What is the best care for community-dwelling dependent adults? Sources of care and perception of unmet needs in Spain

Abstract

KaRim ahmed-mohamed karim.ahmed@cchs.csic.es Centro de Ciencias Humanas y Sociales (CCHS-CSIC). Spain.abstRact the objectives of this study in the spanish context are: (1) to identify what source of care (informal, private or public care) achieves the lowest perception of unmet needs amongst dependent adults and (2) to identify which factors are associated with a greater perception of unmet needs within each source of care. this research is based on a sample of 4,766 dependent adults who completed the 2008 survey on disability, personal autonomy and dependency situations (edad). dependent adults who received only paid care were less likely to perceive unmet needs compared to those who received other types of care. dependents who received public care were more likely to perceive unmet needs. perception of unmet needs is related to the characteristics of the dependent adults, the primary carers and the caregiving context. the results suggest that policy design must not assume that dependent people prefer family care to other types of care and demonstrate that public care is perceived as unsatisfactory. KeywoRdsCare services; disabled people; informal care; paid care; social support. ResumenLos objetivos de este trabajo son: (1) identificar el proveedor de cuidado (informal, privado o público) que consigue una menor percepción de necesidades no cubiertas entre los adultos dependientes en España, (2) identificar qué factores se relacionan con una mayor percepción de necesidades no cubiertas en cada situación, atendiendo al proveedor de cuidado. se analizó una muestra de 4.766 adultos dependientes de la encuesta sobre discapacidades, Autonomía personal y situaciones de Dependencia (EDAD 2008). Los adultos dependientes que recibieron únicamente cuidado privado tuvieron menos probabilidades de percibir sus necesidades no cubiertas, en comparación con quienes recibieron cualquier otro tipo de cuidado. Quienes recibieron cuidado solo de servicios sociales tuvieron más probabilidades de percibir sus necesidades como no cubiertas. la percepción de necesidades no cubiertas está relacionada con las características de la persona dependiente, del cuidador y del contexto del cuidado. Los resultados sugieren que el diseño de políticas públicas no debe dar por supuesto que las personas dependientes prefieren el cuidado familiar por encima de otras fórmulas de atención y muestran que los servicios públicos de cuidado son percibidos como insatisfactorios. PalabRas claveapoyo social; Cuidado informal; Cuidado pagado; personas con discapacidad; servicios de cuidado. Revista inteRnacional de sociología (Ris)Vol.72, nº 2, Mayo-agosto, 403-427, 2014Mayo-agosto, 403-427, issn: 0034-9712 eissn: 1988

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