How Politico-Economic Systems Shape Individuals’ Value of Elderly Care: Evidence From the German Reunification

2019 ◽  
Author(s):  
Freya Diederich ◽  
Hans-Helmut König ◽  
Christian Brettschneider
Keyword(s):  
Economic System ◽  
Elderly People ◽  
Informal Care ◽  
Elderly Care ◽  
The Elderly ◽  
Social Market Economy ◽  
Birth Cohorts ◽  
Care For The Elderly ◽  
Average Marginal Effects ◽  
Social Market

Abstract Background and Objectives Perceptions of how societies should care for the elderly people can differ among countries. This study examines to what extent individuals’ value of informal care is shaped by the politico-economic system in which they grew up and if this value adjusts once an individual lives in a different politico-economic system. Research Design and Methods We use data from the German Family Panel and take advantage of the unique setting of the German separation and reunification. Probit models are used to examine the effect of being born in East Germany on individuals’ value of informal care relative to employment at different birth cohorts and survey waves (N = 14,093). Average marginal effects are calculated. Results Twenty years after reunification, East Germans who spent their adolescence under communism exhibit a higher value of informal care relative to employment than West Germans who grew up in a western social market economy. Differences in values between East and West Germans do not significantly converge over time. Discussion and Implications Individuals’ value of informal care is deeply shaped by the politico-economic system in which they grew up. If immigration policies are introduced to increase the care for elderly people, differences in individuals’ cultural perceptions of elderly care should be considered as these will not suddenly adjust.

scholarly journals HOW POLITICO-ECONOMIC SYSTEMS CAN SHAPE THE ATTITUDE TOWARD ELDERLY CARE: LESSONS FROM THE GERMAN REUNIFICATION

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S675-S676
Author(s):  
Freya Diederich ◽  
Hans-Helmut König ◽  
Christian Brettschneider
Keyword(s):  
Informal Care ◽  
Elderly Care ◽  
The Elderly ◽  
West Germany ◽  
Birth Cohorts ◽  
Random Effects Models ◽  
Care For The Elderly ◽  
Significant Difference ◽  
The Future ◽  
Migration Flows

Abstract Migration flows have been rising over the past decades and are not expected to mitigate in the future. Migrants brings along values and preferences that were shaped by their origin countries, among those, their perceptions of how societies should care for the elderly. In this study, we examine how the attitude towards informal care is shaped by the politico-economic system an individual grew up in and if this attitude adjusts over time once an individual lives in a different system. After the fall of the Berlin Wall, Eastern Germans were exposed to the market-oriented western economy, a natural experiment that allows us to address these issues. By analyzing data from the German Family Panel (2009/10-2015/16), we assess differences in attitudes towards informal care among four birth cohorts that were born during the German separation (N=11,966) using random-effects models. We control for socio-demographic factors as well as the institutional and economic environment an individual lives in. The results reveal that, on average, older generations that grew up in East Germany exhibit up to a 6.7% (95% CI, 0.03-0.1) higher willingness to provide informal care to their parents than older generations that grew up in West Germany. There is no significant difference in younger birth cohorts. Attitudes do not significantly converge over the observed time horizon. The results provide evidence that individuals’ attitude towards informal care is deeply shaped by the system they grew up in such that migration flows can influence the supply of informal care in the future.

scholarly journals Humanitude in the humanization of elderly care: experience reports in a health service

2019 ◽  
Vol 72 (3) ◽  
pp. 825-829 ◽  
Author(s):  
Rosa Cândida Carvalho Pereira de Melo ◽  
Paulo Jorge Costa ◽  
Liliana Vanessa Lúcio Henriques ◽  
Luiza Hiromi Tanaka ◽  
Paulo Joaquim Pina Queirós ◽  
...  
Keyword(s):  
Health Service ◽  
Elderly People ◽  
Health Professionals ◽  
Elderly Care ◽  
The Elderly ◽  
Care Giver ◽  
Care Experience ◽  
Care For The Elderly ◽  
Positive Results ◽  
Cognitive Alterations

ABSTRACT Objective: To describe the experience in the implementation of the Humanitude Care Methodology (MCH) in the humanization of care for the elderly. Methodology: This is an experience report about the implementation of the MCH, in a Health Service in Portugal, with capacity for 30 elderly people, most of them having cognitive alterations. Results: The implementation of the MCH has shown positive results in the humanization of care for the elderly, namely in the reduction of agitation behaviors and better acceptance of care. There was a change in organizational culture, more focused on the person and on the humanization of care. Conclusion: The results reflect the need to introduce innovative care methodologies in the training of health professionals, with a focus on interaction, for a professionalized relational care that dignifies the person cared for and the care giver.

scholarly journals Knowledge Provision Model Through Distance Learning Method for Promoting Quality of Life of the Elderly in Rural Areas of Thailand

2021 ◽  
Vol 10 (2) ◽  
pp. 129
Author(s):  
Sumalee Sungsri
Keyword(s):  
Quality Of Life ◽  
Elderly People ◽  
Rural Areas ◽  
Social Relationship ◽  
Elderly Care ◽  
The Elderly ◽  
Community Leaders ◽  
The World ◽  
Quantitative And Qualitative Methods

Thailand is becoming an elderly society like many countries in the world. The number of elderly people is increasing continuously every year. In order to enable the elderly to live with good quality of life in the rapidly changing society, knowledge and information related to their health and living factors are considered to be necessary for them. Therefore, this study was carried out in order to develop a model of knowledge provision for promoting quality of life of the elderly in rural areas of the country. The samples were drawn from every region of the country which included 480 elderly people, 480 elderly caretakers, and 160 people representing the community leaders, community committee members and staff of local government agencies. Both quantitative and qualitative methods were employed for data collection. The study found that there were five areas of knowledge for promoting quality of life of the elderly: physical health, mental health, social relationship, economic, and learning. The model of knowledge provision to the elderly synthesized from the study could enable the elderly to gain necessary knowledge deemed useful for promoting their quality of life. The elderly, the elderly care caretakers and related people were found to be satisfied with the model.

scholarly journals Experiences with the privatization of home care: evidence from Denmark

2011 ◽  
Vol 2 ◽  
Author(s):  
Barbara Fersch ◽  
Per H Jensen
Keyword(s):  
Welfare State ◽  
Home Care ◽  
Central Government ◽  
Elderly Care ◽  
The Elderly ◽  
Care Providers ◽  
Public And Private ◽  
Political Actors ◽  
Financial Responsibility ◽  
Care For The Elderly

Processes of privatization in home care for the elderly in Denmark have primarily taken the form of outsourcing public-care provisions. The content and quality of services have in principle remained the same, but the providers of services have changed. The welfare state has continued to bear the major responsibility for the provision of elderly care, while outsourcing has allowed clients to choose between public and private providers of care. The major aim of outsourcing has been to empower the frail elderly by providing them with exit-opportunities through a construction of this group as consumers of welfare-state provisions. The central government in Denmark has produced the public-service reform, but the municipalities bear the administrative and financial responsibility for care for the elderly. Further, national policymakers have decided that local authorities (municipalities) must provide to individuals requiring care the opportunities to choose. With this background in mind, this article analyses how national, top-down ideas and the ‘politics of choice' have created tensions locally in the form of municipal resistance and blockages. The article draws on case studies in two Danish municipalities, whereby central politicians and administrative leaders have been interviewed. We have identified four areas of tensions: 1) those between liberal and libertarian ideas and values versus local political orientations and practices; 2) new tensions and lines of demarcation among political actors, where old political conflicts no longer holds; 3) tensions between promises and actual delivery, due to insufficient control of private contractors; and 4) those between market principles and the professional ethics of care providers.

scholarly journals Should the family or the state provide support for the elderly people? Findings from a two-generational Finnish study

2019 ◽  
Vol 39 (1/2) ◽  
pp. 138-155 ◽  
Author(s):  
Antti O. Tanskanen ◽  
Johanna Kallio ◽  
Mirkka Danielsbacka
Keyword(s):  
Older Adults ◽  
Elderly People ◽  
Elderly Care ◽  
The Elderly ◽  
The State ◽  
Younger Adults ◽  
Content Type ◽  
Public Opinions ◽  
The Family ◽  
Nationally Representative

Purpose The purpose of this paper is to investigate public opinions towards elderly care. The authors analysed respondents’ opinions towards financial support, practical help and care for elderly people. Design/methodology/approach The authors used nationally representative data collected in Finland in 2012. Respondents represent an older generation (born between 1945 and 1950, n=1,959) and their adult children (born between 1962 and 1993, n=1,652). Findings First, the authors compared the opinions of older and younger Finns but did not find that older adults were more likely than younger adults support the state responsibility, or vice versa. It was also when only actual parent-child dyads (n=779) from same families were included. Next, the authors found that several socioeconomic and family-related variables were associated with public opinions of elderly care in both generations. For instance, in both generations lower-income individuals supported the state’s responsibility more compared to their better-off counterparts. Originality/value The study provides important knowledge on attitudes towards elderly care using unique two-generational data of younger and older adults.

Patterns of Expenditure in Healthcare for Elderly in Shanghai

China Report ◽  
2020 ◽  
Vol 56 (3) ◽  
pp. 334-353
Author(s):  
Zhu Bifan ◽  
Li Fen ◽  
Wang Linan ◽  
Wang Changying ◽  
Jin Chunlin
Keyword(s):  
Elderly Care ◽  
Age Groups ◽  
The Elderly ◽  
Pattern Of Care ◽  
Younger Adults ◽  
Care For The Elderly ◽  
The Status ◽  
Integration Of Services ◽  
Health Accounts ◽  
System Of Health Accounts

This study aims to summarise the characteristics of elderly care system and analyse expenditures of healthcare for the elderly in Shanghai. The authors use medical records of 2015 and health account results of 2014 based on System of Health Accounts 2011 to describe the pattern of care expenditures for elderly. Individuals aged 60 years and above account for 19.5 per cent of Shanghai’s population but utilise 52.2 per cent of all outpatient visits and 45.3 per cent of all hospitalisations. Almost two-thirds of their medical expenditures occur in hospitals and 16 per cent in community health centres, corresponding to the status of resource allocation. The out-of-pocket payment ratio of the elderly is lower than that of the younger adults, which is attributable to the preferential reimbursement polices set by the insurance schemes. The leading causes of expenditures are cardiovascular disease, neoplasms and respiratory diseases. Care for the elderly costs more, and the elderly use more services than other age groups. The article recommends the monitoring of irrational utilisation of services, strengthening of primary level care and integration of services across different facilities to streamline care for elderly in Shanghai.

scholarly journals Service robots: value co-creation and co-destruction in elderly care networks

2018 ◽  
Vol 29 (2) ◽  
pp. 178-205 ◽  
Author(s):  
Martina Čaić ◽  
Gaby Odekerken-Schröder ◽  
Dominik Mahr
Keyword(s):  
Elderly People ◽  
Elderly Care ◽  
Social Contact ◽  
The Elderly ◽  
Service Robots ◽  
Value Networks ◽  
Content Type ◽  
Value Network ◽  
Assistive Robots ◽  
Socially Assistive Robots

Purpose The purpose of this paper is to investigate the potential roles for service robots (i.e. socially assistive robots) in value networks of elderly care. Taking an elderly person’s perspective, it defines robot roles according to their value co-creating/destroying potential for the elderly user (i.e. focal actor), while acknowledging consequences for a network of users around the elderly (i.e. network actors). Design/methodology/approach This qualitative, interpretative study employs in-depth phenomenographic interviews, supported by generative cards activities (i.e. Contextual Value Network Mapping), to elicit an elderly person’s tacit knowledge and anticipate the effects of introducing an automated actor on institutionalized value co-creation practices. Findings The proposed typology identifies six roles of socially assistive robots in an elderly person’s value network (enabler, intruder, ally, replacement, extended self, and deactivator) and links them to three health-supporting functions by robots: safeguarding, social contact, and cognitive support. Research limitations/implications Elderly people have notable expectations about the inclusion of a socially assistive robot as a new actor in their value networks. The identified robot roles inform service scholars and managers about both the value co-destruction potential that needs to be avoided through careful designs and the value co-creation potential that should be leveraged. Originality/value Using network-conscious phenomenographic interviews before the introduction of a novel value proposition sheds new light on the shifting value co-creation interplay among value network actors (i.e. elderly people, formal and informal caregivers). The value co-creation/destruction potential of socially assistive robots and their corresponding roles in care-based value networks offer insights for the design of meaningful robotic technology and its introduction into the existing service networks.

scholarly journals Difficulties encountered in care for elderly persons with dementia: coping based on participatory research

2018 ◽  
Vol 21 (1) ◽  
pp. 35-43
Author(s):  
Barbara Martins Corrêa da Silva ◽  
Célia Pereira Caldas ◽  
Helena Maria Shchelowski Leal David ◽  
Michel Jean Marie Thiollent
Keyword(s):  
Family Caregivers ◽  
Participatory Research ◽  
Action Plan ◽  
Elderly Care ◽  
The Elderly ◽  
University Hospital ◽  
Support Network ◽  
Elderly Persons ◽  
Care For The Elderly ◽  
People With Dementia

Abstract Objective: to analyze the proposal of an action plan created by nurses to deal with difficulties in caring for the elderly. The aim of the present study was therefore to analyze the difficulties that family caregivers find in relation to access to services, material resources and the support network when meeting the care needs of the elderly in accordance with Brazilian public policy. Method: the methodology of participatory research and content analysis proposed by Bardin was used. The context was the Geriatric service of a university hospital. The group of co-researchers included eight nurses and 12 caregivers of elderly people with dementia. Results: the following categories emerged from the analysis: contradictions and work proposals. The contradictions category revealed reflections about the difference between the proposed care for the elderly and the reality of a lack of care and the precarious conditions of health services. This situation leads to overburdening of caregivers. The work proposals refer to the strategies used by nurses to establish a relationship of support to family caregivers to cope with the difficulties involved in care for the elderly. Conclusion: nurses recognize that they are professionals capable of receiving, listening to and managing the needs of family caregivers of the elderly, thus promoting the health of the elderly and the caregivers themselves, preparing the family of the patient for home care and coping with difficulties experienced in elderly care.

The Economic System: The Evangelical Basis of a Social Market Economy

1981 ◽  
Vol 43 (3) ◽  
pp. 355-380 ◽  
Author(s):  
Michael Novak
Keyword(s):  
Economic System ◽  
Market Economy ◽  
Social Market Economy ◽  
Economic Problems ◽  
The World ◽  
Rerum Novarum ◽  
Christian Thought ◽  
Social Market

The world is entering yet another age of economics. Virtually all the major problems which preoccupy governments are economic problems — problems of growth and limits, food and fuel, employment and inflation, productivity and expanding populations, development and justice. The official documents of the churches since Rerum Novarum (1891) seem more and more preoccupied with economics. Yet there is hardly a less developed area in the tradition of Christian thought, whether in philosophy or in theology, than the relation of Christianity to economics.

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