0000000000256414
AUTHOR
Maria Angeles Tortosa
Diversification of old-age care services for older people: Trade-offs between coverage, diversification and targeting in European countries.
Information on public services for older people is often limited to institutional care and Home Help/ Home Care, be it for individuals in surveys, statistics for a specific country or for international comparisons. Yet, these two major services in many countries are supplemented — or substituted — by other, minor services. The latter include services such as transportation services, meals-on-wheels, alarm systems, and day care. In this study the authors use various data sources to provide information on all or most of these types of support for Denmark, Norway, Sweden, Germany, England, Spain, and Israel, concluding with a closer scrutiny of Swedish service profiles. When all types of suppo…
Quasi-markets Targets and the Evaluation of Nursing-home Funding in the Valencian Region
EnglishSpanish long term care is in danger, therefore we propose a change in the nursing home funding system. We use as an example the extremely complex nursing home financing system of Valencian Region. In this region, there are many funding mechanisms: two types of public subsidies, two different accessibility plans, a voucher scheme and a cash benefit approach related to residential service. We evaluate these methods through the quasi-market theory. We find that these approaches have negative impact on equity, efficiency and freedom of choice and we propose a new, homogeneous financing method for all nursing homes through voucher. EnglishLong term care, nursing homes, quasi-markets, vouc…
Vern L. Bengtson, with Norella M. Putney and Susan Harris (2015). Families and Faith: How Religion Is Passed Down across Generations. Oxford: Oxford University Press, 267 pp. ISBN 978 0199 9486 59 (hardcover)
Vern L. Bengtson, with Norella M. Putney and Susan Harris (2015). Families and Faith: How Religion Is Passed Down across Generations. Oxford: Oxford University Press, 267 pp. ISBN 978 0199 9486 59 (hardcover)
Nursing home vouchers in Spain: the Valencian experience
The main purpose of this paper is to evaluate the innovative nursing home voucher scheme that was introduced by the Valencia Autonomous Region of Spain in the early 1990s to implement targets laid down by the national plan for the development of older people's services. The article begins with a review of the evolution of Spanish social services, and especially the nursing home sector, and then summarises the genesis, objectives and characteristics of the voucher scheme. The main part of the paper reports a performance analysis and economic evaluation of the programme. On the basis of detailed information over four years, it is concluded that nursing home vouchers have contributed to the in…
La soledad de las personas mayores en España y Suecia: contexto y cultura
Resumen Introduccion Historicamente, las personas mayores espanolas y de paises del sur de Europa manifiestan indices de soledad percibida muy superiores a los de los paises nordicos. Estudios desde los anos 70 hasta ahora confirman esta paradoja. Este estudio analiza la soledad como producto de expectativas culturales y contextuales comparando datos de Espana y Suecia. Material y metodo Se revisaran todas las encuestas en Espana y Suecia sobre soledad de las personas mayores y en especial, la Encuesta de Condiciones de Vida de 2006 para Espana y la Encuesta Nacional de 2002–03 para Suecia. Resultados En promedio, un 24% de los mayores en Espana y un 10% de los mayores en Suecia expresan so…
The effects of rationing home-help services in Spain and Sweden: a comparative analysis
In both Spain and Sweden the most important public support for older people that is provided in their own homes are home-help services. In Sweden, these programmes were expanded in years of economic growth but recently have radically declined. Spain still strives to expand them in spite of financial problems. Both countries ration these services but in different ways. Spain provides relatively few hours of help with household tasks, primarily to poor old people. At present, one to two per cent of the 65-plus population is covered. Local government is still trying to reach more people to relieve pressure on limited institutional care. Sweden continues to cut down the service from the present…