Introducción La organización social de los cuidados de larga duración en un contexto de austeridad y precariedad

Buján, Raquel Martínez; Virto, Lucía Martínez

doi:10.5569/1134-7147.60.01

Cited by 5 publications

(5 citation statements)

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“…Both provinces are different in terms of care provision, according to the involvement of the family and the state. Andalusia is characterized by the supremacy of the family as the main caregiver and public support focused on financial benefits, while the Basque Country has a high proportion of social protection services and a high participation of the domestic market (Martinez, 2011).…”

Section: Data and Empirical Methodsmentioning

confidence: 99%

Determinants of the willingness to pay and willingness to accept in the valuation of informal care. The CUIDARSE study

Oliva,

Peña Longobardo,

García-Mochón

et al. 2023

AEA

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Purpose This paper aims to study the value of informal care (IC) time from the perspective of caregivers using two alternative contingent valuation tools – willingness to pay (WTP) and willingness to accept (WTA) – and to identify the variables that affect the stated values. Design/methodology/approach The authors used data from a multi-centre study of 610 adult caregivers conducted in two Spanish regions in 2013. The existence of “protest zeros” and “economic zeros” because of the severe budgetary constraints of the households was also considered. Two-part multivariate models were used to analyse the main factors that explained the declared values of WTA and WTP. Findings The average WTP and WTA were €3.12 and €5.98 per hour of care, respectively (€3.2 and €6.3 when estimated values for “protest zeros” and “economic zeros” were considered). Some explanatory variables of WTA and WTP are coincident (place of residence and intensity of care time), whereas other variables only help to explain WTP values (household and negative coping with caregiving) or WTA values (age and burden of care). Some nuances are also identified when comparing the results obtained without protest and economic zeros with the estimated values of these special zeros. Originality/value Studies analysing the determinants of WTP and WTA in IC settings are very scarce. This paper seeks to provide information to fill this gap. The results indicate that the variables that explain the value of IC from one perspective may differ from the variables that explain it from an alternative perspective. Given the relevance of contextual factors, studies on the topic should be expanded, and care should be taken with the extrapolation of results across countries and settings.

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Section: Data and Empirical Methodsmentioning

confidence: 99%

Determinants of the willingness to pay and willingness to accept in the valuation of informal care. The CUIDARSE study

Oliva,

Peña Longobardo,

García-Mochón

et al. 2023

AEA

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“…Andalusia (south of Spain) has been characterized in the last decades by being a "familistic regime with subsidized public support", with supports primarily focused on economic benefits. Whereas in the Basque Country (north of Spain), following an "optional familist" model, other social protection services have been further developed to support care and there is a high participation in the domestic market [6,7]. In 2023, the public dependency system, in both regions, has granted more services to support care than economic benefits [34].…”

Section: The Cuidar-se Studymentioning

confidence: 99%

“…Informal caregivers in Spain formed 12.4% of working people aged 18-64 years [ 5 ]. Spain’s LTC landscape encompasses family-centric caregiving, often supplemented by domestic service employment, particularly among immigrant women [ 6 ]. Regional variations in this trend stem from differing government priorities, provision levels, labor market dynamics, and caregiving cultures.…”

Section: Introductionmentioning

confidence: 99%

Gender Inequalities of Health and Quality of Life in Informal Caregivers in Spain: Protocol for the Longitudinal and Multicenter CUIDAR-SE Study

Garcia-Calvente,

Mora,

Del Río-Lozano

2024

JMIR Res Protoc

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Background:The aging population and increased disability prevalence in Spain have heightened the demand for long-term care. Informal caregiving, primarily performed by women, plays a crucial role in this scenario. This protocol outlines the CUIDAR-SE study, focusing on the gender-specific impact of informal caregiving on health and quality of life among caregivers in Andalusia and the Basque Country from 2013 to 2024.Objective: Analyze the gender differences in health and quality of life indicators of informal caregivers residing in two Spanish autonomous communities (Granada, Andalusia and Gipuzkoa, Basque Country) and its evolution over time, in relation with the characteristics of caregivers, the caregiving situation, and support received. Methods:The CUIDAR-SE study employs a longitudinal, multicenter design across three phases, tracking health and quality of life indicators among informal caregivers. Utilizing a questionnaire adapted to the Spanish context that employs validated scales and multilevel analysis, the research captures changes in caregivers' experiences amid societal crises, notably the 2008 economic crisis and the COVID-19 pandemic. A multistage randomized cluster sampling technique is used to minimize study design effects.Results: Funding for the CUIDAR-SE study was in three phases starting in January 2013, 2017, and 2021, spanning a 10-year period. Data collection commenced in 2013 and continued annually, except for 2016 and 2020 due to financial and pandemicrelated challenges. As of March 2024, 1,294 participants have been enrolled, with data collection ongoing for 2023. Initial data analysis focused on gender disparities in caregiver health, quality of life, burden, perceived needs, and received support, with results from phase I published. Currently, analysis is ongoing for phases II and III, as well as longitudinal analysis across all phases.Conclusions: This protocol aims to provide comprehensive insights into caregiving dynamics and caregivers' experiences over time, as well as understand the role of caregiving on gender inequality in health, considering regional variations. Despite limitations in participant recruitment, focusing on registered caregivers, the study offers a detailed exploration of health impacts of caregiving in Spain. The incorporation of gender perspective and the examination of diverse contextual factors enrich the study's depth, contributing significantly to the discourse on caregiving health complexities in Spain.

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“…The LAPAD undoubtedly had clear benefits, in terms of increasing the number of people benefiting from public assistance (Comas d'Argemir ; Martínez Buján and Martínez Virto ; Montserrat ) . Between 2004 and 2010, the number of people receiving home care services in Barcelona increased six‐fold (City Council of Barcelona, cited in Comas d'Argemir : 390).…”

Section: The Social Organisation Of Care: Crisis Of Care and Financiamentioning

confidence: 99%

“…Though positive in many aspects, these new social policies have not put an end to the familialism and gender inequality inherent in the Spanish care system; nor have they reversed the trend towards the privatisation and commodification of care (Martínez Buján ; Vara ; Comas d'Argemir ). Shortly after their launch, these policies were seriously hampered by the 2008 financial crisis and its recessive economic aftermath (especially after the application of the National Reform Program in 2012) that have significantly increased the burden of family care (Comas d'Argemir ; Martínez Buján and Martínez Virto ). As in many other countries in Europe (Deusdad et al .…”

Section: Introductionmentioning

confidence: 99%

Changing moralities: Rethinking elderly care in Spain

Bofill-Poch

2018

Australian J of Anthropology

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Demographic and social changes in Europe and OECD countries have increased the number of dependents in recent decades, challenging the organisation of health systems and raising calls for re‐definition of long‐term care services. In Spain the crisis of care has challenged a care regime based strongly on the family. Recent social policies have attempted to address this challenge. This article analyses the ideal of family care expressed by women who have traditionally played the role of caregivers. Reflecting a disruption of previously held moral attitudes throughout society, elderly women manifest new expectations in relation to their own care, redefining the scope of filial obligation and linking it to a renewed notion of independency and autonomy. However, in the current context of financial crisis, family care appears not as a choice, but an undesirable consequence of the lack of public policies. The study applies a theoretical approach based on the anthropology of moralities.

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Introducción La organización social de los cuidados de larga duración en un contexto de austeridad y precariedad

Cited by 5 publications

References 0 publications

Determinants of the willingness to pay and willingness to accept in the valuation of informal care. The CUIDARSE study

Determinants of the willingness to pay and willingness to accept in the valuation of informal care. The CUIDARSE study

Gender Inequalities of Health and Quality of Life in Informal Caregivers in Spain: Protocol for the Longitudinal and Multicenter CUIDAR-SE Study

Changing moralities: Rethinking elderly care in Spain

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