scholarly journals Mapping the Future of Family Care: Receipt of Informal Care by Older People with Disabilities in England to 2032

2012 ◽  
Vol 11 (4) ◽  
pp. 533-545 ◽  
Author(s):  
Linda Pickard ◽  
Raphael Wittenberg ◽  
Adelina Comas-Herrera ◽  
Derek King ◽  
Juliette Malley
Keyword(s):  
Older People ◽  
Informal Care ◽  
Family Care ◽  
People With Disabilities ◽  
Developed Countries ◽  
Policy Implications ◽  
Term Care ◽  
The Future ◽  
Future Supply ◽  
Care Systems

Many long-term care systems in economically developed countries are reliant on informal care. However, in the context of population ageing, there are concerns about the future supply of informal care. This article reports on projections of informal care receipt by older people with disabilities from spouses and (adult) children to 2032 in England. The projections show that the proportions of older people with disabilities who have a child will fall by 2032 and that the extent of informal care in future may be lower than previously estimated. The policy implications, in the context of the Dilnot Commission's report, are explored.

scholarly journals Future long-term care expenditure in Germany, Spain, Italy and the United Kingdom

2006 ◽  
Vol 26 (2) ◽  
pp. 285-302 ◽  
Author(s):  
ADELINA COMAS-HERRERA ◽  
RAPHAEL WITTENBERG ◽  
JOAN COSTA-FONT ◽  
CRISTIANO GORI ◽  
ALESSANDRA DI MAIO ◽  
...  
Keyword(s):  
United Kingdom ◽  
Older People ◽  
Informal Care ◽  
Long Term Care ◽  
Base Case ◽  
Term Care ◽  
Considerable Uncertainty ◽  
The United Kingdom ◽  
The Future

This paper reports findings from a European Commission funded study of future long-term care expenditure in Germany, Italy, Spain and the United Kingdom, and presents projections of future long-term care expenditure in the four countries under a number of assumptions about the future. Macro-simulation (or cell-based) models were used to make comparable projections based on a set of common assumptions. A central base-case served as a point of comparison by which to explore the sensitivity of the models to alternative scenarios for the key determinants. The sensitivity of the models to variant assumptions about the future numbers of older people, the prevalence of functional dependency and informal care, patterns of long-term provision, and macroeconomic conditions are examined. It was found that, under the base-case, the proportion of gross domestic product spent on long-term care is projected to more than double between 2000 and 2050 in each country. The projected future demand for long-term care services for older people is sensitive to assumptions about the future number of older people, the prevalence of dependency and the availability of informal care, and projected expenditure is sensitive to assumptions about rises in the real unit-costs of services and the structure of the models. It is important, for planning purposes, to recognise the considerable uncertainty about future levels of long-term care expenditure.

scholarly journals Is informal care sufficient to meet the long-term care needs of older people with disabilities in China? Evidence from the China Health and Retirement Longitudinal Survey

2019 ◽  
pp. 1-20 ◽  
Author(s):  
Wei Yang ◽  
Si Ying Tan
Keyword(s):  
Older People ◽  
Informal Care ◽  
Daily Living ◽  
Long Term Care ◽  
Unmet Needs ◽  
People With Disabilities ◽  
Care Provision ◽  
Care Needs ◽  
Term Care

Abstract Rapid demographic shifts and socio-economic changes are fuelling concerns over the inadequate supply of informal care – the most common source of care-giving for older people in China. Unmet long-term care needs, which are believed to cause numerous adverse effects on health, continue to increase. Drawing data from the 2015 wave of the China Health and Retirement Longitudinal Survey, this study explores the relationship between informal care provision and unmet long-term care needs among older people in China. We first examine the availability of informal care among older people with disabilities. We then analyse whether a higher intensity of informal care leads to lower unmet needs. Our findings suggest that the majority of older people with disabilities receive a low intensity of care, i.e. less than 80 hours per month. Besides, a higher intensity of informal care received could significantly lower the probabilities of unmet needs for the disabled older adults who have mainly instrumental activities of daily living limitations. Our study points out that informal care cannot address the needs of those who are struggling with multi-dimensional difficulties in their daily living. Our findings highlight a pressing need for the government to buttress the formal care provision and delivery systems to support both informal care-givers and disabled older people in China.

scholarly journals A growing care gap? The supply of unpaid care for older people by their adult children in England to 2032

2013 ◽  
Vol 35 (1) ◽  
pp. 96-123 ◽  
Author(s):  
LINDA PICKARD
Keyword(s):  
Older People ◽  
Adult Children ◽  
Long Term Care ◽  
People With Disabilities ◽  
Term Care ◽  
Care Gap ◽  
Unpaid Care ◽  
The Future ◽  
Care For Older People

ABSTRACTA key feature of population ageing in Europe and other more economically developed countries is the projected unprecedented rise in need for long-term care in the next two decades. There is, however, considerable uncertainty over the future supply of unpaid care for older people by their adult children. The future of family care is particularly important in countries planning to reform their long-term care systems, as is the case in England. This article makes new projections of the supply of intense unpaid care for parents aged 65 and over in England to 2032, and compares these projections with existing projections of demand for unpaid care by older people with disabilities from their children. The results show that the supply of unpaid care to older people with disabilities by their adult children in England is unlikely to keep pace with demand in future. By 2032, there is projected to be a shortfall of 160,000 care-givers in England. Demand for unpaid care will begin to exceed supply by 2017 and the unpaid ‘care gap’ will grow rapidly from then onwards. The article concludes by examining how far this unpaid ‘care gap’ is likely to be met by other sources of unpaid care or by developments in new technology and examines the implications of the findings for long-term care policy.

The Impact of Modernisation and Social Policy on Family Care for Older People in Japan

2000 ◽  
Vol 29 (2) ◽  
pp. 181-203 ◽  
Author(s):  
MAKOTO KONO
Keyword(s):  
Social Policy ◽  
Older People ◽  
Informal Care ◽  
Family Care ◽  
Family Values ◽  
Patriarchal Family ◽  
Care Services ◽  
And Gender ◽  
The Impact ◽  
Welfare Model

In Japan the ideology of familism has reproduced patriarchal family values. It successfully retained family centred welfare provision and gender inequality in informal care work, and ensured formal care services were residual. However, the advancement of modernisation has weakened the effectiveness of the informal care sector, and the demand for care has increased steadily along with the ageing of the population. Moreover, informal care based on the self-sacrifice of family carers tends to be less popular. This tendency is especially evident in the opinions of the younger generation and females. Furthermore, structural shifts in their working circumstances, particularly of females, makes the continuation of the patriarchal approach to informal care more difficult. In the field of the care of older people, as part of the strategy for restructuring the Japanese welfare system, the emphasis is now more on market activities, which is in accord with the assumptions underlying ‘the residual welfare model of social policy’ (Titmuss, 1974).

scholarly journals Employment at 55+: Do We Want to work Longer in Lithuania?

Ekonomika ◽  
2020 ◽  
Vol 99 (1) ◽  
pp. 50-68
Author(s):  
Kristina Zitikytė
Keyword(s):  
Labor Market ◽  
Older People ◽  
Older Workers ◽  
Social Insurance ◽  
People With Disabilities ◽  
The Elderly ◽  
Employment Rate ◽  
Term Care ◽  
Demographic Aging

 The Lithuanian population is aging, and it causes many difficulties for public finances by increasing expenditures on health care, long-term care, and pensions, and also for the labor market by creating labor shortages. One of the ways to cope with demographic aging is to rise the employment rate of older people. According to Eurostat, the employment rate of the elderly aged 55–64 years increased from 49.6 percent in 2005 to 68.5 percent in 2018 in Lithuania and it is higher than the average employment rate of older workers in European Union, which was 58.7 percent in 2018. This paper focuses on older people in Lithuania, aged 55 and over, trying to answer a question whether the elderly in Lithuania willingly work or try to find alternatives such as receiving long-term social insurance benefits. The research findings show that the activity of older people in the labor market grows, and even the share of people with disabilities staying in the labor market increases. However, this analysis also shows that older people are more under risk to lose their job during an economic crisis, and this suggests that trying to find work alternatives can be closely related to one’s economic situation. Moreover, health problems remain one of the main factors limiting the activity of older people in the labor market. It is also noticeable that some labor force reserves exist among people with disabilities and this supposes that creating better adapted working conditions for older and disabled workers in Lithuania could probably contribute to meeting the needs of an aging workforce.

Tensions and polarities in the autonomy of family carers in the context of the COVID-19 pandemic in France

2022 ◽  
Author(s):  
Olivier Giraud ◽  
Anne Petiau ◽  
Abdia Touahria-Gaillard ◽  
Barbara Rist ◽  
Arnaud Trenta
Keyword(s):  
Older People ◽  
Social Service ◽  
Long Term Care ◽  
Health Protection ◽  
Family Carers ◽  
Frail Older People ◽  
Term Care ◽  
Care Systems ◽  
The Impact

This article analyses the impact of the COVID-19 lockdown on ‘monetised’ family carers’ understanding of their own autonomy in a long-term care relation at home. The reduction or suspension of medico-social service deteriorated the situation of family carers of frail older people or people with disability. We develop and apply an analytical grid of 15 interviews of monetised family carers about the reorganisation of care systems and their situation as carers. We identify three types of understandings of autonomy among family carers in the context of the COVID-19 pandemic: preventive autonomy; health protection autonomy; and supported autonomy.

Everyday Experience of Front-Line Professionals and In/Formal Carers

2012 ◽  
Vol 2 (3) ◽  
pp. 27-39 ◽  
Author(s):  
Henglien Lisa Chen
Keyword(s):  
Older People ◽  
Needs Assessment ◽  
Well Being ◽  
Care Needs ◽  
Term Care ◽  
Face To Face ◽  
Care Services ◽  
Care Systems ◽  
Informal Carers ◽  
The Impact

To address the risks to families of the availability of care for their older family members, this paper explores the impact of different care systems on the way that relevant care actors contribute to the long-term care of older people. It is based on an empirical study of the care needs assessment and care provision in England, the Netherlands and Taiwan. The participants in the study include 143 care actors at national, regional and local levels across the countries. It found that the objective of providing care needs is similar in each of the countries studied. However, the everyday life of professionals and in/formal carers differs based on the care culture and care policy in each country. Overall, care professionals and formal carers experience satisfaction in their caring role when sufficient time is available for them to work with individuals. Face-to-face contact with older people is important to care professionals if adequate needs assessment could be performed. Helping informal carers extend their ability to carry out their role may improve their well-being as carers and reduce the demand for formal care services.

Sign in / Sign up

Export Citation Format

Share Document