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