Wieczorek Estera, Evers Silvia, Kocot Ewa, Sowada Christoph, Pavlova Milena
MSc, Department of Health Economics and Social Security, Institute of Public Health, Faculty of Health Sciences, Jagiellonian University Collegium Medicum, Krakow, Poland.
MSc, Department of Health Services Research, Faculty of Health, Medicine and Life Sciences, CAPHRI, Maastricht University, Maastricht, Netherlands.
J Aging Soc Policy. 2022 Jan-Feb;34(1):145-160. doi: 10.1080/08959420.2021.1935144. Epub 2021 Jun 15.
Cost containment and the preferences of older adults are important stimuli for encouraging the provision of informal care worldwide. Nevertheless, informal caregiving can have negative effects on caregiver's health, wellbeing, and employment opportunities. Moreover, it is questionable whether informal caregivers can substantially contribute to meeting the increasing demand for care or serve as a substitute for formally provided services. This commentary assesses strategies to remediate the negative effects of caregiving and ultimately to improve informal caregiving and to support their critical role in European long-term care systems. Cash benefits are a particularly common method of supporting informal caregivers; paid and unpaid leave, and flexible work arrangements are the most prevalent measures to support family caregivers within labor market policy, specifically. Providing training and counseling services to individuals engaged in informal care is a strategy used to support caregivers at home. Disparities in the level of support provided to informal caregivers across the European Union need to be addressed. A lack of supporting policies increases the likelihood that caregivers experience negative physical and psychosocial health problems, as well as unemployment and impoverishment.
成本控制以及老年人的偏好是在全球范围内鼓励提供非正式照护的重要刺激因素。然而,非正式照护可能会对照护者的健康、福祉和就业机会产生负面影响。此外,非正式照护者是否能够大幅满足日益增长的照护需求或替代正式提供的服务,这一点也存在疑问。本评论评估了补救照护负面影响的策略,最终目的是改善非正式照护,并支持其在欧洲长期照护系统中的关键作用。现金福利是支持非正式照护者的一种特别常见的方式;带薪和无薪休假以及灵活的工作安排是劳动力市场政策中支持家庭照护者的最普遍措施。为参与非正式照护的个人提供培训和咨询服务是一种用于支持居家照护者的策略。欧盟各国在为非正式照护者提供支持的水平上存在差异,这一问题需要得到解决。缺乏支持性政策会增加照护者出现负面身心健康问题以及失业和贫困的可能性。