Devolution, Diversity and Welfare Reform: Long‐Term Care in the ‘Latin Rim’

Costa‐Font, Joan

doi:10.1002/9781444395556.ch7

Cited by 10 publications

(14 citation statements)

References 24 publications

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“…In addition, in this region, economic benefi ts covers only 3.5% of the entire dependent elderly population. This limited acceptance of subsidies has been interpreted as a means of resistance on behalf of the Madrid regional government to the LAPAD implementation (Costa-Font, 2010). The high rate of homebased professional care has managed to set the standard towards de-familism in these regions, except in Castile-La Mancha, where family involvement continues to be considerably high with respect to the other ACs located in this model group.…”

Section: Regional Models Of Social Care Organization and Their Situatmentioning

confidence: 99%

“…Esta situación, derivada en algunos casos de las difi cultades de fi nanciación regionales para promover los servicios sociales (Barriga, 2010), se combina también en otras comunidades con su oposición a aplicar los programas desarrollados por la LAPAD (Costa-Font, 2010). Las exploraciones académicas realizadas en torno a este ámbito también advierten de la escasa igualdad en la confi guración de estos recursos públicos entre las Comunidades Autónomas (Rodríguez, 2011;Barriga, 2011).…”

Section: Introductionunclassified

“…For example, while the law gives priority to social services in regards to cash-transfers, the wide dissemination of the PECEF has undermined the basis of the regulation (León, 2011). This situation, sometimes arising due to regional funding diffi culties for social services (Barriga, 2010) is also linked in other communities to an unwillingness to apply LAPAD-based programs (Costa-Font, 2010). Academic studies carried out in this area have warned of differences in the confi guration of these public resources in the autonomous communities (Rodríguez, 2011;Barriga, 2011).…”

Section: Introductionmentioning

confidence: 99%

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Los modelos territoriales de organización social del cuidado a personas mayores en los hogares

Martínez-Buján¹

2024

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ResumenLa mercantilización de los cuidados familiares a través del servicio doméstico y la incorporación de prestaciones económicas desde la entrada en vigor de la «Ley de Promoción de la Autonomía Personal y Atención a las Personas en Situación de Dependencia» (LAPAD) han sido los cambios más relevantes que en la última década ha experimentado la provisión del cuidado doméstico dirigido a las personas mayores. Dada la diferenciación interna existente en España en cuanto a la extensión de los servicios sociales, los subsidios dirigidos a la asistencia y la privatización, el artículo se centra en indagar sobre la emergencia de variados modelos de organización social de los cuidados entre las Comunidades Autónomas y determinar el carácter regional de los mismos. Mediante la aplicación de un análisis de correspondencias se presenta una clasifi cación de la distribución territorial de los cuidados familiares, públicos y privados en cada una de las regiones. Key words AbstractThe commercialization of in-home care services and the incorporation of economic assistance following the implementation of the "Law on the Promotion of Personal Autonomy and Care of Dependent People" (LAPAD) are the most signifi cant changes occurring in the social organization of senior care over the past decade. Given the internal diversity of the Spanish social services system--subsidies offered for care and privatization, this study explores the various social organization models of family care in the Autonomous Communities, examining regional differences. Correspondence analysis was used to create a national classifi cation system based on public and private family care in the different regions. Martínez-Buján, Raquel (2014). «Los modelos territoriales de organización social del cuidado a personas mayores en los hogares». Revista Española de Investigaciones Sociológicas, Cómo citar 100Los modelos territoriales de organización social del cuidado a personas mayores en los hogares INTRODUCCIÓN 1La fi nalidad de este artículo es doble: por una parte, realizar un análisis comparativo de la organización social de los cuidados dentro de los hogares a las personas mayores en cada una de las Comunidades Autónomas españolas y, por otra, estudiar las posibles repercusiones de la protección social pública en la confi guración de modelos de provisión de la asistencia a escala territorial.En España, la atención de personas en situación de dependencia ha experimentado dos cambios relevantes en la última década. Uno de ellos, a partir del año 2007, con la implantación de la Ley 39/2006 de Promoción y Autonomía de las Personas en Situación de Dependencia (LAPAD, en adelante). Esta legislación supuso la puesta en marcha de un sistema nacional de cuidados de larga duración que ha renovado el marco de servicios sociales y prestaciones económicas destinadas a los cuidados personales. El otro viene gestándose desde fi nales de los años noventa y consiste en la consolidación de una estrategia de privatización de los cuidados familiares a través del servicio do...

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Section: Regional Models Of Social Care Organization and Their Situatmentioning

confidence: 99%

Section: Introductionunclassified

Section: Introductionmentioning

confidence: 99%

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Los modelos territoriales de organización social del cuidado a personas mayores en los hogares

Martínez-Buján¹

2024

REIS

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“…Since 2005, because of concerns about the fiscal sustainability of its original LTC scheme, Germany has required childless adults to pay an additional 0.25% of their income to the mandatory LTC insurance program; the additional payment is to offset costs that children otherwise would have provided. Among countries in the south of Europe (Portugal, Spain, Italy, and Greece), the family is the primary caregiver for elderly people, with the public sector viewed as a last resort for very poor people and those without family (12,13,17). Even so, Spain began implementing a LTC scheme in 2007.…”

Section: Individual or Social Responsibility-shift Toward Shared Respmentioning

confidence: 99%

Searching for a Balance of Responsibilities: OECD Countries' Changing Elderly Assistance Policies

Swartz

2013

Annu. Rev. Public Health

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The rapid aging of OECD country populations and the now five-yearlong financial crisis in Europe are causing many OECD countries to reconfigure their assistance programs for the elderly, particularly their long-term care (LTC) policies. Debates about intergenerational responsibilities are evident in recently published research papers that examine how countries are revising programs for the elderly. Building financial sustainability into program reforms has suddenly become a priority. Until just recently, reform efforts focused on creating efficiencies and better quality of services. What emerges from the recent literature is a strong sense that the OECD countries are responding to the financial crisis and the rapid aging of populations in very similar ways. Given the countries' different histories of how they provide assistance to their elderly citizens, the convergence of policy responses is not something we might have foreseen. The United States could learn much from the OECD countries' choices.

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“…In Spain, access to-scarcely provided-publicly-funded LTC services has traditionally been based on an assessment of needs and financial resources, with considerable regional differences in eligibility criteria (Comas-Herrera and Wittenberg 2003). In 2006, a new law (ley de dependencia) was passed, introducing an entitlement to claim benefits based on grade of dependency (Gutiérrez et al 2010;Costa-Font 2010), but thus far its implementation has been highly fragmented across regions, and harmonisation with respect to entitlement and co-payment criteria has been lacking (Gutiérrez et al 2010).…”

Section: Macro-contextual Factorsmentioning

confidence: 99%

Transitions in formal and informal care utilisation amongst older Europeans: the impact of national contexts

Geerts

Bosch

2011

Eur J Ageing

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The objective of this study was to explore how long-term care systems, and in particular the incorporation of needs-based entitlements to care services or benefits, influence formal and informal care utilisation dynamics. We used the Survey of Health, Ageing and Retirement in Europe (SHARE) wave 1 and 2 data, restricting the sample to persons 65? from 9 European countries (N = 6,293). The effects of changes in health and household composition on formal and informal care transitions were estimated using logistic regression, allowing these effects to vary across countries. The results indicated that, in all countries, formal and informal care were more often complements than substitutes. The likelihood of becoming a formal or informal care user varied significantly between countries. In the Scandinavian countries and in several continental European countries with needs-based entitlements, the transition to formal care was strongly related to informal support being or becoming unavailable. We found little evidence of country differences in the effect of health variables on the transition to formal care. The analysis suggested that, whilst rates of formal care utilisation continue to differ considerably between European countries, formal care allocation practices are not very dissimilar across Northern and continental European welfare states, as we found evidence for all countries of targeting of older persons living alone and of the most care-dependent older people.

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Devolution, Diversity and Welfare Reform: Long‐Term Care in the ‘Latin Rim’

Cited by 10 publications

References 24 publications

Los modelos territoriales de organización social del cuidado a personas mayores en los hogares

Los modelos territoriales de organización social del cuidado a personas mayores en los hogares

Searching for a Balance of Responsibilities: OECD Countries' Changing Elderly Assistance Policies

Transitions in formal and informal care utilisation amongst older Europeans: the impact of national contexts

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