scholarly journals The Caregiver Support Ratio in Europe: Estimating the Future of Potentially (Un)Available Caregivers

Healthcare ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 11
Author(s):  
Oscar Ribeiro ◽  
Lia Araújo ◽  
Daniela Figueiredo ◽  
Constança Paúl ◽  
Laetitia Teixeira

The caregiver support ratio (CSR) is defined as the number of potential caregivers aged 45–64 years, the most common caregiving age range, for each person aged 80+, the subgroup of older adults most at risk of needing long-term services and support. This study uses data from the CENSUS HUB database and from the UN database to calculate the current (last year available: 2011) and projected (2020, 2030, 2040 and 2050) CSR for a group of European countries. Mediterranean countries, France, Belgium, and Sweden presented the lowest CSR (5:1) in 2011. The countries with the highest CSR were Slovakia (9:1) and Ireland, Poland, Cyprus, and Malta (8:1). The estimated CSR is expected to progressively decline from 6:1 (2011) to 2:1 (2050) for all countries. Although differences in the CSR exist between countries, the number of people aged 45–64 who are available to care for each person aged 80+ will decrease uniformly in the coming decades. Cross-national challenges for gerontological social policies and healthcare provision are expected due to the increasing demand for long-term care among the oldest population.

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S138-S138
Author(s):  
Oscar Riberio ◽  
Laetitia Teixeira ◽  
Lia Araujo ◽  
Constança Paúl

Abstract The caregiver support ratio (CSR) has been defined as the number of potential caregivers aged between 45 and 64 (the most common caregiving age range) for each person aged 80 and over (subgroup of older adults most at risk of needing long term services and support). In 2010, for the USA, this number was calculated to be 7 to 1, a ratio that was projected to shrink to 4 to 1 in 2030, and to 3 to 1 in 2015 according to the AARP Public Policy Institute. In this study we used data from CENSUS HUB to calculate the CSR in Europe considering a total of 27 countries. Main results revealed that a group of Mediterranean countries (Italy, Greece, Spain and Portugal), along with France, Belgium and Sweden have the lowest CSR (5 to 1); on the other hand, the countries with the highest CSR are Slovakia (9 to 1), and Ireland, Poland, Cyprus and Malta (8 to 1). In average, for the 27 countries, the estimated number of caregivers per frail older person today is 6 to 1. These findings reveal important differences between countries and may inform EU policy decisions regarding long-term care (LTC). Given that informal care forms a cornerstone of all LTC systems in Europe, and that this continent faces a rapidly increasing number of people in very advanced age with extended years of disability living at home, estimating the CSR for the next decades is of crucial importance.


2021 ◽  
Author(s):  
Chih-Hsuan Yeh ◽  
Chiao-Ling Hsu ◽  
Polan Chang

Systems of long-term care are needed in aging society to meet the needs of older people. In rapidly increasing demand for long-term care, how to ensure the quality of long-term care is an important issue. Therefore, we designed a rule-based expert system that automatically generates customized care plans based on the assessment results. Aims to provide health providers a useful tool in long term patients management.


2020 ◽  
Vol 53 (4) ◽  
pp. 697-712
Author(s):  
Joan Costa-Font ◽  
Valentina Zigante

Abstract The design of public subsidies for long-term care (LTC) programmes to support frail, elderly individuals in Europe is subject to both tight budget constraints and increasing demand preassures for care. However, what helps overcoming the constraints that modify LTC entitlements? We provide a unifying explanation of the conditions that facilitate the modification of public financial entitlements to LTC. We build on the concept of ‘implicit partnerships’, an implicit (or ‘silent’) agreement, encompassing the financial co-participation of both public funders, and families either by both allocating time and/or financial resources to caregiving. Next, we provide suggestive evidence of policy reforms modifying public entitlements in seven European countries which can be classified as either ‘implicit user partnerships’ or ‘implicit caregiver partnerships’. Finally, we show that taxpayers attitudes mirror the specific type of implicit partnership each country has adopted. Hence, we conclude that the modification of long-term care entitlements require the formation of some type of ‘implicit partnership'.


Sign in / Sign up

Export Citation Format

Share Document