The relationships between informal and formal social care for older people in England: A comparison before and after the Care Act 2014.

IF 2 3区 社会学 Q2 GERONTOLOGY Journal of Aging & Social Policy Pub Date : 2024-07-03 Epub Date: 2023-06-23 DOI:10.1080/08959420.2023.2226308
Jae Yeon Lyu, Bo Hu, Raphael Wittenberg, Derek King
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Abstract

Social care is an integral part of the UK welfare system and plays an imperative role in promoting the well-being of older people. This study investigates the impacts of receiving informal social care on formal social care use among community-dwelling older people in England before and after the implementation of the Care Act 2014. Data came from the Health Survey for England for the years 2011 to 2018 (N = 17,292). Bivariate probit models were used to address the endogeneity issue. The analysis shows that receipt of informal care substitutes for formal care. Informal care had a strong substitution effect on formal personal care before 2015, which was significantly weakened after 2015. While the receipt of formal personal care has been increasingly "carer-blind," that of formal domestic care depends on the availability of informal carers and personal affordability, which may result in unmet care needs.

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英格兰为老年人提供的非正式和正式社会护理之间的关系:2014 年护理法案》颁布前后的对比。
社会护理是英国福利制度不可分割的一部分,在促进老年人福祉方面发挥着至关重要的作用。本研究调查了《2014 年护理法案》实施前后,在英格兰社区居住的老年人中,接受非正式社会护理对使用正式社会护理的影响。数据来自 2011 年至 2018 年的英格兰健康调查(N = 17292)。采用二元概率模型来解决内生性问题。分析表明,接受非正规护理可替代正规护理。在 2015 年之前,非正规护理对正规个人护理具有很强的替代效应,而在 2015 年之后,这种效应明显减弱。虽然接受正规个人护理越来越 "不依赖护理人员",但接受正规家庭护理则取决于是否有非正规护理人员和个人负担能力,这可能导致护理需求得不到满足。
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来源期刊
CiteScore
13.00
自引率
3.90%
发文量
57
期刊介绍: The Journal of Aging & Social Policy offers a platform for insightful contributions from an international and interdisciplinary group of policy analysts and scholars. It provides an in-depth examination and analysis of critical phenomena that impact aging and the development and implementation of programs for the elderly from a global perspective, with a broad scope that encompasses not only the United States but also regions including Europe, the Middle East, Australia, Latin America, Asia, and the Asia-Pacific rim. The journal regularly addresses a wide array of issues such as long-term services and supports, home- and community-based care, nursing-home care, assisted living, long-term care financing, financial security, employment and training, public and private pension coverage, housing, transportation, health care access, financing, and quality, family dynamics, and retirement. These topics are of significant importance to the field of aging and social policy, reflecting the journal's commitment to presenting a comprehensive view of the challenges and solutions related to aging populations around the world.
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