Long-Term Care and the Welfare State

2017 ◽  
pp. 11-54
Author(s):  
August Österle
Keyword(s):  
Welfare State ◽  
Long Term Care ◽  
Term Care ◽  
The Welfare State

scholarly journals Innovations in Local Domiciliary Long-Term Care: From Libertarian Criticism to Normalisation

2014 ◽  
Vol 13 (3) ◽  
pp. 433-444 ◽  
Author(s):  
Olivier Giraud ◽  
Barbara Lucas ◽  
Katrin Falk ◽  
Susanne Kümpers ◽  
Arnaud Lechevalier
Keyword(s):  
Comparative Analysis ◽  
Welfare State ◽  
Policy Making ◽  
Long Term Care ◽  
Social Innovation ◽  
Local Policy ◽  
Term Care ◽  
Social Innovations ◽  
The Welfare State

This article assesses how social innovations in the field of local domiciliary long-term care are shaped and implemented. It proposes a mapping of innovations in terms of two structuring discourses that inform welfare state reforms: a libertarian and a neo-liberal discourse. It then provides an analysis of the concrete trajectories of three local innovations for elderly people in Hamburg (Germany), Edinburgh (Scotland) and Geneva (Switzerland). Theoretically, social innovation is considered as a discursive process of public problem redefinition and institutionalisation. New coalitions of new actors are formed along this double process, and these transform the original discourse of innovation. The comparative analysis of the three processes of institutionalisation of local innovation shows that, in the context of local policy making, social innovations inspired by a libertarian critique of the welfare state undergo differentiated processes of normalisation.

scholarly journals Caught between two stools? Informal care provision and employment among welfare recipients in Germany

2018 ◽  
Vol 40 (1) ◽  
pp. 162-187
Author(s):  
Katrin Hohmeyer ◽  
Eva Kopf
Keyword(s):  
Welfare State ◽  
Long Term Care ◽  
Labour Force ◽  
Panel Study ◽  
Negative Relationship ◽  
Welfare Recipients ◽  
Term Care ◽  
Care Giving ◽  
The Welfare State

AbstractIn many countries, population ageing is challenging the viability of the welfare state and generating higher demands for long-term care. At the same time, increasing participation in the labour force is essential to ensuring the sustainability of the welfare state. To address the latter issue, affected countries have adopted measures to increase employment; e.g. welfare recipients in Germany are required to be available for any type of legal work. However, 7 per cent of welfare benefit recipients in Germany provide long-term care for relatives or friends, and this care-giving may interfere with their job search efforts and decrease their employment opportunities. Our paper provides evidence of the relationship between the care responsibilities and employment chances of welfare recipients in Germany. Our analyses are based on survey data obtained from the panel study ‘Labour Market and Social Security’ and on panel regression methods. The results reveal a negative relationship between intensive care-giving (ten or more hours per week) and employment for male and female welfare recipients. However, employment prospects recover when care duties end and are subsequently no longer lower for carers than for non-carers.

The burden of long-term care: how Italian family care-givers become employers

2010 ◽  
Vol 30 (5) ◽  
pp. 755-777 ◽  
Author(s):  
FRANCESCA DEGIULI
Keyword(s):  
Welfare State ◽  
Labour Market ◽  
Long Term Care ◽  
Free Market ◽  
Family Care ◽  
Term Care ◽  
Family Responsibilities ◽  
Care Givers ◽  
The Welfare State

ABSTRACTIn recent years in Italy, population ageing, rising female labour-market participation, and the restructuring of the welfare state have combined to create increased demand for long-term care services for frail and dependent older people. The rising demand has increasingly been met by immigrant women of different nationalities, and to a lesser extent immigrant men, who are hired to provide individualised care in people's own homes and other private settings. While there have been many studies of this growing phenomenon, very little attention has been paid to the reasons that bring family care-givers to choose this care-support option. To begin to fill the gap, this paper reports the finding of a qualitative study of 26 family members who were caring for a disabled elder. Semi-structured interviews lasting between 60 and 100 minutes and that covered various aspects of long-term care in family households were conducted. The participants' responses indicate that they did not choose immigrant home eldercare assistants solely for economic reasons but also to be consistent with cultural, moral and traditional understandings of family responsibilities and care. They also provide valuable findings and insights into Italian attitudes towards the welfare state and the care-labour market. While the wealthiest respondent declared a clear predilection for the free-market and a desire to bypass the state, the majority of the respondents advocated a stronger role of the welfare state in helping people cope with the increased burden of long-term care.

PATIENTS, OR RESIDENTS?: LONG-TERM CARE IN THE WELFARE STATE

1996 ◽  
Vol 4 (2) ◽  
pp. 144-170 ◽  
Author(s):  
C. NEWDICK
Keyword(s):  
Welfare State ◽  
Long Term Care ◽  
Term Care ◽  
The Welfare State

scholarly journals Restructuring the welfare state: reforms in long-term care in Western European countries

2008 ◽  
Vol 18 (3) ◽  
pp. 246-259 ◽  
Author(s):  
Emmanuele Pavolini ◽  
Costanzo Ranci
Keyword(s):  
Welfare State ◽  
Long Term Care ◽  
European Countries ◽  
Term Care ◽  
Western European ◽  
The Welfare State

Formal and informal long term care work: policy conflict in a liberal welfare state

2017 ◽  
Vol 37 (3/4) ◽  
pp. 134-147 ◽  
Author(s):  
Caroline Murphy ◽  
Thomas Turner
Keyword(s):  
Welfare State ◽  
Informal Care ◽  
Long Term Care ◽  
Care Work ◽  
Formal Care ◽  
Term Care ◽  
Content Type ◽  
Care Workers ◽  
Informal Carers

Purpose The undervaluing of care work, whether conducted informally or formally, has long been subject to debate. While much discussion, and indeed reform has centred on childcare, there is a growing need, particularly in countries with ageing populations, to examine how long-term care (LTC) work is valued. The purpose of this paper is to provide an overview of the way in which employment policies (female labour market participation, retirement age, and precarious work) and social policies (care entitlements and benefits/leave for carers) affect both informal carers and formal care workers in a liberal welfare state with a rapidly ageing population. Design/methodology/approach Drawing the adult worker model the authors use the existing literature on ageing care and employment to examine the approach of a liberal welfare state to care work focusing on both supports for informal carers and job quality in the formal care sector. Findings The research suggests that employment policies advocating increased labour participation, delaying retirement and treating informal care as a form of welfare are at odds with LTC strategies which encourage informal care. Furthermore, the latter policy acts to devalue formal care roles in an economic sense and potentially discourages workers from entering the formal care sector. Originality/value To date research investigating the interplay between employment and LTC policies has focused on either informal or formal care workers. In combining both aspects, we view informal and formal care workers as complementary, interdependent agents in the care process. This underlines the need to develop social policy regarding care and employment which encompasses the needs of each group concurrently.

Privatisation and New Modes of State Intervention: The Long-Term Care Programme in Israel

2000 ◽  
Vol 29 (2) ◽  
pp. 247-262 ◽  
Author(s):  
MIMI AJZENSTADT ◽  
ZEEV ROSENHEK
Keyword(s):  
Welfare State ◽  
State Intervention ◽  
The State ◽  
State Agencies ◽  
Term Care ◽  
Care Programme ◽  
Care Services ◽  
Programme Of Care ◽  
The Welfare State

This article analyses the formulation and implementation of a relatively new statutory programme of care services for dependent elderly people in Israel, which has as a basic characteristic the supply of services by non-state agencies. The analysis serves as a basis for an exploration of the effects of privatisation and the emergence of quasi-markets upon the functioning of the welfare state both as a benefits provider and as a major employer. In contrast to the perspectives that consider privatisation as leading to the weakening of the state in the welfare domain, we argue that through the transfer of services supplied by non-state agencies the state protects itself from demands and pressures from clients, while maintaining its control and regulation capabilities. This process decreases the state's accountability towards its citizens, enhancing in turn its autonomy. Privatisation policies do not imply, therefore, the dissolution of the welfare state, but rather the emergence of a new mode of state intervention.

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