Abstract
Social and demographic trends in Ireland pose the need to develop our system of care for the elderly at home. Currently informal care is the principal source of care for dependent elderly people with institutional care acting as the main alternative, particularly when levels of dependency are high or where informal caring relationships break down or are not possible. Although the past two decades have witnessed the growth of formal community care services for the elderly there is still considerable scope for extending and refining these services and, in particular, for making them more relevant to heavily burdened informal carers. Substitutionality appears to be the governing principle with formal and institutional services tending to step in only when the informal system breaks down. The achievement of greater complementarity between the formal and informal caring systems and the re-focusing of institutional services to provide support for the community care system as a whole are the suggested priorities.
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References
Blackwell, J., E. O'Shea, G. Moane and P. Murray 1992 Care Provision and Cost Measurement: Dependent Elderly People at Home and in Geriatric Hospitals, Dublin: Economic and Social Research Institute.
Central Statistics Office 1969 Census of Population 1966 Volume 6: Age. Dublin: Stationary Office.
Central Statistics Office 1988 Population and Labour Force Projections 1986–2021. Dublin: Stationary Office.
Central Statistics Office 1989 Census 86 Volume 2: Ages and Marital Status. Dublin: Stationary Office.
Central Statistics Office 1991a Census of Population of Ireland 1991 Preliminary Report; Age Groups, Dublin: Stationary Office.
Central Statistics Office 1991b The Trend of Employment and Unemployment 1986–1988. Dublin: Stationary Office.
Central Statistics Office 1992 Irish Life Tables 1985–1987. Dublin: Stationary Office.
Dail Eireann October 1991 Parliamentary Debates: Official Report. Dublin: Stationary Office.
Dail Eireann March 1992 Parliamentary Debates: Official Report. Dublin: Stationary Office.
Department of an Taoiseach 1991 Programme for Economic and Social Progress. Dublin: Stationary Office.
Department of Health 1968 The Care of the Aged: Report of an Inter-Departmental Committee, Dublin: Stationary Office.
Department of Health 1975 Survey of Workload of Public Health Nurses: Report of a Working Group Appointed by Minister for Health, Dublin. Stationary Office.
Department of Health 1988 The Years Ahead: A Policy for the Elderly. Dublin: Stationary Office.
McKeown, K. 1986 Urbanisation in the Republic of Ireland: A Conflict Approach. In Ireland—A Sociological Profile. P. Clancy, S. Drudy, K. Lynch, and L. O'Dowd, eds. Pp. 362–379 Dublin: Institute of Public Administration.
Moran, R. and D. Walsh 1991 The Irish Psychiatric Hospitals and Units Census 1991. Dublin: The Health Research Board.
Mulvihill, R. 1993 Voluntary-Statutory Partnership in Community Care of the Elderly. Dublin: National Council for the Elderly.
National Council for the Aged 1985a Housing of the Elderly in Ireland, Dublin: National Council for the Aged.
National Council for the Aged 1985b Institutional Care of the Elderly in Ireland. Dublin: National Council for the Aged.
O'Connor, J., E. Smyth and B. Whelan 1988a Caring for the Elderly Part 1: A Study of Carers in the Home and in the Community, Dublin: National Council for the Aged.
O'Connor, J., H. Ruddle with M. O'Gallagher and E. Murphy 1988b Caring for the Elderly Part 2, The Caring Process: A Study of Carers in the Home, Dublin: National Council for the Aged.
O'Connor, S. 1987 Community Care Services: An Overview: Dublin. National Economic and Social Council.
O'Shea, E. and R. Corcoran 1989 The Placement of Elderly Persons: A Logit Estimation and Cost Analysis. Economic and Social Review 20:219–241.
O'Shea, E., D. Donnison and J. Larragy 1991 The Role and Future Development of Nursing Homes in Ireland, Dublin: National Council for the Elderly.
Whelan, and Vaughan 1982 The Economic and Social Circumstances of the Elderly in Ireland. Dublin: Economic and Social Research Institute.
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Larragy, J.F. Formal service provision and the care of the elderly at home in Ireland. J Cross-Cultural Gerontol 8, 361–374 (1993). https://doi.org/10.1007/BF00972564
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DOI: https://doi.org/10.1007/BF00972564