Pfau-Effinger Birgit
University of Hamburg, Hamburg, Germany.
Eur J Ageing. 2012 May 24;9(2):151-154. doi: 10.1007/s10433-012-0233-9. eCollection 2012 Jun.
The aim of this article is to introduce a systematic, structured conceptual framework for the comparative analysis of welfare-state reform policies towards long-term senior care and the care structures in a cross-European perspective. A welfare state's policies on the long-term care of senior citizens frame the different aspects of their care: the care options of the older people, the employment situation of the different types of caregivers and the care quality. The actual structure of senior care is mainly based on the specific care-provision mix in a welfare state and on the main types of care employment. It is should not, however, be treated as a direct outcome of care policies in analyses of welfare-state policies, since the care recipients and care givers all act within the broader framework of the complex and often contradictory cultural, institutional, social and economic context-the specific 'care arrangement' of a country.
本文旨在引入一个系统、结构化的概念框架，以便从泛欧视角对福利国家针对长期老年护理的改革政策和护理结构进行比较分析。福利国家关于老年人长期护理的政策界定了护理的不同方面：老年人的护理选择、不同类型护理人员的就业状况以及护理质量。老年护理的实际结构主要基于福利国家特定的护理服务组合以及主要的护理就业类型。然而，在对福利国家政策的分析中，不应将其视为护理政策的直接结果，因为护理接受者和护理者都是在复杂且往往相互矛盾的文化、制度、社会和经济背景这一国家特定的“护理安排”的更广泛框架内行事。
