Transitions in formal and informal care utilisation amongst older Europeans: the impact of national contexts
Transitions in formal and informal care utilisation amongst older Europeans: the impact of national contexts
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DOI：
10.1007/s10433-011-0199-z
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发表时间：
2012-03-01
影响因子：
3.8
通讯作者：
Van den Bosch, Karel
中科院分区：
文献类型：
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作者：
Geerts, Joanna;Van den Bosch, Karel
本研究的目的是探讨长期护理系统，特别是纳入基于需求的护理服务或福利权利，如何影响正式和非正式护理利用动态。我们使用欧洲健康、老龄化和退休调查 (SHARE) 第 1 波和第 2 波数据，将样本限制为来自 9 个欧洲国家的 65 岁以上人员 (= 6,293)。使用逻辑回归估计了健康和家庭构成变化对正式和非正式护理转变的影响，从而使这些影响因国家而异。结果表明，在所有国家，正式和非正式护理往往是补充而非替代。各国之间成为正式或非正式护理使用者的可能性差异很大。在斯堪的纳维亚国家和几个具有基于需求的权利的欧洲大陆国家，向正规护理的过渡与无法获得或无法获得非正式支持密切相关。我们几乎没有发现任何证据表明健康变量对向正规护理过渡的影响存在国家差异。分析表明，虽然欧洲国家之间的正规护理利用率仍然存在很大差异，但北欧和欧洲大陆福利国家的正规护理分配做法并没有太大不同，因为我们发现所有国家都以独居老年人和最依赖护理的老年人为目标。
The objective of this study was to explore how long-term care systems, and in particular the incorporation of needs-based entitlements to care services or benefits, influence formal and informal care utilisation dynamics. We used the Survey of Health, Ageing and Retirement in Europe (SHARE) wave 1 and 2 data, restricting the sample to persons 65+ from 9 European countries ( = 6,293). The effects of changes in health and household composition on formal and informal care transitions were estimated using logistic regression, allowing these effects to vary across countries. The results indicated that, in all countries, formal and informal care were more often complements than substitutes. The likelihood of becoming a formal or informal care user varied significantly between countries. In the Scandinavian countries and in several continental European countries with needs-based entitlements, the transition to formal care was strongly related to informal support being or becoming unavailable. We found little evidence of country differences in the effect of health variables on the transition to formal care. The analysis suggested that, whilst rates of formal care utilisation continue to differ considerably between European countries, formal care allocation practices are not very dissimilar across Northern and continental European welfare states, as we found evidence for all countries of targeting of older persons living alone and of the most care-dependent older people.