatively recently. Despite increases in funding for long-term care, home care provision in Italy and Ireland remains highly fragmented, with major local variations in access to services. The second group of countries (Denmark, England, Finland, Norway, and Sweden) have had more or less comprehensive home care services in place for many years. These have been delivered by local authorities under a legislative framework set by central government. Reforms have here involved the introduction of market- and consumer-related mechanisms into the supply and delivery of home care.
Combining paid work and family care: policies and experiences in international perspective
- Authors:
- KROGER Teppo, YEANDLE Sue
- Publisher:
- Policy Press
- Publication year:
- 2013
- Pagination:
- 256
- Place of publication:
- Bristol
As populations age around the world, increasing efforts are required from both families and governments to secure care and support for older and disabled people.At the same time, both women and men are expected to increase and lengthen their participation in paid work, which makes combining caring and working a burning issue for social and employment policy and economic sustainability. International discussion about the reconciliation of work and care has previously focused mostly on childcare. Combining paid work and family care widens the debate, bringing into discussion the experiences of those providing support to their partners, older relatives and disabled or seriously ill children. The book analyses the situations of these working carers in Nordic, liberal and East Asian welfare systems. Highlighting what can be learned from individual experiences, the book analyses the changing welfare and labour market policies which shape the lives of working carers in Finland, Sweden, Australia, England, Japan and Taiwan. The book is arranged in three parts: working carers of older people; working parent-carers of disabled children; and working partner-carers. (Edited publisher abstract)
Voice and choice for users and carers? Developments in patterns of care for older people in Australia, England and Finland
- Authors:
- YEANDLE Sue, KRÖGER Teppo, CASS Bettina
- Journal article citation:
- Journal of European Social Policy, 22(4), 2012, pp.432-445.
- Publisher:
- Sage
This article considers developments during the 1990s and 2000s, decades that saw considerable debate, innovation, experimentation and change in how services for older people were planned, developed, delivered and experienced in many states, including Australia, England and Finland. It identifies key trends in residential and community care for older people, investigating the extent of ‘de-institutionalisation’, ‘privatisation’ and ‘individualisation’. The concepts of collective and individual ‘voice’ and ‘choice’ are used to interrogate the roles of collective and individual actors, older people and carers, in influencing policy formulation. While these three processes have been pursued by policy-makers in each country, their implementation is illuminated by understanding how ‘voice’ and ‘choice’ have been operationalised – individually and collectively – in each context. In the reshaping of eldercare in the three states, the analysis identifies the greater influence of claims-making by family carers, in comparison with the collective and individual voices of older people as service users.
Broadening our vision of housing and community care for older people: innovative examples from Finland, Sweden and England
- Author:
- ANCHOR RESEARCH
- Publisher:
- Anchor Trust
- Publication year:
- 1999
- Pagination:
- 91p.,bibliog.
- Place of publication:
- Kidlington
Collection of papers exploring common issues in Finland, England and Sweden around the need to develop a broader vision of community care which emphasises prevention and the need for joint working across traditional boundaries. Also calls for a recognition that quality of life and social integration for older people encompasses a much broader range of services and issues than are usually associated with community care.