Vlachantoni Athina, Shaw Richard, Willis Rosalind, Evandrou Maria, Falkingham Jane, Luff Rebekah
ESRC Centre for Population Change, University of Southampton.
Popul Trends. 2011 Autumn(145):56-72. doi: 10.1057/pt.2011.17.
Recent spending cuts in the area of adult social care raise policy concerns about the proportion of older people whose need for social care is not being met. Such concerns are emphasised in the context of population ageing and other demographic changes. For example, the increasing proportion of the population aged 75 and over places greater pressure on formal and informal systems of care and support provision, while changes in the living arrangements of older people may affect the supply of informal care within the household. This article explores the concept of 'unmet need' for support in relation to specific Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs), using data on the receipt of support (informal, formal state or formal paid) from the General Household Survey, the English Longitudinal Study of Ageing and the British Household Panel Survey. The results show that different kinds of need tend to be supported by particular sources of care, and that there is a significant level of 'unmet need' for certain activities.
近期成人社会护理领域的开支削减引发了政策层面的担忧，即有相当比例的老年人对社会护理的需求未得到满足。在人口老龄化及其他人口结构变化的背景下，此类担忧尤为凸显。例如，75岁及以上人口比例的不断增加，给正式和非正式的护理及支持体系带来了更大压力，而老年人生活安排的变化可能会影响家庭内部非正式护理的供给。本文利用综合住户调查、英国老龄化纵向研究以及英国家庭追踪调查中有关接受支持（非正式、正式国家或正式付费）的数据，探讨了与特定日常生活活动（ADL）和工具性日常生活活动（IADL）相关的“未满足需求”概念。结果表明，不同类型的需求往往由特定的护理来源提供支持，并且某些活动存在显著程度的“未满足需求”。
