Adult children and parental care-giving: making sense of participation patterns among siblings

2010 ◽  
Vol 31 (2) ◽  
pp. 308-327 ◽  
Author(s):  
ANU M. LEINONEN
Keyword(s):  
Primary Care ◽  
Parental Care ◽  
Social Care ◽  
Care Giver ◽  
Sibling Relations ◽  
Making Sense ◽  
Care Services ◽  
Care Giving ◽  
Almost All ◽  
Primary Care Giver

ABSTRACTThe aim of this article is to analyse 20 Finnish working carers' perceptions of their sibling relations and the sharing of the responsibility for parental care. The main focus is on the interviewees' rationales for the participation or non-participation of their siblings in the parents' care. Almost all the interviewed carers stated that the division of care responsibilities is unequal and that they are the primary carers, but the majority did not convey any clear intention to try to persuade their siblings to increase their participation in parental care. In many cases, the siblings were described either as entirely absent or as providing occasional backup, but some interviewees reported that caring for the parent(s) was shared with their other siblings. Consequently, three participation patterns were identified: ‘absence’, ‘backup’ and ‘togetherness’. All the interviewees offered rationales for the unequal division of care tasks and responsibilities among the siblings. The discussion focuses on these rationales and their variations by participation patterns, and considers the similarity of the findings to those from previous American and British studies. The study concludes that social-care services should take the primary carer's siblings into consideration, although not always as a ‘resource’. It should not be taken for granted or assumed that the primary care-giver receives help from her or his siblings, even if their relationship is otherwise close and unproblematic.

Elasticity of care networks and the gendered division of care

2014 ◽  
Vol 35 (4) ◽  
pp. 675-703 ◽  
Author(s):  
WILCO KRUIJSWIJK ◽  
BARBARA DA ROIT ◽  
MARCEL HOOGENBOOM
Keyword(s):  
Primary Care ◽  
Qualitative Analysis ◽  
Gender Gap ◽  
Research Finding ◽  
Family Care ◽  
Care Giver ◽  
Care Givers ◽  
Care Giving ◽  
Dynamic Perspective ◽  
Primary Care Giver

ABSTRACTThe gender gap in family care-giving is an established research finding: men dedicate less time to care-giving and provide specific gendered types of help. This article argues that in order to grasp men's contribution to care arrangements one should recognise the multifaceted nature of care and examine care networks beyond the ‘care receiver–primary care-giver’ dyad with a dynamic perspective. A qualitative analysis of the care networks of three large Dutch families with an older parent in need of care confirms the greater involvement of women in care-giving and men's tendency to provide specific types of care. However, men also contribute to the elasticity and stability of the care arrangement by filling temporary gaps and supporting the female care-givers. This article puts forward the idea that men's contribution is in turn a factor in the perpetuation of the gendered structure of care-giving.

scholarly journals Understanding variation in unplanned admissions of people aged 85 and over: a systems-based approach

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e026405 ◽  
Author(s):  
Andrew Wilson ◽  
Richard Baker ◽  
John Bankart ◽  
Jay Banerjee ◽  
Ran Bhamra ◽  
...  
Keyword(s):  
Primary Care ◽  
Social Care ◽  
Primary Care Trust ◽  
Community Health Services ◽  
Shared Vision ◽  
Admission Rates ◽  
Care Services ◽  
Health And Social Care ◽  
Study Sites ◽  
Unplanned Admissions

AimTo examine system characteristics associated with variations in unplanned admission rates in those aged 85+.DesignMixed methods.SettingPrimary care trusts in England were ranked according to changes in admission rates for people aged 85+ between 2007 and 2009, and study sites selected from each end of the distribution: three ‘improving’ sites where rates had declined by more than 4% and three ‘deteriorating’ sites where rates had increased by more than 20%. Each site comprised an acute hospital trust, its linked primary care trust/clinical commissioning group, the provider of community health services and adult social care.ParticipantsA total of 142 representatives from these organisations were interviewed to understand how policies had been developed and implemented. McKinsey’s 7S framework was used as a structure for investigation and analysis.ResultsIn general, improving sites provided more evidence of comprehensive system focused strategies backed by strong leadership, enabling the development and implementation of policies and procedures to avoid unnecessary admissions of older people. In these sites, primary and intermediate care services appeared more comprehensive and better integrated with other parts of the system, and policies in emergency departments were more focused on providing alternatives to admission.ConclusionsHealth and social care communities which have attenuated admissions of people aged 85+ prioritised developing a shared vision and strategy, with sustained implementation of a suite of interventions.

Pastoral Care in an Interim Setting

2003 ◽  
Vol 100 (2) ◽  
pp. 207-218
Author(s):  
Fred D. McGehee
Keyword(s):  
Primary Care ◽  
Pastoral Care ◽  
Care Giver ◽  
Serious Illness ◽  
Vital Importance ◽  
Primary Care Giver

Pastoral care—caregiving—is probably the most important of all the ministries of a pastor. Every pastor knows the vital importance of care provided in times of crisis, serious illness or injury, and death. Such care, according to McGehee, is even more crucial in the interim situation. In addition to crisis ministry, the interim pastor is the primary care giver in the ordinary situations of ministry. He or she is to be the encourager, the enabler, the empowerer for the congregation.

scholarly journals Evaluation of primary care services in Hungary

2020 ◽  
Author(s):  
Imre Rurik ◽  
Zoltán Jancsó ◽  
László Kalabay ◽  
Levente Lánczi ◽  
Lajos Mester ◽  
...  
Keyword(s):  
Primary Care ◽  
Service Level ◽  
Comprehensive Overview ◽  
Process Indicators ◽  
Community Orientation ◽  
Care Services ◽  
Primary Care Services ◽  
Burn Out ◽  
Gate Keeping ◽  
Almost All

Abstract Background. It is a major challenge to show what configurations of primary care(PC) is associated with better outcomes, in terms of quality, equity and costs. The QUALICOPC Study tried to analyse and compare them within 35 countries, using validated questionnaires filled by family physicians/general practitioners (GPs). This paper aims to provide data of the Hungarian-arm of the QUALICOPC Study; to compare some findings to that of other participating countries; to give a comprehensive overview about the recent Hungarian PC system. Methods. Altogether 222 questionnaires were completed by Hungarian GPs, delivered by fieldworkers, in a geographically representative distribution. Results . Financing are based mostly on capitation, with smaller additional compensatory elements and minor quality incentives. The gate-keeping function is weak, although by referrals, the preference of patients is mostly considered. Communication between PC and specialists is often insufficient. Variety of available devices and equipment’s are appropriate. Single handed practices were 87%. Appointment instead of queuing is a new option and become more popular, mainly among better educated and urban patients. GPs are involved in the management of almost all chronic condition of all generations. Half of them estimate their job as still interesting, burn-out symptoms were rarely found. Among the evaluated process indicators, access, continuity, comprehensiveness and coordination were rated as satisfactory, together with equity among health outcome indicators. Financing is not sufficient, therefore many GPs are involved in other earning activities. The increasing shortage of manpower is a major challenge. Conclusions. In the past 2 decades, there was visible improvement at service level and in economic circumstances. Cooperation and communication between different levels of health care provision should be improved, focusing better to community orientation and to preventive services. There is a need for specific primary care oriented guidelines to define the expected tasks of GPs.

Music Therapy and Parent-Infant Programmes

2015 ◽  
Author(s):  
Jane Edwards ◽  
Vicky Abad
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Music Therapy ◽  
Therapy Group ◽  
Infant Care ◽  
Care Giver ◽  
Secure Attachment ◽  
Individual Work ◽  
Primary Care Giver ◽  
The Relationship

Parent-infant work in music therapy provides the opportunity for the existing musicality of the infant-care giver pair to be accessed and enhanced. Music therapy is provided to support and enhance the skills of the dyad thus improving the relational strengths where a difficulty or impairment of satisfying contact in the relationship has occurred. The approaches developed in parent infant music therapy group and individual work have been informed primarily from an understanding of the importance of an infant achieving secure attachment with a primary care giver as the basis of ongoing lifelong mental health. This chapter provides an overview of practice in parent-infant music therapy programmes, including considerations for starting groups. Additionally, the growing literature in this field is presented and discussed.

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