Nach dem Pflegestärkungsgesetz II: Eine alternative Interpretation der Probleme und ein Plädoyer für potenzialorientierte Reformen

2016 ◽  
Vol 62 (1) ◽  
pp. 49-78 ◽  
Author(s):  
Konstantin Kehl
Keyword(s):  
Informal Care ◽  
Policy Instruments ◽  
Alternative Interpretation ◽  
Term Care ◽  
Care Giving ◽  
The Social ◽  
Long Term Care Insurance ◽  
Cash Benefits

Abstract The German long-term care insurance has been introduced 20 years ago and recently reformed, but is still subject to criticism. A continued decline of informal care-giving is indicated by a decreasing percentage of people who receive cash benefits for informal care. It renders the political goal of strengthening informal care unachievable, even though it would contribute to the financial sustainability and a more encompassing approach to care. Referring to socio-demographic developments, the author suggests a capability-oriented policy strategy aiming at the mobilization of resources within the social proximity of the affected elderly. Such a strategy would not only contribute to reduce costs, but would also increase quality of life and public legitimacy. As part of such an approach policy instruments will be discussed that aim at activating and facilitating informal care.

scholarly journals Does long-term care coverage shape the impact of informal care-giving on quality of life? A difference-in-difference approach

2018 ◽  
Vol 40 (6) ◽  
pp. 1291-1308 ◽  
Author(s):  
Thijs van den Broek ◽  
Emily Grundy
Keyword(s):  
Quality Of Life ◽  
Informal Care ◽  
Fixed Effects ◽  
Long Term Care ◽  
Difference In Difference ◽  
Term Care ◽  
Care Giving ◽  
The Impact

AbstractThe impact that providing care to ageing parents has on adult children's lives may depend on the long-term care (LTC) context. A common approach to test this is to compare whether the impact of care-giving varies between countries with different LTC coverage. However, this approach leaves considerable room for omitted variable bias. We use individual fixed-effects analyses to reduce bias in the estimates of the effects of informal care-giving on quality of life, and combine this with a difference-in-difference approach to reduce bias in the estimated moderating impact of LTC coverage on these effects. We draw on longitudinal data for Sweden and Denmark from the Survey of Health, Ageing and Retirement in Europe (SHARE) collected between 2004 and 2015. Both countries traditionally had generous LTC coverage, but cutbacks were implemented at the end of the 20th century in Sweden and more recently in Denmark. We use this country difference in the timing of the cutbacks to shed light on effects of LTC coverage on the impact care-giving has on quality of life. Our analyses show that care-giving was more detrimental for quality of life in Sweden than in Denmark, and this difference weakened significantly when LTC coverage was reduced in Denmark, but not in Sweden. This suggests that LTC coverage shapes the impact of care-giving on quality of life.

Attitudes Toward Intelligent Technologies

2011 ◽  
pp. 231-252
Author(s):  
Lorenza Tiberio ◽  
Massimiliano Scopelliti ◽  
Maria Vittoria Giuliani
Keyword(s):  
Quality Of Life ◽  
Nursing Homes ◽  
Elderly People ◽  
Term Care ◽  
Care Services ◽  
Care Giving ◽  
Human Care

Nursing homes provide long-term care services and can help preserve the quality of life of elderly people subject to physical and cognitive impairments. In this chapter, we explore the role of intelligent technologies as a supplement to human care-giving and the potential to improve quality of life for both older adults and their caregivers in nursing homes. A study was conducted on elderly people’s and caregivers’ attitudes toward the use of intelligent technologies in nursing homes, with the aim of understanding in which domains of everyday activities the application of intelligent technologies can be more suitable. Results showed that attitude toward the application of intelligent technologies in nursing homes is positive, although multifaceted. Elderly people and caregivers considered intelligent technologies as relevant devices for the improvement of quality of life in different domains. Nonetheless, differences related to the role that technologies played in nursing homes clearly emerged.

Health-related quality of life and beneficiaries of long-term care insurance in Japan

Health Policy ◽  
2008 ◽  
Vol 85 (3) ◽  
pp. 349-355 ◽  
Author(s):  
Hirohisa Imai ◽  
Yoshinori Fujii ◽  
Yoshiharu Fukuda ◽  
Hiroyuki Nakao ◽  
Yuichiro Yahata
Keyword(s):  
Quality Of Life ◽  
Long Term Care ◽  
Health Related Quality ◽  
Term Care ◽  
Related Quality ◽  
Health Related ◽  
Long Term Care Insurance

Home Visiting Nurse Service Duration and Factors Related to Institution Admission

2016 ◽  
Vol 29 (1) ◽  
pp. 46-52
Author(s):  
Takashi Naruse ◽  
Mahiro Fujisaki-Sakai ◽  
Satoko Nagata
Keyword(s):  
Home Visiting ◽  
Cox Regression ◽  
Client Characteristics ◽  
Term Care ◽  
Persons With Disabilities ◽  
Cox Regression Analysis ◽  
Long Term Care Insurance ◽  
Insurance Data

To empirically measure the quality of home visiting nursing (HVN) agencies in Japan, we longitudinally observed the duration of clients’ HVN use and identified the factors correlated with hospitalization/institutionalization. Medical and long-term care insurance data were analyzed from 1,722 persons with disabilities aged at least 75 years who began using an HVN. At the 12-month follow-up, 67.7% of clients were no longer using the HVN; among these, 48.9% were hospitalized/institutionalized and 23.6% had died. Cox regression analysis showed that risk of hospitalization/institutionalization in HVN agencies depends on client characteristics at service commencement. Measuring the quality of HVN agencies by weighting clients’ characteristics as risk factors for hospitalization and/or institutionalization may be appropriate.

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