The determinants of receiving social care in later life in England
The determinants of receiving social care in later life in England
复制标题
英国晚年接受社会关怀的决定因素
作者：
A. Vlachantoni;R. Shaw;M. Evandrou;J. Falkingham
摘要人口结构的变化和政策的变化，在社会照顾提供可以影响类型的社会照顾的支持，由老年人，无论是通过非正式的，正式的国家或正式的付费来源。本文分析了英国老龄化纵向研究数据（第4波），以探讨人口统计学和社会经济特征之间的关系，并从不同来源的老年人谁报告的日常活动困难的支持接收。该研究概述了三个关键结果，对未来老年人社会护理组织的影响。首先，老年人报告有困难的工具性日常生活活动（IADL）的数量，其次是日常生活活动（ADL）的数量是接受任何来源支持的最强决定因素。第二，在与接受不同来源的支助有关的因素方面存在显著的性别差异;例如，身体健康是男子接受非正式支助的一个重要决定因素，而心理健康状况是妇女接受非正式支助的一个重要决定因素。最后，研究表明，日常生活中的各种障碍与从不同来源获得支持有关。特殊类型的困难和从特殊来源获得的支助之间的这种“联系”提出了关于未来能够或应该如何组织社会照顾的问题。
ABSTRACT Demographic change and policy changes in social care provision can affect the type of social care support received by older people, whether through informal, formal state or formal paid-for sources. This paper analyses the English Longitudinal Study of Ageing data (wave 4) in order to examine the relationship between demographic and socio-economic characteristics, and the receipt of support from different sources by older people who report difficulty with daily activities. The research outlines three key results with implications for the future organisation of social care for older people. Firstly, the number of instrumental activities of daily living (IADLs) an older person reports having difficulty with, followed by the number of activities of daily living (ADLs) are the strongest determinants of receiving support from any source. Secondly, there are significant gender differences in the factors associated with receiving support from different sources; for example, physical health is a strong determinant of informal support receipt by men, while mental health status is a strong determinant of informal support receipt by women. Finally, the research shows that different kinds of impediments in everyday life are associated with receiving support from different sources. This ‘link’ between particular types of difficulties and support receipt from particular sources raises questions about the way social care provision can or should be organised in the future.
DOI：
10.1093/geronb/gbr060
发表时间：
2011-09-01
影响因子：
6.2
作者：
Lin, I-Fen;Wu, Hsueh-Sheng
通讯作者：
Wu, Hsueh-Sheng