16.3 Erwartungen an eine Pflegereform – Ergebnisse einer Repräsentativbefragung

Zok, Klaus

doi:10.1515/9783110303629.565

Cited by 2 publications

(3 citation statements)

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“…However, most individuals delay dealing with this topic [ 6 ] and perceive themselves as badly informed [ 7 ]. In the same vein, it has been shown that only a small proportion of individuals have additional private long-term care insurance in Germany [ 8 ]. Previous studies have mostly focused on the question of whether individuals in old age have considered the topic of long-term care [ 7 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Do Individuals in Old Age Prepare for the Risk of Long-Term Care? Results of A Population-Based Survey in Germany

Hajek

Lehnert

Wegener

et al. 2018

IJERPH

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The aim of the present study was to identify specific actions and financial precautions undertaken by individuals in preparation for their long-term care needs, as well as to determine the correlates of these actions. A population-based survey of the German population aged 65 years and above (n = 1006) was used. Individuals were asked whether they have undertaken financial preparations for their long-term care needs (no; yes). With respect to specific actions, individuals were asked whether they (no; yes): (i) Had obtained information (e.g., from doctor, internet, care support center, care facility), (ii) had modified their home (e.g., installed a stair lift), and (iii) had moved (e.g., old-age housing, care in relatives’ homes). In total, 30.4% had undertaken financial preparations for their long-term care needs. With respect to the specific actions undertaken, 6.5% had obtained information, 4.8% modified their home, and 7.3% had moved. The outcome measure, ‘had modified home’, was positively associated with lower age, West Germany, and lower self-rated health. The outcome measure, ‘had moved’, was positively associated with being female, and higher education. The outcome measure, ‘financial preparations for long-term care needs‘, was positively associated with lower age, West Germany, higher education, being born in Germany, and private health insurance. It is alarming that only around one in three individuals aged 65 and older had undertaken financial preparations for long-term care needs, and that far fewer individuals had undertaken other actions to prepare for their long-term care needs. The provision of timely information regarding the risk of long-term care, as well as its associated costs, may assist in sustaining the satisfaction of long-term care recipients. It may also help to reduce the risk of long-term care for individuals in old age.

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Section: Introductionmentioning

confidence: 99%

Do Individuals in Old Age Prepare for the Risk of Long-Term Care? Results of A Population-Based Survey in Germany

Hajek

Lehnert

Wegener

et al. 2018

IJERPH

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“…The emphasis on domestic care, the significant role of family care, as well as free choice between family care and different types of formal care correspond to German norms on care provision (Runde et al. 2003, Alber & Köhler 2004, Dittman 2008, Zok 2011).…”

Section: Introductionmentioning

confidence: 89%

“…2003, Schneekloth & Wahl 2006). Reform efforts to improve the situation of informal family carers are therefore greatly welcomed by the members of social LTCI (Zok 2011). Furthermore, research indicated a care gap for beneficiaries with no support by family members or social networks.…”

Section: Interplay Of Informal and Formal Care Provisionmentioning

confidence: 99%

Home-based care provision within the German welfare mix

Theobald

2012

Health &Amp; Social Care in the Community

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With the introduction of long-term care insurance (LTCI) in 1995/96, Germany established a universal long-term care scheme within a cost containment framework to provide public support in defined situations of care dependency. The scheme aimed to promote ageing in place with an emphasis on public support for family care provision as a precondition. A further aim was the expansion of market-oriented professional care services to offer users a choice between family and professional care provision and care providers. The focus of this study is on the interplay of formal and informal family care provision within the institutional framework of LTCI, as well as the organisation, regulations and mix of different types of formal care services. In a first step, an examination of the interplay of formal and informal care provision shows the largely family-oriented care strategy, the burdened situation of informal carers, the mix of rationalities of service use and their interrelationship with socioeconomic inequality. In a second step, an analysis of the organisation of different types of formal services reveals paid care provision that emerges in the interplay of politicians' strategies to develop professional care services within the framework of LTCI, bottom-up strategies of users to increase the range of services outside the framework of LTCI and efforts of politicians to regulate the latter. Basic orientations of care provision underlying the development process such as user orientation, quality and comprehensiveness guided the process and are used to analyse the development. Finally, the discussion of the situation of care workers reveals a contradictory picture with increasing employment opportunities, a comparably well-qualified workforce and worsening employment conditions. Empirically, the research is based on an institutional analysis of LTCI combined with a literature review and representative statistics.

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16.3 Erwartungen an eine Pflegereform – Ergebnisse einer Repräsentativbefragung

Cited by 2 publications

References 0 publications

Do Individuals in Old Age Prepare for the Risk of Long-Term Care? Results of A Population-Based Survey in Germany

Do Individuals in Old Age Prepare for the Risk of Long-Term Care? Results of A Population-Based Survey in Germany

Home-based care provision within the German welfare mix

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