The social and economic burden on family caregivers for older adults in the Czech Republic
The social and economic burden on family caregivers for older adults in the Czech Republic
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DOI：
10.1186/s12877-020-01571-2
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发表时间：
2020-05-11
期刊：
影响因子：
4.1
通讯作者：
Kuca, Kamil
中科院分区：
文献类型：
--
作者：
Maresova, Petra;Lee, Sunwoo;Kuca, Kamil
背景在本文中，我们通过评估老年人的家庭成员如何参与照料来分析捷克共和国老年护理的经济负担。为此，我们考察了照顾者的年龄、性别和收入对照看时间和成本的影响。方法采用包含17个项目的调查问卷，对200家注册家庭护理机构的155名非正式照顾者进行问卷调查。采用Spearman等级相关分析，分析照顾者的收入、年龄和性别对照顾老人所产生的成本和花费的时间有何影响。费用分为直接费用和间接费用。公开的资料来源用于确定治疗和用药费用，这不能通过问卷调查来确定。结果全天候护理是最常见的护理方式。照顾者的配偶是照顾者中人数最多的，而妇女在这一群体中所占比例最大。此外，照顾老年人的时间越长，与这种照顾相关的成本就越高。非正式照顾者的年度总负担由年度平均间接费用(36,888欧元)和年度直接费用(2,775欧元)之和确定，每年的总费用为39,663欧元。结论捷克社会政策制定者应开始考虑以奖励和其他货币福利的形式为照顾者提供更好的一揽子方案，以改善老年人的生活水平和护理。
Background In this paper, we analyse the economic burden of elder care in the Czech Republic by assessing how family members of senior citizens engage in caregiving. To do this, we examined the time and cost associated with caregiving as a function of age, gender, and income of the caregiver. Methods A questionnaire comprising 17 items was used to gather data from 155 informal caregivers whose seniors are affiliated with 200 registered home care agencies. Spearman rank correlation was adopted to analyse how caregivers' income, age and gender influences the costs accrued and time spent in caring for elders. The expenses are divided into direct and indirect. Publicly available sources are used to establish expenses on treatment and medication, which cannot be determined by the questionnaire survey. Results Results show that around-the-clock care is the most common. Spouses of care recipients make up the highest number of caregivers, and women represent the largest portion of this group. Additionally, the more the time spent caring for an elder, the higher the cost associated with such care. The total annual burden of informal caregivers is determined by the sum of annual average indirect costs, amounting to euro 36,888, and annual direct costs, amounting to euro 2775, resulting in a total of euro 39,663 per year. Conclusion Czech social policymakers should begin to consider better packages for caregivers in the form of incentives and other monetary benefits to improve living standards and care for ageing seniors.