Emergence and Significance of Transnational Elderly Care Arrangements

随着80岁及以上欧洲人数量的迅速增加，需要在几乎所有欧盟国家为老年人提供长期护理(LTC)的新解决方案。这项研究将调查跨国护理安排的出现及其作为解决德国和荷兰这两个不同长期护理制度国家的政策制定者和老年人及其家人所遇到的问题的潜力。比较跨国安排是如何产生的，以及在多大程度上出现了跨国安排，以及是什么行为者和因素推动了这些安排的发展，这将为了解国家长期过渡制度的影响和最近的政策发展提供重要的新见解。一个核心假设是，不同的长期合作机制为跨国安排提供了不同的激励和机会。这项研究的创新之处在于，它关注个人和家庭如何积极构建护理包，以及这些微观层面的包如何与国家政策和宏观层面的护理组合(变化)相关。这项研究将采用混合方法，分两个阶段进行：1)进行广泛的摸底研究，以探索德国和荷兰24/7全天候照料移民安排的普遍性和特点，并查明所涉行为者以及规范或影响这些安排使用的法律和政策；2)深入研究老年人及其家人如何使用这些安排。

With the number of Europeans aged 80 and over rapidly increasing, new solutions are needed for the provision of long-term care (LTC) for the elderly in almost all EU countries. The research will investigate the emergence of transnational care arrangements and their potential as solutions to problems experienced by policymakers and older people and their families in two countries with different LTC regimes: Germany and the Netherlands. Comparing how and to what extent transnational arrangements have emerged, and what actors and factors have driven their development, will provide important new insights into the effects of national LTC regimes and recent policy developments. A central hypothesis is that different LTC regimes provide different incentives and opportunities for transnational arrangements. The research is innovative in its focus on how care packages are actively constructed by individuals and families and how these micro-level packages are related to (changes in) national policies and macro-level care mixes. The research will use a mixed-method approach and it will proceed in two phases: 1) a broad mapping study to explore the prevalence and characteristics of migrant live-in 24/7 care arrangements in Germany and the Netherlands and to identify the actors involved as well as the laws and policies that regulate or affect the use of these arrangements.2) in-depth case studies of how these arrangements are used by older people and their families.