Maike van Damme, Jeroen Spijker, Dimitris Pavlopoulos
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A care regime typology of elder, long-term care institutions.
This study generates a classification of 26 European OECD countries with respect to care regimes. Care regimes are 'social joins' on the nexus between the state and the family, grouping countries into 'types' that have similar characteristics with respect to state care institutions. The latter are formal arrangements by the state that may alleviate citizens' care burdens either financially, in kind, or both. We build upon the literature on the dimensions of defamilialisation and familialism and empirically test how these two dimensions indicate different types of care regimes. We expect to find at least three different regime types that combine either high reliance on defamilialisation or on supported familialism, or the lack of both. We collected macro-data of 26 countries on five indicators of elder care institutions from various sources and subsequently performed latent profile analysis to group these countries into classes of similar state care arrangements. The results reveal three care regime types: 'strong Defamilialisation/Supported Familialism'; 'moderate Defamilialisation/Supported Familialism'; and 'Familialism-by-Default'. This classification contributes to developing a theoretical framework of care institutions and can guide other scholars in understanding contextual differences in socio-economic causes and consequences of elder care in Europe.
期刊介绍:
The European Journal of Ageing: Social, Behavioural and Health Perspectives is an interdisciplinary journal devoted to the understanding of ageing in European societies and the world over.
EJA publishes original articles on the social, behavioral and population health aspects of ageing and encourages an integrated approach between these aspects.
Emphasis is put on publishing empirical research (including meta-analyses), but conceptual papers (including narrative reviews) and methodological contributions will also be considered.
EJA welcomes expert opinions on critical issues in ageing.
By stimulating communication between researchers and those using research findings, it aims to contribute to the formulation of better policies and the development of better practice in serving older adults.
To further specify, with the term ''social'' is meant the full scope of social science of ageing related research from the micro to the macro level of analysis. With the term ''behavioural'' the full scope of psychological ageing research including life span approaches based on a range of age groups from young to old is envisaged. The term ''population health-related'' denotes social-epidemiological and public health oriented research including research on functional health in the widest possible sense.