Englert Nathalie, Peters Lara, Przysucha Mareike, Noelle Marco, Hülsken-Giesler Manfred, Büscher Andreas
Fakultät Wirtschafts- und Sozialwissenschaften, Hochschule Osnabrück, Caprivistr. 30a, 49076, Osnabrück, Deutschland.
Fachbereich Gesundheit, Fachhochschule Münster, Münster, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2023 May;66(5):540-549. doi: 10.1007/s00103-023-03684-6. Epub 2023 Mar 20.
National and international findings indicate that homecare arrangements are influenced by socioeconomic factors. Demographic and social developments justify the assumption of an increasing number of people in need of care from resource-pour groups and therefore a continuously increasing importance of home-based long-term care.
It is examined whether income and education of people in need of care and their caregivers are related to the use of support services in homecare arrangements.
Quantitative secondary data analysis of a survey among members of the social association VdK (Sozialverband VdK). The statistical evaluation includes descriptive analyses as well as the investigation of correlations between socioeconomic characteristics and characteristics of the care arrangement.
A correlation between income and the use of support services exists regarding so-called 24-hour care, which is more common with high incomes. Other income effects can be seen in the extent to which care services and home help services are used and in measures to adapt the home environment. A higher level of education is related to an increased use of counselling services. The assessment of the care situation is more negative the lower the income.
The results point out that phenomena of social inequality in care exist and that the options for shaping homecare are influenced by socioeconomic factors. The study also shows challenges in dealing with social inequality and provides orientation for further research, which is becoming increasingly important in view of current trends.
国内和国际研究结果表明，家庭护理安排受社会经济因素影响。人口结构和社会发展使人们有理由认为，资源匮乏群体中需要护理的人数在增加，因此家庭长期护理的重要性也在不断提高。
研究需要护理者及其照料者的收入和教育程度是否与家庭护理安排中支持服务的使用有关。
对社会协会VdK（德国社会协会）成员进行的一项调查进行定量二次数据分析。统计评估包括描述性分析以及社会经济特征与护理安排特征之间的相关性调查。
在所谓的24小时护理方面，收入与支持服务的使用之间存在相关性，高收入人群中这种情况更为常见。在护理服务和家务帮助服务的使用程度以及家庭环境改造措施方面也可以看到其他收入影响。较高的教育水平与咨询服务使用的增加有关。收入越低，对护理状况的评估越负面。
结果表明护理中存在社会不平等现象，家庭护理的形成选择受社会经济因素影响。该研究还揭示了应对社会不平等方面的挑战，并为进一步研究提供了方向，鉴于当前趋势，这一点变得越来越重要。
