Trap for Women or Freedom to Choose? The Struggle over Cash for Child Care Schemes in Finland and Sweden

2009 ◽  
Vol 38 (3) ◽  
pp. 457-475 ◽  
Author(s):  
HEIKKI HIILAMO ◽  
OLLI KANGAS
Keyword(s):  
Child Care ◽  
Home Care ◽  
Path Dependence ◽  
Institutional Care ◽  
Policy Options ◽  
Social Equality ◽  
Political Discourses ◽  
Political Debates ◽  
Care At Home ◽  
Welfare Reforms

AbstractDebates on welfare reforms have revolved around institutional inertias with the emphasis on institutions as structures. We argue that political discourses work in the same vein and create continuities constraining the array of possible policy options – political frames as carriers of institutional inertia and path dependence. The data are based on political debates on child home care in Finland and Sweden. The ‘trap for women’ frame became dominant in the Swedish discourse, while in Finland ‘freedom to choose’ has been hegemonic. According to the Swedish frame, public day care offers children the best preconditions for later development and enhances social equality, whereas in Finland care at home with all its positive characteristics was contrasted with bureaucratic institutional care. The article highlights how politicians have used these hegemonic discourses to maintain the legitimacy of certain policy options.

DEINSTITUTIONALIZATION OF THE CHILD CARE SYSTEM IN LITHUANIA

2020 ◽  
Vol 11 (4.1) ◽  
pp. 121-131
Author(s):  
Jolanta Pivoriene
Keyword(s):  
Child Care ◽  
Necessary Conditions ◽  
Institutional Care ◽  
Secondary Data ◽  
Community Based ◽  
Political Discourses ◽  
Qualitative Evidence ◽  
To Receive ◽  
Community Based Services ◽  
Care System

The reform of the child care system in Lithuania started with the Ministry of Social Security and Labor approving the Strategic Guidelines for Deinstitutionalization in 2012, followed by the Transition from Institutional Care to Community-Based Services in 2014. The strategic aim of the reform was to create a system including a comprehensive range of services that would enable every child and their family or guardians to receive individual services as well as community assistance according to their needs. The process of transformation of institutional care was designed in two steps: creation of the necessary conditions for the transformation, which took place in 2014 to 2017, and development of infrastructure in the regions, planned for 2017 to 2020, but now extended to 2023. The goal of this article is to discuss the deinstitutionalization process by presenting legal regulations, information about the conceptualization and scope of the project, and evidence based on documents and statistical and secondary data analysis. I will also discuss possible contradictions between analytical and political discourses, and quantitative and qualitative evidence.

Upper Respiratory Tract Infections in Young Children: Duration of and Frequency of Complications

PEDIATRICS ◽  
1991 ◽  
Vol 87 (2) ◽  
pp. 129-133 ◽  
Author(s):  
Ellen R. Wald ◽  
Nancy Guerra ◽  
Carol Byers
Keyword(s):  
Child Care ◽  
Respiratory Tract ◽  
Home Care ◽  
Otitis Media ◽  
Day Care ◽  
Respiratory Tract Infections ◽  
Upper Respiratory Tract Infections ◽  
Upper Respiratory Tract ◽  
Upper Respiratory ◽  
Tract Infections

This study was performed to determine the usual duration of community-acquired viral upper respiratory tract infections and the incidence of complications (otitis media/sinusitis) of these respiratory tract infections in infancy and early childhood. Children in various forms of child-care arrangements (home care, group care, and day care) were enrolled at birth and observed for 3 years. Families were telephoned every 2 weeks to record on a standardized form the type and severity of illnesses experienced during the previous interval. Only children remaining in their original child-care group for the entire study period were compared. The mean duration of an upper respiratory tract infection varied between 6.6 days (for 1- to 2-year-old children in home care) and 8.9 days (for children younger than 1 year in day care). The percentage of apparently simple upper respiratory tract infections that lasted more than 15 days ranged from 6.5% (for 1- to 3-year-old children in home care) to 13.1% (for 2- to 3-year-old children in day care). Children in day care were more likely than children in home care to have protracted respiratory symptoms. Of 2741 respiratory tract infections recorded for the 3-year period, 801 (29.2%) were complicated by otitis media. During the first 2 years of life, children in any type of day care were more likely than children in home care to have otitis media as a complication of upper respiratory tract infection. In year 3, the risk of otitis media was similar in all types of child care.

Guilhème Pérodeau et Denyse Côté (Eds.). Le virage ambulatoire : Défis et enjeux. Sainte-Foy, QC: Presses de l'Université du Québec. 2002.

2004 ◽  
Vol 23 (2) ◽  
pp. 191-192
Author(s):  
Aline Vézina
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Home Care ◽  
Family Member ◽  
Informal Caregivers ◽  
Nursing Personnel ◽  
Negative Consequences ◽  
The Core ◽  
Care At Home

ABSTRACTThis book is comprised of three sections: the problems and consequences of the push for more de-institutionalized health care, the issues that crop up in this context, and the perceptions of the caregiver. At the core of this text are the two groups of women who are most present in this new context: the informal caregivers or family helpers and the nurses. Three conclusions become evident. Firstly, the push for home care has many negative consequences, especially for women. Secondly, although the help of a family member makes possible the dispensation of care at home, something wished for by most patients, it also entails an increase in, and professionalization of, the tasks for the caregiving family member. Finally, using the home as the place of care also has the consequence of increasing the tasks of nursing personnel, to the point where there is a perception that the quality of care has decreased.

scholarly journals Connected care for endocarditis and heart failure patients: a hospital-at-home programme

2021 ◽  
Author(s):  
J. van Ramshorst ◽  
M. Duffels ◽  
S. P. M de Boer ◽  
A. Bos-Schaap ◽  
O. Drexhage ◽  
...  
Keyword(s):  
Heart Failure ◽  
Home Care ◽  
Nurse Practitioners ◽  
Care Group ◽  
Proof Of Concept ◽  
Home Setting ◽  
Curative Care ◽  
Care At Home ◽  
Hospital At Home ◽  
At Home

Abstract Background Healthcare expenditure in the Netherlands is increasing at such a rate that currently 1 in 7 employees are working in healthcare/curative care. Future increases in healthcare spending will be restricted, given that 10% of the country’s gross domestic product is spent on healthcare and the fact that there is a workforce shortage. Dutch healthcare consists of a curative sector (mostly hospitals) and nursing care at home. The two entities have separate national budgets (€25 bn + €20 bn respectively) Aim In a proof of concept, we explored a new hospital-at-home model combining hospital cure and nursing home care budgets. This study tests the feasibility of (1) providing hospital care at home, (2) combining financial budgets, (3) increasing workforces by combining teams and (4) improving perspectives and increasing patient and staff satisfaction. Results We tested the feasibility of combining the budgets of a teaching hospital and home care group for cardiology. The budgets were sufficient to hire three nurse practitioners who were trained to work together with 12 home care cardiovascular nurses to provide care in a hospital-at-home setting, including intravenous treatment. Subsequently, the hospital-at-home programme for endocarditis and heart failure treatment was developed and a virtual ward was built within the e‑patient record. Conclusion The current model demonstrates a proof of concept for a hospital-at-home programme providing hospital-level curative care at home by merging hospital and home care nursing staff and budgets. From the clinical perspective, ambulatory intravenous antibiotic and diuretic treatment at home was effective in safely achieving a reduced length of stay of 847 days in endocarditis patients and 201 days in heart-failure-at-home patients. We call for further studies to facilitate combined home care and hospital cure budgets in cardiology to confirm this concept.

scholarly journals MaineHealth: Development, Implementation, and Success in Telehealth for Home Care

2018 ◽  
Vol 2 (5) ◽  
Author(s):  
Robert Abel
Keyword(s):  
Palliative Care ◽  
Home Care ◽  
Long Term Care ◽  
Opinion Leaders ◽  
Term Care ◽  
National Conference ◽  
Chief Nursing Officer ◽  
Care At Home ◽  
Medicine Today

No abstract available. Editor’s note: On March 16th and 17th, 2017, Telehealth and Medicine Today convened a national conference of opinion leaders to discuss and debate “Technologies and Tactics Transforming Long-term Care.” What follows is the lecture by Robert Abel who is the Chief Nursing Officer and Director of Palliative Care for MaineHealth Care at Home, a member of the MaineHealth system.

scholarly journals Nurse-elderly patient communication in home care and institutional care: an explorative study

1998 ◽  
Vol 35 (1-2) ◽  
pp. 95-108 ◽  
Author(s):  
Wilma M.C.M. Caris-Verhallen ◽  
Ada Kerkstra ◽  
Peter G.M. van der Heijden ◽  
Jozien M. Bensing
Keyword(s):  
Elderly Patient ◽  
Home Care ◽  
Institutional Care ◽  
Patient Communication ◽  
Explorative Study

The ageing ‘care crisis’ in Japan: is there a role for robotics-based solutions?

2021 ◽  
Vol 5 (1) ◽  
pp. 165-171
Author(s):  
Hiroo Ide ◽  
Naonori Kodate ◽  
Sayuri Suwa ◽  
Mayuko Tsujimura ◽  
Atsuko Shimamura ◽  
...  
Keyword(s):  
Home Care ◽  
Future Development ◽  
Assistive Technologies ◽  
Policy Options ◽  
Physical Support ◽  
Effective Implementation ◽  
Individual Preferences ◽  
Insurance Payment ◽  
Formal Policy ◽  
Roll Out

Japan is facing a ‘care crisis’. There is an urgent need to ascertain the extent to which potential users are willing to use robotics-aided care before its roll-out as a formal policy. Based on our recent survey, we discuss home-care professionals’ real perceptions and their implications for the future development and implementation of home-care robots. While they showed some concerns about robotics-aided care, they perceived ‘physical support’, ‘communication’ and ‘monitoring’ functions positively. A small number of care professionals recommended assistive technologies listed in the insurance payment scheme. We conclude that both individual preferences and formal policy options are necessary for an effective implementation of robotics-aided care.

Long-term institutional care or home care? What is the best solution for the Canton of Vaud?

Health Policy ◽  
1988 ◽  
Vol 10 (1) ◽  
pp. 57-63
Author(s):  
Bernard Bachelard ◽  
Gérald Tinturier
Keyword(s):  
Home Care ◽  
Institutional Care

“The right of the state to interfere is unquestioned”

2017 ◽  
Author(s):  
Megan Birk
Keyword(s):  
Child Care ◽  
Foster Care ◽  
Institutional Care ◽  
The State ◽  
Dependent Child ◽  
Dependent Children ◽  
The Right

This chapter examines efforts to remedy the problems with farm placements. It looks at the state boards of charity, visiting agents, and courts as examples of methods used to improve placing out. As the state boards worked to legitimize their expertise and county officials tried to improve the care given to dependent children, work remained to standardize care and encourage placements. State boards recommended a second initiative in addition to better oversight of institutional care to secure more placement homes and supervision for children: hiring state visiting agents to supervise placed-out children. This chapter explores how the two-pronged issue of mistreatment of children in placement homes and the resulting efforts to increase supervision ultimately forced placers and visitors to make a number of proposals, including a return of direct aid and more involvement by the courts. It also considers the rise in paid foster care and how it affected all facets of dependent child care.

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