Rogero-García Jesús
Instituto de Economía, Geografía y Demografía (IEGD), Centro de Ciencias Humanas y Sociales (CCHS), Consejo Superior de Investigaciones Científicas (CSIC).
Rev Esp Salud Publica. 2009 May-Jun;83(3):393-405. doi: 10.1590/s1135-57272009000300005.
There has been a relative lack of research examing the distribution of care to elderly dependent people in Spain. The aim of this paper is to analyse how formal and informal care is provided to elderly dependent people in Spain and to assess the socio-economic conditions in which the different kinds of care emerge.
This study is based on a sample of the elderly dependent population selected from those who reported the need of care in the 2003 Spanish Health Survey. The distribution of care among older people was cross-tabulated to identify the type of care, while regression models were used to identify the socio-economic characteristics of people receiving formal and/or informal care.
Around 7.5% of the elderly people who need care do not receive it. Among those who do receive it, 89.4% receive informal care, 14.8% private care and 8.1% public care. 11.9% of elderly people in the study receive a mix of formal an informal care. Elderly people living in households in which the monthly income exceeds EUR 900 are five times more likely than people living in households in which the monthly income is less than EUR 600 to receive private care instead of public care. People older than 84 years are six times more likely to receive public care than people aged between 65 and 74.
Men are two times more likely than women to receive exclusively informal care. Women are three times more likely than men to receive both kinds of care simultaneously. Formal care complements informal care. Private care is more common than public care. Men, people living in larger-sized households, and people with fewer socio-economic resources are more likely to receive informal care.
西班牙在研究老年受扶养人群护理分配方面相对缺乏研究。本文旨在分析西班牙如何为老年受扶养人群提供正式和非正式护理,并评估不同类型护理出现的社会经济条件。
本研究基于从2003年西班牙健康调查中报告需要护理的人群中选取的老年受扶养人群样本。对老年人的护理分配进行交叉制表以确定护理类型,同时使用回归模型确定接受正式和/或非正式护理的人群的社会经济特征。
约7.5%需要护理的老年人未得到护理。在得到护理的人群中,89.4%接受非正式护理,14.8%接受私人护理,8.1%接受公共护理。研究中的11.9%老年人同时接受正式和非正式护理。月收入超过900欧元家庭中的老年人接受私人护理而非公共护理的可能性是月收入低于600欧元家庭中老年人的五倍。84岁以上的老年人接受公共护理的可能性是65至74岁老年人的六倍。
男性仅接受非正式护理的可能性是女性的两倍。女性同时接受两种护理的可能性是男性的三倍。正式护理补充非正式护理。私人护理比公共护理更常见。男性、居住在大家庭中的人以及社会经济资源较少的人更有可能接受非正式护理。