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Document Typology: Report
Methodology addressed by the publication:Narrative medicine
Title of document: Informal And Formal Care
Name of author(s): K. Bolin. Lindgren,P. Lundborg
Name of publisher: Tinbergen Institute Discussion Paper
Language of the publication: English
Language of the review: English
Summary:
The relevance of studying the relationship between informal- and formal care is highlighted by the fact that the populations in the European countries are growing older, which is brought on by the simultaneous decline in mortality- and fertility rates, and which provokes the expectation that the demand for health care and
care for the elderly will rise accordingly. The proportion of individuals aged 65 and over in the 25 member countries of EU is expected to rise from about today’s 16 percent to 30 percent in the year 2050 . Moreover, the proportion of individuals aged 80 and more is expected to almost triple, from 4.0 percent in 2004 to 11.4 percent in 2050 . The increase in the share of elderly in the population is likely to
induce a positive shift in the demand for health- and social care, which may put additional pressure on the performance and finance of existing health- and elderly care systems. In the highest age groups of the population there are many individuals who have long-standing physical and/or mental disability and are dependent on assistance with basic activities of daily living through various forms of long-termcare. In addition, a number of studies have found that health-care costs rise as the proportion of elderly increases , even though the population age structure has usually been found insignificant in explaining inter-country differences in health-care expenditures . There is, hence, a growing concern about increasing expenditure on
long-term care services and health care over the next few decades, because of the continuing growth in the number and share of the oldest people .
Reviewer's comments on the document:
Policy-makers, not only in Europe, face a number of challenging issues
with regard to future provision of health- and social care to the elderly. While the demand for care is likely to increase, there are at the same time demographic and socio-economic trends that are likely to decrease the availability of informal care.
During the past decades, the average number of children per women has decreased in all European countries.
Consequently, future generations will have a smaller network to rely upon regarding the provision of informal care. Moreover, increased
participation of women in the labour market may further reduce the availability of informal care.
Or it is more often the case that the couple recognizes this dilemma of splitting living arrangements in two locations and an attempt will be made to keep the spouse needing care at home as long as possible. This may help with the finances but often results in destroying the physical and emotional health of the caregiver by creating a situation where the caregiver has difficulty coping with the responsibilities and physical demands.Another reality of providing informal care services in the home is the increasing need for physical and emotional support that often goes unrecognized until too late. As care needs increase, both in the number of hours required and in the number or intensity of activities requiring help, there is a greater need for the services of formal caregivers.
Unfortunately, many informal caregivers become so focused on their task they don't realize they are getting in over their heads and they have reached the point where some or complete formal caregiving is necessary. Or the informal caregiver may recognize the need for paid, professional help but does not know where to get the money to pay for it.
Where to find it:

www.tinbergen.nl/discussionpapers/07031.pdf - Išversti šį puslapį

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