Informal and formal care among single‐living elderly in Europe

Bolin, Kristian; Lindgren, Björn; Lundborg, Petter

doi:10.1002/hec.1275

Cited by 337 publications

(371 citation statements)

References 31 publications

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“…This is in line with the findings of other studies (Scheiber & Poullier, 1987;Broome´ et al, 1994, OECD, 2006Comas-Herrera et al, 2007;Bolin et al, 2008) sustaining that old-age and (the resulting) disabilities increase the need for both home and institution-based LTC. In fact, as 'ageing' is even defined as "the progressive loss of daily function" (Kirkwood & Austad 2000) it will inevitably increase the demand for LTC.…”

Section: Discussionsupporting

confidence: 91%

“…We show that marriage or partnership can indeed substitute for all professional home-based LTC services offered (even though the effect is not always statistically significant). This can be mostly because couples are more likely to take care of each other (Bolin et al, 2008). Moreover this form of care is proved to postpone an admission to a LTC institution (Houtven & Norton, 2004;Bonsang 2009).…”

Section: Discussionmentioning

confidence: 99%

“…For example OECD data for 2007-2008(OECD, 2011 (OECD, 2011). The philosophy of 'family responsibility' is also reflected in the other Central European countries (Riedel & Kraus, 2010) even though there is a greater variability as the families here may take fewer responsibilities because the role of the state is higher than in the Mediterranean countries.…”

Section: Introductionmentioning

confidence: 99%

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Western European Countries

2002

International Handbook of Urban Systems

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The need for long-term care (LTC) is projected to increase in all European countries due to the ageing of the population. The number of people aged 65 and older will double in EU-15 countries by 2050 under a pure ageing scenario and will increase by more than 30 per cent under the constant disability scenario.The aim of this paper is to see how different individual characteristics and the LTC systems around Western Europe influence the utilisation of formal LTC (in terms of frequency of services received). The data used from this study come from the Survey of Health Ageing and Retirement in Europe (SHARE) [2004][2005]. We test here the individuals and systems characteristics determining the influence of use professional home-based LTC service (nursing care, domestic home assistance and meals-on-wheals).The frequencies are modelled using a negative binomial regression model.Our findings indicate that utilisation of professional home-based LTC increases significantly with factors like age, education, income and ADL (Activities of Daily Living) score. We found that the utilisation of LTC services is closely linked to the policy priorities, the financing and the organisations of the LTC system. In countries like the Netherlands, where a greater policy emphasis is put on home-based care, the utilisation of home-based LTC is higher compared with most of the other countries in the study.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Western European Countries

2002

International Handbook of Urban Systems

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“…The survey comprises representative information on health and socioeconomic status as well as on the social and familial situation of the elderly and is well accepted by the international research community (Allin et al 2009;Bolin et al 2007;Kohli et al 2009;Mielck et al 2009). SHARE covers persons 50 years old or older and their partners who were surveyed independent of their age.…”

Section: Population and Samplingmentioning

confidence: 99%

Inequality in health care utilization in Germany? Theoretical and empirical evidence for specialist consultation

Gruber

Kiesel²

2010

J Public Health

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Aim In view of increasing concern about a two-class system in the German health care sector, this study investigates the relevance of health insurance schemes and other socioeconomic characteristics to the level of specialist health care provision. Subjects and Methods Referring to Ronald M. Andersen's model of health care utilization and more content-based approaches, we implement a negative binomial hurdle regression to estimate the number of specialist visits within the last 12 months. Our data source is the German sample of the first wave of the Survey of Health, Ageing and Retirement in Europe (SHARE) in 2004.Results The results show that men's number of specialist visits is markedly sensitive to predisposing and enabling factors, whereas women's health care utilization depends less on such socioeconomic characteristics. With reference to previous findings concerning general practitioner consultation, the assumption of a bipolar health care system providing general practitioner care primarily to the statutory insured and specialist care to the privately insured is supported empirically as to men. Education, which is considered to be highly correlated with health lifestyles, has a positive effect on medical health care. Every additional year of education increases by about 10% the probability of men seeking specialist consultation. Furthermore, the results indicate an unfavorable situation for the self-employed concerning health care because of their specific employment situation and health insurance coverage. Discussion The research results suggest the existence of relevant differences in the amount of specialist consultation according to health insurance and other socioeconomic features. Further research could concentrate on the question of whether these inequalities in utilization levels indicate overprovision or underprovision of ambulant health care. Moreover, we recommend longitudinal research that is particularly suited to detangle age and cohort effects.

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“…29 As noted by Bolin et al (2008), Southern European countries were not only undergoing similar economic conditions and were very similar in terms of welfare state regime, family structure and culture, but they also had similar demographic patterns of intra-generational co-residence and patterns of support for the elderly.…”

Section: Additional Sensitivity Checksmentioning

confidence: 96%

Living arrangements in Europe: whether and why paternal retirement matters

Stella

2016

Rev Econ Household

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This paper uses retrospective micro data from eleven European countries to investigate the role of paternal retirement in explaining children's decisions to leave the parental home. To assess causality, I use a bivariate discrete-time hazard model with shared frailty and exploit over time and cross-country variation in early retirement legislation. Overall, the results indicate a positive and signi cant in uence of paternal retirement on the probability of rst nest-leaving of children residing in Southern European countries, for both sons and daughters. By contrast, there is no evidence of signi cant e ects on children living in Northern and Central European countries. I then discuss and test empirically the potential mechanisms by which paternal retirement may a ect children's co-residence. I nd that the increase in children's nest-leaving around the time of paternal retirement does not appear to be justi ed by changes in parental resources. Rather, one must probably look for channels involving the supply of informal child care provided by grandparents or the negative externalities in preferences between retired fathers and their children.JEL Codes: J13, J26, J01

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Informal and formal care among single‐living elderly in Europe

Cited by 337 publications

References 31 publications

Western European Countries

Western European Countries

Inequality in health care utilization in Germany? Theoretical and empirical evidence for specialist consultation

Living arrangements in Europe: whether and why paternal retirement matters

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