Vanhuksen oikeus hoivaan ja omaisolettama

Kalliomaa-Puha, Laura

doi:10.23989/gerontologia.63421

Cited by 10 publications

(10 citation statements)

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“…The increasing demand for informal caring is a consequence of the combination of retrenchment and a change in how the role of the family is addressed in public discourse, and in some cases, also how care allowances paid to the carers or the cared-for, is presented as an alternative to services. Such as in Finland, where the use of care allowances for informal care has become increasingly common and families are widely assumed to participate in the care for older relatives at home (Kalliomaa-Puha 2017 ; Kröger 2019 ). Also, in residential care, family members are expected to contribute; a practice that backfired when visits where prohibited due to the COVID-19 pandemic.…”

Section: Resultsmentioning

confidence: 99%

Revisiting the Nordic long-term care model for older people—still equal?

et al. 2022

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With the extensive long-term care services for older people, the Nordic countries have been labelled ‘caring states’ as reported (Leira, Welfare state and working mothers: the Scandinavian experience, Cambridge University Press, Cambridge, 1992). The emphasis on services and not cash benefits ensures the Nordics a central place in the public service model (Anttonen and Sipilä, J Eur Soc Policy 6:87–100, 1996). The main feature of this ideal model is public social care services, such as home care and residential care services, which can cover the need for personal and medical care, as well as assistance with household chores. These services are provided within a formally and professionally based long-term care system, where the main responsibility for the organization, provision and financing of care traditionally lays with the public sector. According to the principle of universalism (in: Antonnen et al. (eds), Welfare state, universalism and diversity, Elgar, Cheltenham, 2013), access to benefits such as home care and residential care is based on citizenship and need, not contributions nor merit. Also, care services should be made available for all and generally be used by all, with no stigma associated. Vabø and Szebehely (in: Anttonen (ed), Welfare State, universalism and diversity, Edward Elgar Publishing, London, 2012)) further argue that the Nordic service universalism is more than merely issues of eligibility and accessibility, in that it also encompasses whether services are attractive, affordable and flexible in order to meet a diversity of needs and preferences. However, recent decades have seen a continuous tendency towards prioritization of care for the most frail, contributing to unmet need, informalization of care and privatization in the use of topping up with market-based services. These changes have raised questions about increasing inequalities within Nordic long-term care systems. We investigate in the article what effect changes have for equality across social class and gender, for users and informal carers. The article is based on analysis of comparable national and international statistics and a review of national research literature and policy documents.

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Section: Resultsmentioning

confidence: 99%

Revisiting the Nordic long-term care model for older people—still equal?

et al. 2022

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“…On the other hand, prior evidence from Finland shows that those with high incomes and educational attainment are more likely to buy caring services for their close ones compared to those with low incomes, who usually care by themselves ( Kalliomaa-Puha, 2018 ). This phenomenon can also be considered a socioeconomic issue ( Kalliomaa-Puha, 2018 ). However, the issue is less investigated among family caregivers from different socioeconomic positions, at least in Finland.…”

Section: Discussionmentioning

confidence: 99%

“…There were no inclusion criteria regarding family caregivers’ age, but they were mainly older adults (98% were 60 and older). In addition, family caregivers mainly cared for their partner (89%), and care recipients were more likely to have memory disorder (63%), which is also the most frequent disease of care recipients under the care allowance ( Kalliomaa-Puha, 2018 ).…”

Section: Methodsmentioning

confidence: 99%

Assessing Social Inequalities in Older Family Caregivers’ Frailty Conditions, Comorbidity, and Cognitive Functioning: A Cross-sectional Study

Savela,

Välimäki,

Kiljunen

et al. 2023

Gerontology and Geriatric Medicine

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We aimed to assess the social inequalities in older family caregivers’ frailty conditions, comorbidity, and cognitive functioning. A cross-sectional study was conducted. Study participants were recruited in 2019 in Finland. First, cognitive functioning was assessed with a Mini-Mental State Examination, comorbidity with the modified Functional Comorbidity Index, and frailty conditions were evaluated using the abbreviated Comprehensive Geriatric Assessment. Study participants were also interviewed on socioeconomic factors. The social inequalities in these health outcomes were assessed using the Independent Samples t-test, Pearson Chi-square test, and Binary Logistic Regression Analysis. Family caregivers’ ( n = 125) mean age was 74, and 73% had frailty conditions. Family caregivers’ social inequalities in frailty conditions were linked to their older age and the lowest caregiving cash benefit. Family caregivers’ low educational attainment was also the main factor predicting their minor cognitive impairment. Family caregivers’ social determinants of health should be fully assessed in their health assessment, policies, and programs to ensure healthy aging for both family caregivers and care recipients in the future.

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“…Lisäksi 2000-luvulla omaisten ja läheisten rooli hoivassa näyttäisi korostuvan (Häikiö ym. 2011, 244;Kalliomaa-Puha 2017;Ahosola 2018). Samoin kansalaisten osallisuus on vahvistuva toimintamalli, ja siksi on alettu puhua jopa osallistumisyhteiskunnasta hyvinvointiyhteiskunnan sijaan (Knijn & Hopman 2015;Matthies 2017, 150).…”

Section: Johdantounclassified

Lasten ja vanhusten toimijuus: diskurssianalyysi neljän puolueen eduskuntavaaliohjelmista

Karjalainen

Ukkonen-Mikkola²,

Luodonpää-Manni

et al. 2021

Janus

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Tutkimuksessa tarkasteltiin, miten lapsia ja vanhuksia kuvataan toimijuuden näkökulmasta neljän suurimman puolueen eduskuntavaaliohjelmissa. Tutkimusmenetelmänä hyödynnettiin kriittistä diskurssianalyysiä. Aineistosta oli tunnistettavissa kaksi toimijuuden diskurssia: passiivisen ja aktiivisen toimijuuden diskurssit, joissa molemmissa puhutaan lasten ja vanhusten toimijuudesta erityisesti palvelujärjestelmän kautta. Passiivisen toimijuuden diskurssissa erilaiset yhteiskunnalliset toimijat näyttäytyivät aktiivisina toimijoina lasten ja vanhusten sijaan. Aktiivisen toimijuuden puhe kietoutui palvelujärjestelmään, joka kuvautui keskeiseksi toimijuutta tuottavaksi tekijäksi. Lisäksi lasten toimijuus rakentuu tulevaisuudessa, kun taas vanhusten toimijuus on jotakin, mitä heillä on vanhenemisestaan huolimatta vielä jäljellä. Neljä suurinta puoluetta puhuvat vaaliohjelmissaan lasten ja vanhusten toimijuudesta julkisen sektorin järjestämien palveluiden kautta yllättävänkin yhdenmukaisella tavalla.

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Vanhuksen oikeus hoivaan ja omaisolettama

Cited by 10 publications

References 0 publications

Revisiting the Nordic long-term care model for older people—still equal?

Revisiting the Nordic long-term care model for older people—still equal?

Assessing Social Inequalities in Older Family Caregivers’ Frailty Conditions, Comorbidity, and Cognitive Functioning: A Cross-sectional Study

Lasten ja vanhusten toimijuus: diskurssianalyysi neljän puolueen eduskuntavaaliohjelmista

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