de Jong Lea, Schmidt Torben, Stahmeyer Jona Theodor, Eberhard Sveja, Zeidler Jan, Damm Kathrin
Leibniz Universität Hannover, Center for Health Economics Research Hannover (CHERH), Hannover, Deutschland.
Leibniz Universität Hannover, Center for Health Economics Research Hannover (CHERH), Hannover, Deutschland.
Z Evid Fortbild Qual Gesundhwes. 2023 May;178:29-36. doi: 10.1016/j.zefq.2023.01.008. Epub 2023 Apr 3.
The proportion of people in need of care will continue to rise in Germany. In 2019, the majority of people in need of care was cared for at home. Reconciling caregiving and work poses a heavy burden for many caregivers. Therefore, a monetary compensation for care is being discussed politically in order to facilitate the reconciliation of work and care. The aim of this study was to investigate whether and under which circumstances a sample of the German population is willing to care for a close relative. A particular focus was placed on the willingness to reduce working hours, the importance of the expected period of caregiving, and monetary compensation.
A primary data collection was conducted in two modes using a questionnaire. A self-completion postal survey was sent out via the AOK Lower Saxony and complemented with an online survey. Data was analysed descriptively and using logistic regression.
543 participants were included. 90% of the sample surveyed was willing to provide care for a close relative, with the majority stating that their willingness depended on various factors: both the health status and the person of the family member needing care had the greatest influence. 34% of the employed respondents were not willing to reduce their working hours, mostly for financial reasons.
Many older adults want to stay in their homes for as long as possible. Thus, the willingness to provide and take over the role of informal caregiver is and will remain a central pillar of the German care system. Negotiating between informal caregiving and professional activities often creates a substantial burden. For people from lower income households monetary compensation might enhance their willingness to provide informal care. However, in order to increase the willingness to engage in informal care of people from different backgrounds and life stages, flexible approaches are needed that go beyond monetary compensation.
在德国，需要护理的人口比例将持续上升。2019年，大多数需要护理的人在家中接受护理。协调护理与工作对许多护理人员来说是沉重的负担。因此，为了便于协调工作与护理，护理的货币补偿正在进行政治讨论。本研究的目的是调查德国人口样本是否以及在何种情况下愿意照顾近亲。特别关注减少工作时间的意愿、预期护理期的重要性以及货币补偿。
使用问卷以两种方式进行了一次原始数据收集。通过下萨克森州AOK发出了一份自我填写的邮政调查问卷，并辅以在线调查。对数据进行了描述性分析并使用逻辑回归分析。
纳入了543名参与者。90%的被调查样本愿意为近亲提供护理，大多数人表示他们的意愿取决于各种因素：需要护理的家庭成员的健康状况和本人都有最大影响。34%的受雇受访者不愿意减少工作时间，主要是出于经济原因。
许多老年人希望尽可能长时间地待在家里。因此，提供和承担非正式护理人员角色的意愿过去是、并将继续是德国护理体系的核心支柱。在非正式护理和职业活动之间进行协调往往会造成巨大负担。对于低收入家庭的人来说，货币补偿可能会提高他们提供非正式护理的意愿。然而，为了提高不同背景和生活阶段的人参与非正式护理的意愿，需要采取超越货币补偿的灵活方法。
