Risks of Social Exclusion in the Interaction of the State and the Family in the Elderly Care System

Abstract

The aim of the study was to establish the risks that contribute to social exclusion when receiving care by the elderly in the interaction of public services and the family in Central and Eastern Europe (Hungary as an example) and Russia. The article systematized the conceptual approaches to the elderly care system in the countries of Central and Eastern Europe (CEE) in comparison with applied in the Russian Federation. The risks that may contribute to exclusion of social groups from care services are discussed. These include: inaccessibility of social and medical services, low social standards and quality of life, poverty of the elderly population, poor development of the transport network in geographically remote regions of Russia, etc. When comparing social care systems, it was revealed that the overall objective of social policy regarding older people, is the provision of care in institutions and at home with clients, where the state plays a decisive role. It was determined that closer cooperation between the official system and family members in caring for the elderly, as well as support and the provision of services, provide a higher level of care, increase the competence of participants in the interaction in care and control over its process.

Caregiving of Older Persons during the COVID-19 Pandemic in the Russian Arctic Province: Challenges and Practice

“…Several authors note that family care is perceived as the fulfillment of a moral duty. On the other hand, there may be negative aspects of practicing family care: a decrease in the quality of life, an increase in risks to the physical and psychological health of the caregiver, and the possible lack of help from other actors [ 23 , 30 , 31 , 32 ]. Mental health deterioration has been widely noted in the research on the health status of caregiving people.…”