付费服务对支持英格兰无偿护理人员就业的有效性。
The Effectiveness of Paid Services in Supporting Unpaid Carers' Employment in England.
作者信息
Pickard Linda, King Derek, Brimblecombe Nicola, Knapp Martin
机构信息
Personal Social Services Research Unit , London School of Economics and Political Science email:
出版信息
J Soc Policy. 2015 Jul;44(3):567-590. doi: 10.1017/S0047279415000069.
This paper explores the effectiveness of paid services in supporting unpaid carers' employment in England. There is currently a new emphasis in England on 'replacement care', or paid services for the cared-for person, as a means of supporting working carers. The international evidence on the effectiveness of paid services as a means of supporting carers' employment is inconclusive and does not relate specifically to England. The study reported here explores this issue using the 2009/10 . The study finds a positive association between carers' employment and receipt of paid services by the cared-for person, controlling for covariates. It therefore gives support to the hypothesis that services for the cared-for person are effective in supporting carers' employment. Use of home care and a personal assistant are associated on their own with the employment of both men and women carers, while use of day care and meals-on-wheels are associated specifically with women's employment. Use of short-term breaks are associated with carers' employment when combined with other services. The paper supports the emphasis in English social policy on paid services as a means of supporting working carers, but questions the use of the term 'replacement care' and the emphasis on 'the market'.
本文探讨了付费服务在支持英格兰无偿护理者就业方面的有效性。目前，英格兰新强调“替代护理”，即向被护理者提供付费服务，以此作为支持在职护理者的一种方式。关于付费服务作为支持护理者就业手段的有效性，国际证据尚无定论，且未专门针对英格兰。此处报告的研究利用2009/10年的数据探讨了这一问题。该研究发现，在控制协变量的情况下，护理者的就业与被护理者接受付费服务之间存在正相关关系。因此，它支持了这样一种假设，即向被护理者提供的服务在支持护理者就业方面是有效的。使用居家护理和个人助理本身与男性和女性护理者的就业都有关联，而使用日托服务和送餐服务则特别与女性的就业有关。当与其他服务结合使用时，短期休息服务与护理者的就业有关。本文支持英格兰社会政策中强调将付费服务作为支持在职护理者的一种方式，但对决“替代护理”这一术语的使用以及对“市场”的强调提出了质疑。
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