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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.
Producing and funding welfare services for seniors in the future
- Authors:
- KAARAKAINEN Minna, SUOMALAINEN Sanna, HYTTINEN Virva
- Journal article citation:
- Working with Older People, 17(2), 2013, pp.74-84.
- Publisher:
- Emerald
Purpose – The purpose of this study is to investigate the Finnish welfare state from the point of view of the production and funding of care services. The authors examine the views of different generations as to which agency should be responsible for providing care services, and how such services should be financed. Design/methodology/approach – The data used in the study was gathered in May 2011 in Finland, informants were aged 18 and 74 (n=1,011). Statistical methods used were analysis of variance (ANOVA), cross tabulation and multinomial logistic regression analysis (MLRA). Findings – The authors’ results show that most of the respondents hoped to be able to take care of themselves in their senior years. If this were impossible, the public sector was seen as the primary service provider. As expected, most of the respondents thought that the service system should be funded with tax revenue. Nevertheless, the authors’ results show that younger people are more willing than older people to take personal responsibility for funding the care services they need in their old age. Originality/value – The research findings indicate that in the future respect and the role of individual preparedness will be stronger. The fact that younger generations react seriously to individual preparedness may be vital for the whole system since public economic resources are limited. At the same time, research results exert pressure on decision-makers and current systems to create new, innovative options for funding and organising services.
Quality assurance indicators of long-term care in European countries
- Authors:
- DANDI Roberto, CASANOVA Georgia
- Publisher:
- European Network of Economic Policy Research Institutes
- Publication year:
- 2012
- Pagination:
- 128p.
- Place of publication:
- Brussels
This report present the findings and conclusions of research undertaken in the context of research projects carried out by a consortium of ENEPRI member institutes. This report is a contribution to Work Package 5 of the ANCIEN project, which focuses on the future of long-term care for the elderly in Europe. The report presents the quality indicators that were collected by the ANCIEN project partners in each country. The main contribution of this report is a classification of the quality assurance indicators in different European countries according to three dimensions: organisation type; quality dimensions; and system dimensions. The countries that provided quality indicators, which are used at a national level or are recommended to be used at a local level by a national authority, are: Estonia, Finland, France, Germany, Hungary, Italy, Latvia, the Netherlands, Spain, Sweden and the United Kingdom. In total, 390 quality indicators were collected. Each quality indicator has been assigned to one or more options in each dimension.
Long-term care quality assurance policies in European countries
- Authors:
- DANDI Roberto, et al
- Publisher:
- European Network of Economic Policy Research Institutes
- Publication year:
- 2012
- Pagination:
- 89p.
- Place of publication:
- Brussels
This report present the findings and conclusions of research undertaken in the context of research projects carried out by a consortium of ENEPRI member institutes. This report is a contribution to Work Package 5 of the ANCIEN project, which focuses on the future of long-term care for the elderly in Europe. This report analyses the quality assurance policies for long-term care (LTC) in the following countries: Austria, Estonia, Finland, France, Germany, Hungary, Italy, Latvia, Poland, Slovakia, Slovenia, Spain, Sweden, the Netherlands, and the United Kingdom. First, it discusses quality assurance in LTC by analysing: the dimensions of quality, the policy frameworks for quality in LTC, the different levels of development of LTC quality policies at the international, national, organisational, and individual levels. Second, it describes the methodology for collecting and analysing data on quality policies in the selected countries. Finally, it discusses the results, identifying four clusters of countries based on quality policies and indicators for LTC. These clusters are compared to the clusters identified in Work Package 1 of the ANCIEN project. Policy recommendations are proposed.
The politics of care for elderly people in Scandinavia
- Author:
- JAKOBSSON Gunborg
- Journal article citation:
- European Journal of Social Work, 1(1), March 1998, pp.87-93.
- Publisher:
- Taylor and Francis
Describes the issues currently impacting on the social welfare system in Scandinavia, especially as they affect older people.
Responses to vulnerability: care ethics and the technologisation of eldercare
- Author:
- HAMALAINEN Antti
- Journal article citation:
- International Journal of Care and Caring, 4(2), 2020, pp.167-182.
- Publisher:
- Policy Press
This article argues for a re-conceptualisation of care relations and uses the re-conceptualisation to scrutinise the way in which technology is adopted in eldercare practices. First, it draws on the definition of care as attentiveness to vulnerability, as used in the tradition of care ethics. Second, it specifies four essential aspects of care relations: relationality, dyadic mutuality, corporeality and devotion. Third, using socio-technical and phenomenological perspectives, care relations are contrasted with the idea of intertwining technological and human actors in care practices. Finally, using two adaptations of telecare as examples, the essential aspects of care relations are shown to be crucial for a thorough socio-technical understanding of eldercare and technology. (Publisher abstract)
Marketisation of Nordic eldercare: is the model still universal?
- Author:
- MOBERG Linda
- Journal article citation:
- Journal of Social Policy, 46(3), 2017, pp.603-621.
- Publisher:
- Cambridge University Press
- Place of publication:
- Cambridge
The objective of this article is to analyse whether the increased reliance on marketisation in the provision of social care challenges the universality of eldercare in Sweden, Denmark, Finland and Norway. The study focuses on national reforms for contracting out and user choice of provider, analysing their consequences for four universalistic dimensions: (i) equal inclusion, (ii) public funding, (iii) public provision and (iv) comprehensive usage. The findings suggest that, although need-based inclusion and public funding remain key principles in all four countries, there is an increased reliance on private provision in Sweden, Denmark and Finland. In addition, the introduction of topping-up services challenges the dimension of comprehensive usage by enabling users with economic resources to turn to the private market to increase the comprehensiveness and quality of their care. (Publisher abstract)
Transformation by stealth: the retargeting of home care services in Finland
- Authors:
- KRÖGER Teppo, LEINONEN Anu
- Journal article citation:
- Health and Social Care in the Community, 20(3), May 2012, pp.319-327.
- Publisher:
- Wiley
This article explores changes that Finish home care services for older people have undergone during the last two decades. Data drawn from national social care statistics, 1990–2010, suggest, in contrast to many other European nations, the coverage levels in Finland have dropped dramatically during this period. Those with the highest needs do receive increased amounts of support, but others have become excluded from publicly funded home care provisions. Overall, the changes represent weakening defamilisation, that is, decreasing public responsibility for the needs of many older people and, correspondingly, an increasing reliance on family carers. This full-scale transformation of home care has taken place without any real policy debate or major modification of legislation. No actual decision was ever made to thoroughly alter the character of home care in Finland: the transformation happened by stealth.
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.
Caring for children and older people: a comparison of European policies and practices
- Authors:
- ROSTGAARD Tina, FRIDBERG Torben
- Publisher:
- Danish National Institute of Social Research
- Publication year:
- 1998
- Pagination:
- 597p.
- Place of publication:
- Copenhagen