NDLI: Transitions in formal and informal care utilisation amongst older Europeans: the impact of national contexts

Content Provider	Springer Nature Link
Author	Geerts, Joanna Van den Bosch, Karel
Copyright Year	2011
Abstract	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 (N = 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.
Starting Page	27
Ending Page	37
Page Count	11
File Format	PDF
ISSN	16139372
Journal	European Journal of Ageing
Volume Number	9
Issue Number	1
e-ISSN	16139380
Language	English
Publisher	Springer Netherlands
Publisher Date	2011-09-23
Publisher Place	Dordrecht
Access Restriction	Subscribed
Subject Keyword	Long-term care Longitudinal analysis Informal care Formal home care SHARE Psychology Geriatrics/Gerontology Public Health/Gesundheitswesen Demography Aging
Content Type	Text
Resource Type	Article
Subject	Health (social science) Geriatrics and Gerontology

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