scholarly journals HOW POLITICO-ECONOMIC SYSTEMS CAN SHAPE THE ATTITUDE TOWARD ELDERLY CARE: LESSONS FROM THE GERMAN REUNIFICATION

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S675-S676
Author(s):  
Freya Diederich ◽  
Hans-Helmut König ◽  
Christian Brettschneider
Keyword(s):  
Informal Care ◽  
Elderly Care ◽  
The Elderly ◽  
West Germany ◽  
Birth Cohorts ◽  
Random Effects Models ◽  
Care For The Elderly ◽  
Significant Difference ◽  
The Future ◽  
Migration Flows

Abstract Migration flows have been rising over the past decades and are not expected to mitigate in the future. Migrants brings along values and preferences that were shaped by their origin countries, among those, their perceptions of how societies should care for the elderly. In this study, we examine how the attitude towards informal care is shaped by the politico-economic system an individual grew up in and if this attitude adjusts over time once an individual lives in a different system. After the fall of the Berlin Wall, Eastern Germans were exposed to the market-oriented western economy, a natural experiment that allows us to address these issues. By analyzing data from the German Family Panel (2009/10-2015/16), we assess differences in attitudes towards informal care among four birth cohorts that were born during the German separation (N=11,966) using random-effects models. We control for socio-demographic factors as well as the institutional and economic environment an individual lives in. The results reveal that, on average, older generations that grew up in East Germany exhibit up to a 6.7% (95% CI, 0.03-0.1) higher willingness to provide informal care to their parents than older generations that grew up in West Germany. There is no significant difference in younger birth cohorts. Attitudes do not significantly converge over the observed time horizon. The results provide evidence that individuals’ attitude towards informal care is deeply shaped by the system they grew up in such that migration flows can influence the supply of informal care in the future.

How Politico-Economic Systems Shape Individuals’ Value of Elderly Care: Evidence From the German Reunification

2019 ◽  
Author(s):  
Freya Diederich ◽  
Hans-Helmut König ◽  
Christian Brettschneider
Keyword(s):  
Economic System ◽  
Elderly People ◽  
Informal Care ◽  
Elderly Care ◽  
The Elderly ◽  
Social Market Economy ◽  
Birth Cohorts ◽  
Care For The Elderly ◽  
Average Marginal Effects ◽  
Social Market

Abstract Background and Objectives Perceptions of how societies should care for the elderly people can differ among countries. This study examines to what extent individuals’ value of informal care is shaped by the politico-economic system in which they grew up and if this value adjusts once an individual lives in a different politico-economic system. Research Design and Methods We use data from the German Family Panel and take advantage of the unique setting of the German separation and reunification. Probit models are used to examine the effect of being born in East Germany on individuals’ value of informal care relative to employment at different birth cohorts and survey waves (N = 14,093). Average marginal effects are calculated. Results Twenty years after reunification, East Germans who spent their adolescence under communism exhibit a higher value of informal care relative to employment than West Germans who grew up in a western social market economy. Differences in values between East and West Germans do not significantly converge over time. Discussion and Implications Individuals’ value of informal care is deeply shaped by the politico-economic system in which they grew up. If immigration policies are introduced to increase the care for elderly people, differences in individuals’ cultural perceptions of elderly care should be considered as these will not suddenly adjust.

scholarly journals Nothing but Trouble: Studies on the Effects of Reforms in Elderly Care in Sweden and Poland

2013 ◽  
Vol 6 (1) ◽  
pp. 31-60 ◽  
Author(s):  
Iwona Sobis
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Practical Implication ◽  
Elderly Care ◽  
The Elderly ◽  
Negative Effects ◽  
The Public ◽  
Care Services ◽  
Care For The Elderly ◽  
The Future

Abstract Reforms of the public sector, conducted in the spirit of NPM since the 1990s, are frequently studied by Western and Eastern scholars. The research shows national variations in how the NPM idea was translated and adapted into a country’s context and regulations. Care for the elderly is an interesting example of reforms conducted in the spirit of NPM, because it relates to welfare and health care and to the competences of provincial and local authorities in most European countries. This paper addresses the following questions: What do we know about the reforms conducted in the spirit of NPM and its practical implication within the field of care for the elderly during 1990 - 2010? What kind of knowledge about care for the elderly is still missing and should be developed in the future ? Th is paper conducts comparative research on what is known about the effects of the Swedish and the Polish reforms regarding care for the elderly. It argues that most literature points to negative effects, but also to the fact that there are still gaps in our knowledge about the effects of reforms concerning elderly care, especially regarding its organization. Hence, despite all the research done, we do not know what kind of social and health-care services for seniors represent the best practices for the future.

scholarly journals Informal care of the elderly in Sweden – Carers’ situation

2016 ◽  
Vol 23 (1-2) ◽  
pp. 66-77
Author(s):  
Björn Albin ◽  
Christina Siwertsson ◽  
Jan-Olof Svensson
Keyword(s):  
Social Services ◽  
Informal Care ◽  
English Language ◽  
Elderly Care ◽  
National Development ◽  
The Elderly ◽  
The Public ◽  
English Language Journal ◽  
The Social ◽  
The Future

Informal care of the elderly (often given by a relative or a spouse) plays an important role in most societies. This article describes the situation and support for carers that exist in Sweden today and how this may develop in the future. The description is partly based on the results from the evaluation of a government supported project (‘Anhörig 300’) aimed to develop support for carers in the county of Kronoberg as well as from information and documents. Four different typical situations for carers are identified and indicate how very different situations for carers can be. During the 21st century the Swedish Government has given great attention to support for carers, mainly through changes in the legislation and through economic grants to the municipalities. In the future the support for carers must be given even greater attention and be developed further. The National Development Plan for Nursing and Care of the elderly in Sweden, from 2005, suggested increased support for carers as a complement to the public sector elderly care. From 2009 the Social Services Act has been changed in accordance with this plan. A key issue is to involve voluntary organisations to alleviate isolation and loneliness among carers. An earlier version of the following article was first published in Japanese in Chiiki Fukushi Kenkyu (Studies of Community Welfare), 2008; 36; 72-83. It has since been revised and updated for publication in an English language journal. 

scholarly journals Experiences with the privatization of home care: evidence from Denmark

2011 ◽  
Vol 2 ◽  
Author(s):  
Barbara Fersch ◽  
Per H Jensen
Keyword(s):  
Welfare State ◽  
Home Care ◽  
Central Government ◽  
Elderly Care ◽  
The Elderly ◽  
Care Providers ◽  
Public And Private ◽  
Political Actors ◽  
Financial Responsibility ◽  
Care For The Elderly

Processes of privatization in home care for the elderly in Denmark have primarily taken the form of outsourcing public-care provisions. The content and quality of services have in principle remained the same, but the providers of services have changed. The welfare state has continued to bear the major responsibility for the provision of elderly care, while outsourcing has allowed clients to choose between public and private providers of care. The major aim of outsourcing has been to empower the frail elderly by providing them with exit-opportunities through a construction of this group as consumers of welfare-state provisions. The central government in Denmark has produced the public-service reform, but the municipalities bear the administrative and financial responsibility for care for the elderly. Further, national policymakers have decided that local authorities (municipalities) must provide to individuals requiring care the opportunities to choose. With this background in mind, this article analyses how national, top-down ideas and the ‘politics of choice' have created tensions locally in the form of municipal resistance and blockages. The article draws on case studies in two Danish municipalities, whereby central politicians and administrative leaders have been interviewed. We have identified four areas of tensions: 1) those between liberal and libertarian ideas and values versus local political orientations and practices; 2) new tensions and lines of demarcation among political actors, where old political conflicts no longer holds; 3) tensions between promises and actual delivery, due to insufficient control of private contractors; and 4) those between market principles and the professional ethics of care providers.

Patterns of Expenditure in Healthcare for Elderly in Shanghai

China Report ◽  
2020 ◽  
Vol 56 (3) ◽  
pp. 334-353
Author(s):  
Zhu Bifan ◽  
Li Fen ◽  
Wang Linan ◽  
Wang Changying ◽  
Jin Chunlin
Keyword(s):  
Elderly Care ◽  
Age Groups ◽  
The Elderly ◽  
Pattern Of Care ◽  
Younger Adults ◽  
Care For The Elderly ◽  
The Status ◽  
Integration Of Services ◽  
Health Accounts ◽  
System Of Health Accounts

This study aims to summarise the characteristics of elderly care system and analyse expenditures of healthcare for the elderly in Shanghai. The authors use medical records of 2015 and health account results of 2014 based on System of Health Accounts 2011 to describe the pattern of care expenditures for elderly. Individuals aged 60 years and above account for 19.5 per cent of Shanghai’s population but utilise 52.2 per cent of all outpatient visits and 45.3 per cent of all hospitalisations. Almost two-thirds of their medical expenditures occur in hospitals and 16 per cent in community health centres, corresponding to the status of resource allocation. The out-of-pocket payment ratio of the elderly is lower than that of the younger adults, which is attributable to the preferential reimbursement polices set by the insurance schemes. The leading causes of expenditures are cardiovascular disease, neoplasms and respiratory diseases. Care for the elderly costs more, and the elderly use more services than other age groups. The article recommends the monitoring of irrational utilisation of services, strengthening of primary level care and integration of services across different facilities to streamline care for elderly in Shanghai.

scholarly journals Knowledge and Attitude Toward Geriatric Palliative Care among Health Professionals in Vietnam

2019 ◽  
Vol 16 (15) ◽  
pp. 2656 ◽  
Author(s):  
Huyen Thi Thanh Vu ◽  
Long Hoang Nguyen ◽  
Thanh Xuan Nguyen ◽  
Thu Nguyen ◽  
Tam Ngoc Nguyen ◽  
...  
Keyword(s):  
Palliative Care ◽  
Health Professionals ◽  
The Elderly ◽  
Attitude Score ◽  
Cross Sectional ◽  
Intensive Training ◽  
Care For The Elderly ◽  
Significant Difference ◽  
Geriatric Hospital ◽  
Knowledge And Attitude

This study assessed the knowledge and attitude toward palliative care for the elderly among health professionals in a tertiary geriatric hospital in Vietnam and explored their determinants. Cross-sectional data were obtained on 161 geriatric health professionals at the National Geriatric Hospital. Modified-Palliative Care Knowledge Test and Frommelt Attitudes Toward Care of the Dying instruments were used to measure knowledge and attitude toward geriatric palliative care. As a result, 40.5% physicians and 74.2% nurses showed insufficient knowledge about geriatric palliative care (p < 0.05). The lowest score was for dyspnea, following by gastrointestinal and pain problems. No significant difference was found regarding the attitude between physicians and nurses (p > 0.05). Health professional category, age, and years of experience were found to be associated with knowledge about palliative care. Meanwhile, only knowledge score had correlations with total attitude score (Coef. = 0.2; 95%CI = 0.1–0.3), attitude toward patients (Coef. = 0.1; 95%CI = 0.0–0.1) and toward patients’ family (Coef. = 0.1; 95%CI = 0.0–0.1). This study highlights a significant knowledge gap and preferable attitude toward palliative care for the elderly among physicians and nurses in the geriatric hospital. Intensive training about geriatric palliative care, focusing on pain, dyspnea and gastrointestinal issue management, should be performed to ensure the quality of palliative care services, especially in nurses.

scholarly journals Difficulties encountered in care for elderly persons with dementia: coping based on participatory research

2018 ◽  
Vol 21 (1) ◽  
pp. 35-43
Author(s):  
Barbara Martins Corrêa da Silva ◽  
Célia Pereira Caldas ◽  
Helena Maria Shchelowski Leal David ◽  
Michel Jean Marie Thiollent
Keyword(s):  
Family Caregivers ◽  
Participatory Research ◽  
Action Plan ◽  
Elderly Care ◽  
The Elderly ◽  
University Hospital ◽  
Support Network ◽  
Elderly Persons ◽  
Care For The Elderly ◽  
People With Dementia

Abstract Objective: to analyze the proposal of an action plan created by nurses to deal with difficulties in caring for the elderly. The aim of the present study was therefore to analyze the difficulties that family caregivers find in relation to access to services, material resources and the support network when meeting the care needs of the elderly in accordance with Brazilian public policy. Method: the methodology of participatory research and content analysis proposed by Bardin was used. The context was the Geriatric service of a university hospital. The group of co-researchers included eight nurses and 12 caregivers of elderly people with dementia. Results: the following categories emerged from the analysis: contradictions and work proposals. The contradictions category revealed reflections about the difference between the proposed care for the elderly and the reality of a lack of care and the precarious conditions of health services. This situation leads to overburdening of caregivers. The work proposals refer to the strategies used by nurses to establish a relationship of support to family caregivers to cope with the difficulties involved in care for the elderly. Conclusion: nurses recognize that they are professionals capable of receiving, listening to and managing the needs of family caregivers of the elderly, thus promoting the health of the elderly and the caregivers themselves, preparing the family of the patient for home care and coping with difficulties experienced in elderly care.

scholarly journals Why Women Care? Gender and Informal Care for the Elderly

2014 ◽  
Vol 15 (1) ◽  
pp. 41-54 ◽  
Author(s):  
Radka Dudová ◽  
Romana Volejníčková
Keyword(s):  
Informal Care ◽  
The Elderly ◽  
Care For The Elderly

scholarly journals Elderly Care: An Examination of Shahuchi Old People’s Home, Kano, Nigeria

2014 ◽  
Vol 12 (1) ◽  
Author(s):  
Patience E. Ukiri Mudiare
Keyword(s):  
Assisted Living ◽  
Filial Piety ◽  
Elderly Care ◽  
The Elderly ◽  
Gender Segregation ◽  
Social Needs ◽  
Assisted Living Facilities ◽  
Term Care ◽  
Care For The Elderly ◽  
Proactive Measures

In Nigeria, it is expected that children take care of their parents in their old age. However, it is increasingly becoming more difficult for children to cater for their aged parents who are not economically buoyant. Because of filial piety, the idea of putting one’s parents in an institution like old people’s home is an anathema for most people. Yet the need for such homes and other specialized care for the elderly is obvious in the light of the burden being experienced by women who are the major primary caregivers. This study of an Old People’s Home in Kano revealed that other than the accommodation and feeding provided, there are no specialized programmes and facilities to cater for the physical, mental and social needs of the elderly. Gender segregation is enforced but no consideration is given to differences in age, physical and developmental challenges. This highlights the urgent need for the Nigerian government to take more proactive measures in its policy on ageing by making provisions for long-term care facilities, residential arrangements with assisted living facilities, and adult day care centres with competent personnel.

scholarly journals Caring for the elderly: a report on the status of care for the elderly in the Eastern Mediterranean Region

2000 ◽  
Vol 6 (4) ◽  
pp. 636-643
Author(s):  
G. Hafez ◽  
K. Bagchi ◽  
R. Mahaini
Keyword(s):  
Health Care ◽  
Eastern Mediterranean ◽  
Elderly Care ◽  
Eastern Mediterranean Region ◽  
The Elderly ◽  
Community Services ◽  
Care For The Elderly ◽  
Government Sector ◽  
The Status ◽  
Elderly Health

To update our understanding of the status of elderly health care within the context of the Eastern Mediterranean Regional Office’s Strategy Paper on Elderly Care (1995), a short questionnaire was sent to all Member States of the Region, except Afghanistan and Somalia. The questionnaire sought information on the proportion of the elderly in the population, the status of health care and the level of economic, social, cultural and physical assistance available to the elderly. Of the 21 countries in the survey, 18 (86%) responded. The findings of the survey are discussed here under the headings of demography, national policies on elderly care, social benefits, health care, social and community services, economic burden and the role of the non-government sector

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