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[永恒的团结?长寿与代际关系]

[Everlasting solidarity? Longevity and generational relations].

作者信息

Blüher S

机构信息

Universität Erlangen-Nürnberg, Sozialwissenschaftliches Forschungszentrum (SFZ), Findelgasse 7/9, 90402 Nürnberg, Germany.

出版信息

Z Gerontol Geriatr. 2003 Apr;36(2):110-4. doi: 10.1007/s00391-003-0138-5.

Abstract

Demographic development of industrial societies is determined by continuous low birth rates and increasing life expectancy. The dramatic change in generational structure will be an enormous challenge not only for the public social security systems; as an original place of inter-generational relations, family is particularly faced with increasing life expectancy and the chances and risks of longevity. Need for nursing care is such a risk of longevity, realizing that only about 3% aged between 60 and 80 are in need of care, but about 25% at the age of 80 or older. The majority of nursing cases is well-cared at home, mostly by relatives. Although one might care for relatives for many reasons--not only for love and altruism--empirical data insist on indicating strong family ties based on senses of solidarity and commitment. The focal point of the following article is a case review describing highly emotional family relationships in a home care situation. On the one hand, the description clarifies family solidarity representing the basis of German long-term care insurance since 1995; on the other hand it demonstrates the enormous burden caring for an old mother or father. Increasing life expectancy might even intensify burdens, so that fewer and fewer relatives might be able or willing to accept them. In this matter, new mixtures of private and public services will attain increasing importance. Considering German long-term care insurance a pioneer, it expresses a new sense of limited public responsibility assuming the existence of sufficiently strong family ties.

摘要

工业社会的人口发展由持续的低出生率和预期寿命的增加所决定。代际结构的巨大变化不仅对公共社会保障体系构成巨大挑战;作为代际关系的原生场所,家庭尤其面临着预期寿命的增加以及长寿带来的机遇和风险。护理需求就是这样一种长寿风险,要认识到60至80岁之间只有约3%的人需要护理,而80岁及以上的人中约有25%需要护理。大多数护理案例是在家中得到妥善照料的,主要是由亲属提供照料。尽管人们可能出于多种原因照顾亲属——不仅仅是出于爱和利他主义——但实证数据坚持表明基于团结感和责任感的牢固家庭关系。以下文章的重点是一个案例回顾,描述了家庭护理情况下高度情绪化的家庭关系。一方面,该描述阐明了自1995年以来构成德国长期护理保险基础的家庭团结;另一方面,它展示了照顾年迈父母所带来的巨大负担。预期寿命的增加甚至可能加剧负担,以至于越来越少的亲属可能有能力或愿意承担这些负担。在这个问题上,私人和公共服务的新组合将变得越来越重要。鉴于德国长期护理保险是先驱,它表达了一种新的有限公共责任观念,前提是存在足够牢固的家庭关系。

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