Older People's Family Contacts and Long-term Care Expenditure in OECD Countries: A Comparative Approach Using Qualitative Comparative Analysis
Older People's Family Contacts and Long-term Care Expenditure in OECD Countries: A Comparative Approach Using Qualitative Comparative Analysis
复制标题
经合组织国家老年人的家庭联系和长期护理支出：使用定性比较分析的比较方法
DOI：
10.1111/j.1467-9515.2009.00700.x
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发表时间：
2010
影响因子：
3.2
通讯作者：
Haynes P
中科院分区：
文献类型：
--
作者：
Haynes P
近几十年来，有一种观点认为，公共和私人长期护理（LTC）的支出可能正在取代传统的老年人家庭护理。家庭联系减少的情况在一些经合发组织国家比其他国家更为严重，南欧被确定为家庭联系仍然很强的地区。本文从国家层面探讨了长期护理支出水平与家庭联系人的可用性之间是否存在关联。定性比较分析法（Qualitative Comparative Analysis）是一种比较方法，在国家样本较少的情况下使用国家定量指标。研究表明，较高的家庭接触水平与较低的长期医疗服务支出水平之间存在关联，但一些非典型病例削弱了这种关联。无视这种关系的国家的政府护理政策寻求通过仍然可用的家庭联系来促进非正式的社会护理。奥地利、加拿大、英国和日本都在这方面进行了讨论。
In recent decades there has been a suggestion that public and private long‐term care (LTC) expenditure might be replacing traditional family care for older people. The decline of family contact is known to be more advanced in some OECD countries than others, with southern Europe identified as where family contact is still strong. This article explores at a country level whether there is an association between levels of expenditure on long‐term care and the availability of family contacts. Qualitative Comparative Analysis is used as a comparative method, so as to use national quantitative indicators with a small sample of countries. An association between higher levels of family contact and lower levels of expenditure on LTC is suggested, but it is weakened by a number of untypical cases. Countries that defy this relationship have government care policies that seek to promote informal social care through the family contact that continues to be available. Austria, Canada, Great Britain and Japan are discussed in this context.