2023-09-28 14:46:10 +00:00
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abstract: 'Older people of lower socioeconomic status (SES) are disproportionately
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affected by chronic conditions, yet less able to compensate health
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limitations through use of formal long-term care (LTC) at home, a
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preferred type of care for most. Some, like older women and single
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people, are particularly vulnerable. Under the Austrian public
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cash-for-care scheme, which aims to incentivise care at home and
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empowerment of LTC users, this study analyses: (i) interdependencies
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between SES, gender and informal'' or family care, and (ii) how these
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factors associate with the use of old age formal home care in Vienna. An
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adaptation of Arber and Ginn''s theory is used to identify material
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resources (income), health resources (care needs) and informal caring
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resources (co-residence and/or availability of family care). Gender
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aspects are also considered as a persistent source of inequalities.
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Administrative and survey data, collected by public authorities between
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2010 and 2012 in Vienna, serve to compare home care use in old age (60+)
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to other support forms (residential and informal care) using logistic
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regression analysis. Results show a pro-rich bias in home care use among
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single-living people, with high-income single people being less likely
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to move to a care home, while there are no significant income
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differences present for non-singles. Second, traditional gender roles
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are salient: female care recipients co-residing with a partner are more
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likely to use formal care than men, reflecting that men''s traditional
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gender roles involve less unpaid care work than women''s. In conclusion,
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in an urban setting, the Austrian cash-for-care scheme is likely to
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reinforce stratifications along gender and class, thus implementing the
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general policy objective of care at home, but more likely for those with
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higher income. A support mechanism promoting empowerment among all older
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people might contribute to unequal degrees of choice, especially for
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those with fewer resources to manage their way through a fragmented
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system of LTC delivery.'
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affiliation: 'Schmidt, AE (Corresponding Author), European Ctr Social Welf Policy
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\& Res, Vienna, Austria.
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Schmidt, AE (Corresponding Author), Berggasse 17, A-1090 Vienna, Austria.
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Schmidt, Andrea E., European Ctr Social Welf Policy \& Res, Vienna, Austria.'
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author: Schmidt, Andrea E.
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author-email: schmidt@euro.centre.org
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author_list:
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- family: Schmidt
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given: Andrea E.
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da: '2023-09-28'
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doi: 10.1111/hsc.12334
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eissn: 1365-2524
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files: []
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issn: 0966-0410
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journal: HEALTH \& SOCIAL CARE IN THE COMMUNITY
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keywords: Austria; cash benefit; gender; home care; inequalities; old age
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keywords-plus: 'LONG-TERM-CARE; WELFARE-STATE; INFORMAL CARE; HEALTH-CARE; FAMILY;
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HELP;
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SERVICES; AUSTRIA; SUPPORT; EUROPE'
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language: English
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month: MAR
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number: '2'
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number-of-cited-references: '65'
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orcid-numbers: SCHMIDT, Andrea/0000-0002-1408-321X
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pages: 514-526
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papis_id: a3ea08e70ec767d8947ecfea984885a1
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ref: Schmidt2017analysingimportance
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times-cited: '17'
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title: 'Analysing the importance of older people''s resources for the use of home
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care in a cash-for-care scheme: evidence from Vienna'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000394976600021
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usage-count-last-180-days: '1'
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usage-count-since-2013: '17'
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volume: '25'
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web-of-science-categories: Public, Environmental \& Occupational Health; Social Work
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year: '2017'
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