Der Einfluss von Bedarf und Chancen auf Pflegezeiten in häuslichen Pflegearrangements

Abstract

Within the concomitant research on the implementation of individual care budgets in Germany, the results of verbal interviews involving 329 persons in need of care were analysed with respect to the relation between the actual time expenditure for care measures and its dependency on the level of care required (according to the statutorily regulated levels of long-term care in Germany) on the one hand as well as determining factors of the environment (social networks, milieus) on the other hand. The results of the survey showed that with a high level of care required, the social environment as a chance factor becomes particularly influential. Under disadvantageous environmental circumstances, the difference in time spent on care measures for varying levels of care required was rather low. Disadvantageous environmental circumstances were not compensated by professional services or support provided by other sectors.

Analysing the importance of older people's resources for the use of home care in a cash-for-care scheme: evidence from Vienna

“…Differences in material resources in old age, i.e. in income and wealth, related to the use of care services can be attributed to structural differences, such as closer geographical proximity of informal carers and lower opportunity costs of paid employment in lower socioeconomic groups (Sarasa & Bilingsley 2008), as well as economic factors, such as ability to pay for out-of-pocket costs, cultural factors (Blinkert & Klie 2006, Colombo et al 2011, Theobald 2012 and to traditional gender roles (Da . Generally, income as an indicator of SES and class is often associated with distinct abilities to navigate through welfare systems (Bauer & B€ uscher 2008), although empirical evidence on the association between SES and (probability of) formal home care use is inconclusive (Genet et al 2011).…”

“…Differences in material resources in old age, i.e. in income and wealth, related to the use of care services can be attributed to structural differences, such as closer geographical proximity of informal carers and lower opportunity costs of paid employment in lower socioeconomic groups (Sarasa & Bilingsley ), as well as economic factors, such as ability to pay for out‐of‐pocket costs, cultural factors (Blinkert & Klie , Colombo et al . , Theobald ) and to traditional gender roles (Da Roit ).…”

“…Nevertheless, LTC services cannot fully compensate for the lack of so-called informal, i.e. family carers (Larsson & Silverstein 2004, Blinkert & Klie 2006, Hammar et al 2008, Nihtil€ a & Martikainen 2008.…”

Fairness and Eligibility to Long-Term Care: An Analysis of the Factors Driving Inequality and Inequity in the Use of Home Care for Older Europeans

“…Other socio-economic factors may also impact inequalities in the use of LTC services. Chiefly among them are household structures (e.g., marital status, number of children and frequency of contacts with them, cohabitation) as they may determine access to informal care or ability to count on potential ‘advocates’ to receive LTC services [ 16 , 21 , 22 , 23 , 24 ]. Results from social network studies indicate that higher socio-economic condition correlates positively with greater household size and closer distance to children, pointing to an advantage to receive informal care among higher income groups [ 25 ].…”

Pflege im Spannungsfeld von Angebot und Nachfrage

“…Pflegestellen bis zum Jahre 2050 fast verdreifachen.34 Prozent bis zum Jahr 2050 in etwa vervierfachen.35 Die positive Wirkung für den Arbeitsmarkt ist dabei nicht zu unterschätzen, da zunehmend mehr Arbeitskräfte im Pflegesektor eine dauerhafte Beschäftigung finden können.Neben den Chancen, die diese Entwicklung mit Sicherheit mit sich bringt, sind allerdings auch die Probleme nicht zu vernachlässigen. Auf Grund des Teilkaskocharakters der Sozialen Pflegeversicherung gilt es abzuwarten, ob die künftigen Pflegefälle in ihrer Erwerbsphase in ausreichendem Maße finanziell vorgesorgt haben, um so die notwendigen Pflegekosten im Alter auch bezahlen zu können.36 In diesem Zusammenhang liefernBlinkert und Klie (2006) 34 Im eher optimistischen Status quo Szenario der Abbildung 3, bei gleichbleibendem Inanspruchnahmeverhalten der ambulanten Pflegegeldempfänger, würde die Zahl der Pflegekräfte in der Variante A auf etwa 280.000 Vollzeitäquivalente im ambulanten Bereich und 850.000 Vollzeitäquivalente im stationären Sektor bis zum Jahr 2050 ansteigen. Die 1,1 Mio.…”