This article explores how far the concepts of de-familialisation/familialisation are adequate to the classification of long-term care (LTC) policies for older people. In the theoretical debate over LTC policies, de-familialising and familialising policies are often treated as opposites. We propose re-conceptualising the relation between de-familialisation and familialisation, arguing that they represent substantially different types of policy that, in theory, can vary relatively autonomously. In order to evaluate this theoretical assumption, this article investigates the relation between the generosity level of LTC policies on extra-familial care, and the generosity level of LTC policies on paid family care, introducing a new multi-dimensional approach to measuring the generosity of LTC policy for older persons. It also explores the consequences of this for gender equality. The empirical study is based on a cross-national comparison of LTC policies in five European welfare states which show significant differences in their welfare state tradition. Data used are from document analysis of care policy law, the Mutual Information System on Social Protection, the European Quality of Life Survey and the Organisation for Economic Co-operation and Development. The findings support the argument that de-familialising and familialising LTC policies can vary relatively independently of each other in theory. It turns out that we get a better understanding of the relationship between LTC policy and gender equality if we analyse the role of different combinations of extra-familial and familial LTC policies for gender equality. The paper brings new insights into the ways welfare states act in regard to their LTC policies. It helps to clarify how the concept of de-familialisation/familialisation can be understood, and what this means for the relationship between LTC policies and gender equality.
The article aims to answer the following research questions: (a) How far do European welfare states differ in the use of the policy concept of the active social citizen? and (b) How far is it possible to explain the differences with welfare regime types and welfare culture? The article distinguishes between two different types of the policy concept of active social citizenship with regard to self-responsibility. It argues that the active social citizen's self-responsibility could be underpinned either by a major role of the welfare state, which promotes the citizens' self-determination, or by a minor role of the state, which forces citizens to be self-reliant for funding and for organizing their own social security and services. The article is based on a crossnational comparative study for two policy fields (unemployment and long-term care policies for older people) in three welfare states (Denmark, England, and Germany), and analyzes legal frameworks, data from MISSOC (Mutual Information System on Social Protection) and secondary literature. The comparative analysis shows that countries differ in the type of the policy concept of active social citizenship they use. Differences in the type of welfare regime and also differences in the welfare culture contribute to an explanation of these differences. The article is innovative in that it offers a systematic analysis of the differences in the ways in which welfare states of different regime types conceptualize "active social citizenship" with regard to the citizens' self-responsibility.
Rapid demographic ageing constitutes a significant challenge for the Chinese social system. As China has only recently begun developing a long‐term care (LTC) policy, care provision is currently based on family care. However, the prevalence of such care is declining due to low social recognition and conflicts between family members' care and work responsibilities. Thus, a comprehensive LTC policy should expand extra‐familial care services and make family care attractive. Germany's LTC insurance is an example of a policy that integrates extra‐familial and family care. This study analyses whether China's LTC policy can gain insights from Germany's LTC policy in view of the findings from Chinese LTC pilot projects. We argue that a policy that supports extra‐familial and family care would facilitate the LTC provision preferred by older people, while also supporting relatives who wish to provide care according to their values of intergenerational solidarity.
Objective: To determine how European care policies for older people differ in terms of their potential social risks to family carers, as well as the extent to which these differences can be explained by different types of welfare and care regime. Background: It is often assumed that welfare state support for family care entails high social risks to the carer, such as loss of employment income and social security rights. This paper challenges these assumptions and argues that care policies that generously support family carers might also alleviate some of the social risks related to family care. Method: This paper introduces an innovative approach to systematically measuring the generosity of policies that support family carers, and it theorises how these policies connect to family carers' social risks. It then applies this approach to a comparative study of five European welfare states based on analyses of these countries’ care policy documents, standardised policy reports by national experts and data from comparative social policy databases. Results: The findings reveal large cross-national differences in care policy design, which is only in some cases able to significantly mitigate social risks for family carers. Furthermore, these cross-national differences only partly correspond with assumptions based on welfare and care regime affiliation according to classic typologies. Conclusion: The paper sheds new light on the ways in which welfare states design their policies towards family carers, and on the extent to which these policies are associated with social risks.
Due to demographic ageing, many welfare states have restructured their long‐term care (LTC) policies by simultaneously extending older people's social rights to publicly‐funded care and strengthening their active role in handling their care situation. By doing so, they are increasingly constructing older people as active social citizens. However, the consequences of this shift for older people's social risks are controversial and whether it comes at the cost of public responsibility for ensuring sufficient care provision. Therefore, this study investigates to what extent European welfare states differ in terms of how they conceptualise older people as active social citizens in their LTC policies and how these differences affect older people's social risks. It introduces an innovative typology to classify LTC policies with respect to different approaches towards active social citizenship and related social risks. It applies this approach to a cross‐national comparison of five European countries using data on LTC policy regulations, comparative policy databases and secondary literature. The findings indicate that European LTC policies promote active social citizenship to different degrees and that we have to consider whether strengthening older people's active role coexists with generous social rights to publicly‐funded care in order to understand the consequences for their social risks.
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