Eldercare policies in Scandinavia between 1993 and 2014: increased facilitation of family caregiving?

C. Martens
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引用次数: 2

Abstract

Abstract This article asks whether legal rights provided through national legislation on services provision in Scandinavia have become, over time, more accommodating to the role of family caregiving to elderly relatives. The study is based on a comparison and analysis of changes in legislation between 1993 and 2014 in the three Scandinavian countries. It is limited to legislation on the right to eldercare services and on work-family facilitating policies in relation to the provision of care to an elderly relative. Work-family facilitating policies are those policies that enable the combining of employment in the formal economy with caring for family members without large prohibitive costs for the caregiver. The main findings in this article are that the Scandinavian countries strengthened the legal right to public care services between 1993 and 2014, but that there are few, if any, truly work-family facilitating policies. The existing schemes do not facilitate a combination of employment and care, but rather force the family caregiver to choose between them. The dilemma is whether to continue passively with a high, but declining, level of public service provision of eldercare, leaving unmet care needs to unpaid family carers, or to introduce work-family facilitating policies enabling remunerated family care in addition to extensive public services provision.
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1993年至2014年斯堪的纳维亚半岛的老年护理政策:家庭护理的便利性增加?
随着时间的推移,通过斯堪的纳维亚国家立法提供的服务提供的合法权利是否已经变得更加适应家庭照顾老年亲属的角色。这项研究是基于对三个斯堪的纳维亚国家1993年至2014年立法变化的比较和分析。它仅限于关于老年人护理服务权利的立法和关于为老年亲属提供护理的工作-家庭便利政策的立法。促进工作-家庭的政策是那些能够将正规经济中的就业与照顾家庭成员相结合,而不会使照顾者付出高昂代价的政策。本文的主要发现是,斯堪的纳维亚国家在1993年至2014年期间加强了公共护理服务的合法权利,但真正促进工作家庭的政策很少,如果有的话。现有的计划并没有促进就业和照顾的结合,而是迫使家庭照顾者在两者之间做出选择。进退两难的是,是继续被动地提供高但不断下降的老年护理公共服务水平,将未满足的护理需求留给无偿的家庭照顾者,还是引入工作家庭促进政策,在广泛的公共服务提供之外,还能提供有偿的家庭照顾。
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