Institute for Social Research, University of Michigan, Ann Arbor, Michigan, USA.
Department of Sociology, Johns Hopkins University, Baltimore, Maryland, USA.
Gerontologist. 2024 Feb 1;64(2). doi: 10.1093/geront/gnad036.
Repeated claims that a dwindling supply of potential caregivers is creating a crisis in care for the U.S. aging population have not been well-grounded in empirical research. Concerns about the supply of family care do not adequately recognize factors that may modify the availability and willingness of family and friends to provide care to older persons in need of assistance or the increasing heterogeneity of the older population. In this paper, we set forth a framework that places family caregiving in the context of older adults' care needs, the alternatives available to them, and the outcomes of that care. We focus on care networks, rather than individuals, and discuss the demographic and social changes that may alter the formation of care networks in the future. Last, we identify research areas to prioritize in order to better support planning efforts to care for the aging U.S. population.
反复声称潜在护理人员的供应减少正在给美国老年人口的护理造成危机,但这在经验研究中并没有得到很好的证明。对家庭护理供应的担忧并没有充分认识到可能改变家庭和朋友提供帮助有需要的老年人的能力和意愿的因素,也没有充分认识到老年人口日益多样化的因素。在本文中,我们提出了一个框架,将家庭护理置于老年人护理需求、他们可获得的替代方案以及护理结果的背景下。我们关注的是护理网络,而不是个人,并讨论了可能改变未来护理网络形成的人口和社会变化。最后,我们确定了研究领域的优先顺序,以便更好地支持规划努力,以照顾美国不断老龄化的人口。