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Diversification of care policy measures supporting older people: towards greater flexibility for carers?

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Abstract

Originally part of the private domain of families, care of the older people is now the concern of public policy. Yet, in the European context of cost containment, it is not easy to make a case for increasing public support and the caring function of families remains prominent in social policy. In this paper, the authors question public policies around care of the older people in relation to both the needs of old people, but also those of adult children, mainly women, who work and provide care for their old parents. We investigate the interactions between public support in long-term care and the caring function of families. The paper presents some results of a comparative research study based on the identification of the policy measures which have been implemented in different European countries in the sector of care of the older people, and on the detailed analysis of care arrangements set up by a sample of 86 family carers in these various national contexts. We argue that in a context of cost containment, whatever the usual patterns of care and the role given to the family and public authorities, the policy measures which have been introduced since the 90s aim to support family carers in various ways with the common objective of giving them the flexibility they need in the organisation of care arrangements, combining various resources (formal professional care, unpaid informal care, semi-formal care). Different patterns of flexibility can be identified according to the regulation of the policy measures.

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Notes

  1. The Woups (Workers under Pressure and Social care) Research was financed by the French National Research Agency (ANR) and the MIRE (Research cell of the French ministry of Social Affairs). The members of the international research team were: Barbara Da Roit, Trudie Knijn and Ellen Grootegoed for the Netherlands; Chiara Saraceno, Wolfgang Keck, Christina Klenner, Sabine Neukirch and Ute Klammer for Germany; Ulla Björnberg, Sofia Engstrom, Hans Ekbrand for Sweden; Karin Wall, Sanda Samitca, Sonia Vladimira Correia, Susana Atalaia and Mafaldo Leitao for Portugal; Manuela Naldini, Barbara Da Roit and Elisabetta Donati for Italy and Arnaud Campéon, Blanche Le Bihan and Claude Martin for France.

  2. Institutional care was not excluded from the samples, but the focus was on the care trajectory which led to the institution.

References

  • Anttonen A, Sipila J (1996) European social care services: is it possible to identify models? J Eur Soc Policy 6(2):87–100

    Article  Google Scholar 

  • Anttonen A, Baldock J, Sipila J (2003) The young, the old and the state: social care systems in five industrial nations. Edward Elgar, Cheltenham

    Google Scholar 

  • Arksey H, Glendinning C (2007) Choice in the context of informal care-giving. Health Soc Care Community 15(2):165–175

    Google Scholar 

  • Burau V, Theobald H, Blank RH (2007) Governing home care. A cross-national comparison. Edward Elgar, Cheltenham/Northampton

  • Da Roit B (2010) Strategies of care. Changing elderly care in Italy and The Netherlands. Amsterdam University Press, Amsterdam

    Book  Google Scholar 

  • Da Roit B, Castegnaro C (2004) Chi cura gli anziani non autosufficienti? Angeli, Milano

    Google Scholar 

  • Da Roit B, Facchini C (2010) Anziani e badanti. Le diverse condizioni di chi cura e chi è curato. Franco Angeli, Milano

    Google Scholar 

  • Da Roit B, Le Bihan B (2010) Similar and yet so different: cash for care in six European countries’ long-term care policies. Milbank Q 88(3):286–309

    Article  Google Scholar 

  • Da Roit B, Naldini M (2011) Should I stay or should I go? Combining work and care for an older parent in Italy. S Eur Soc Polit 88(3):286–309

    Google Scholar 

  • Daly M (2002) Care as a good for social policy. J Soc Policy 31(2):1–20

    Article  Google Scholar 

  • Daly M, Lewis J (1998) Introduction: conceptualizing social care in a context of welfare state restructuring. In: Lewis J (ed) Gender, social care and welfare state restructuring in Europe. Ashgate, London, pp 1–24

    Google Scholar 

  • Esping-Andersen G (1999) Social foundations of postindustrial economies. Oxford University Press, Oxford

    Book  Google Scholar 

  • Geissler B, Pfau-Effinger B (2005) Change in European care arrangements. In: Pfau-Effinger B, Geissler B (eds) Care and social integration in European societies. Policy Press, Bristol

  • Glendinning C (2008) Increasing choice and control for older and disabled people: a critical review of new developments in England. Soc Policy Adm 42(5):451–469

    Article  Google Scholar 

  • Glendinning G, Kemp PA (eds) (2006) Cash and care. Policy challenges in the welfare state. Policy Press, Bristol

    Google Scholar 

  • Grootegoed E, Da Roit B, Knijn T (2010) Relatives as paid care-givers: how family carers experience payments for care. Aging Soc 30(3):467–489

    Article  Google Scholar 

  • Hakim C (2000) Work-lifestyle choices in the 21st century. Oxford University Press, Oxford

    Google Scholar 

  • Haynes P, Michael H, Banks L (2010) Older people’s family contacts and long-term care expenditure in OECD countries: a comparative approach using qualitative comparative analysis. Soc Policy Adm 44(1):67–84

    Article  Google Scholar 

  • Hoschild AR (1995) The culture of politics: traditional, postmodern, cold-modern, and warm ideal of care. Soc Polit 2(3):331–346

    Article  Google Scholar 

  • Jamieson A (ed) (1991) Home care for older people in Europe: a comparison of policies and practices. Oxford Medical, Oxford

    Google Scholar 

  • José JS, Wall K (2006) Trabalhar e cuidar de um idoso dependente: problemas e soluções in Cadernos Sociedade e Trabalho. Protecção Social 7: 119–154

    Google Scholar 

  • Knijn T (2001) Care work: innovations in The Netherlands. In: Daly M (ed) Care work: the quest for security. ILO, Geneva, pp 159–174

  • Knijn T, Da Roit B (2008) Working daughters. Conciliation policies in The Netherlands and Italy. Paper presented at the annual ESPAnet conference, cross border influence in social policy, Helsinki, 18–20 Sept 2008

  • Le Bihan B, Martin C (2007) Cash for care in the French welfare state: a skilful compromise? In: Ungerson C, Yeandle S (eds) Cash for care systems in developed welfare states. Palgrave, London, pp 32–59

    Google Scholar 

  • Leitner S (2003) Varieties of familialism: the caring function of the family in comparative perspective. Eur Soc 5(4):353–373

    Article  Google Scholar 

  • Martin C, Le Bihan B (2008) Comment comparer les politiques de prise en charge des personnes âgées dépendantes en Europe? dans Anne-Marie Guillemard dir, Où va la protection sociale? coll. Lien social, Presses Universitaires de France, Paris, pp 289–311

  • Pailhé A, Solaz A (dir.) (2009) Entre famille et travail. Des arrangements de couples aux pratiques des employeurs. La Découverte, Paris

  • Saraceno C (2010) Social inequalities in facing old age dependency: a bi-generational perspective. J Eur Soc Policy 20(1):32–44

    Article  Google Scholar 

  • Sipila J (ed) (1997) Social care services: the key to the Scandinavian welfare model. Avebury, Aldershot

    Google Scholar 

  • Ungerson C (2005a) Care, work and feeling. Soc Rev 53:188–203

    Google Scholar 

  • Ungerson C (2005b) Gender, labour markets and care work in five European funding regimes. In: Pfau-Effinger B, Geissler B (eds) Care and social integration in European societies. Policy Press, Bristol, pp 47–71

    Google Scholar 

  • Ungerson C, Yeandle S (eds) (2007) Cash for care in developed welfare states. Palgrave MacMillan, Basingstoke

    Google Scholar 

  • VWS (2008) Feiten en cijfers persoonsgebonden budget. http://www.minvws.nl/dossiers/persoonsgebonden_budget_pgb/feiten-en-cijfers-pgb/

  • Wall K (2007) Family change and family policy in Europe. In: Kamerman S, Kahn A (eds) Family change and family policy in Southern Europe. Clarendon Press, Oxford

  • Wall K, Samitca S, Leitao M (2008) Work-family policies in Portugal. In: Le Bihan B, Martin C (eds) Conciliation policies in six European countries. Report to the French National agency of research (ANR). Ecole des hautes études en santé publique, Rennes

    Google Scholar 

Download references

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Correspondence to Blanche Le Bihan.

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Responsible Editors: T. Rostgaard and M. Zechner (Guest Editors) and H.-W. Wahl.

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Le Bihan, B., Martin, C. Diversification of care policy measures supporting older people: towards greater flexibility for carers?. Eur J Ageing 9, 141–150 (2012). https://doi.org/10.1007/s10433-012-0228-6

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