Johansson L
University of Uppsala and Spri, Stockholm, Sweden.
Health Policy. 1991 Aug;18(3):231-42. doi: 10.1016/0168-8510(91)90024-r.
This paper discusses the consequences of a 'greying' Sweden with respect to the present Swedish policy for the care of the elderly and the role of the family as care provider for the elderly. The present system of elderly welfare is questioned, based on demographic facts, a review of the service systems and research findings. The tentative conclusions are two-fold. Firstly, present trends point to a shift in the Swedish welfare model, from a publicly financed and run elderly care system to a mixed model based on public, private and voluntary resources. Secondly, the fact that the informal care system functions as the main provider of services for the elderly, means that the development and implementation of support programmes for the family caregivers is of crucial importance for the future. The challenge for the 1990s, then, is to improve conditions for informal carers in order to enlarge the caring capacity of the community.
本文探讨了老龄化的瑞典在当前瑞典老年护理政策以及家庭作为老年人护理提供者的角色方面所产生的影响。基于人口统计学事实、对服务体系的审视以及研究结果,当前的老年福利体系受到了质疑。初步结论有两点。其一,当前趋势表明瑞典福利模式正在发生转变,从由公共资金资助和运营的老年护理体系转向基于公共、私人和志愿资源的混合模式。其二,非正式护理体系作为老年人服务的主要提供者这一事实意味着,为家庭护理者制定和实施支持计划对未来至关重要。那么,20世纪90年代面临的挑战就是改善非正式护理者的条件,以增强社区的护理能力。