NIVEL (Netherlands Institute for Health Services Research), PO Box 1568, 3500 BN Utrecht, The Netherlands.
Health Policy. 2013 Apr;110(1):84-93. doi: 10.1016/j.healthpol.2013.01.009. Epub 2013 Feb 9.
The involvement of governments in the home care sector strongly varies across Europe. This study aims to explain the differences through the conditions for the involvement of informal care and governments in society; wealth and the demographic structure. As this study could combine qualitative data and quantitative data analyses, it could consider larger patterns than previous studies which were often based on ideographic historical accounts. Extensive data were gathered in 30 European countries, between 2008 and 2010. In each country, policy documents were analysed and experts were interviewed. International variation in regulation and governmental funding of personal care and domestic aid are associated with differences in prevailing values on family care, tax burden and wealth in a country. Hence, this study provides evidence for the obstacles - i.e. country differences - for transferring home care policies between countries. However, longitudinal research is needed to establish whether this is indeed the causal relationship we expect.
政府在家政服务行业的参与在欧洲各地差异很大。本研究旨在通过以下条件来解释这种差异：社会中非正式护理和政府的参与条件、财富和人口结构。由于本研究可以结合定性数据和定量数据分析，因此可以考虑到比以往研究更大的模式，而以往的研究往往基于特定历史的解释。在 2008 年至 2010 年间，在 30 个欧洲国家收集了广泛的数据。在每个国家，都对政策文件进行了分析，并采访了专家。个人护理和国内援助的监管和政府资金的国际差异与一个国家中普遍存在的家庭护理、税收负担和财富价值观的差异有关。因此，本研究为在国家之间转移家庭护理政策的障碍（即国家差异）提供了证据。然而，需要进行纵向研究以确定这是否是我们预期的因果关系。
