PL EN


2015 | 2(217) | 75-96
Article title

Care Arrangements among Social Home Care Users in Slovenia

Content
Title variants
PL
Organizacja opieki pomiędzy osobami świadczącymi usługi społeczne w zakresie opieki domowej w Słowenii
Languages of publication
EN
Abstracts
EN
With transition process in Slovenia, starting in 1991, also care for older people was considerably transformed. Policy measures and new services for older people living at home and their informal, mostly family, carers were the most essential contribution in this area. Social home care, as one of these services, is the focus of the paper. The first Slovenian representative survey of social home care users (2013) was used to assess the care arrangements among users of social home care. Multiple cluster analysis for symbolic data (no care, formal care only, informal care only, mixed care) carried out on 22 activities of daily living, discovered five groups of social home care users. Clusters were empirically aligned with availability of informal care network and need for care. Care arrangements empirically show compensatory and supplementary function of formal care in complementary model. Social home care was the most frequently selected additional source of care in assessment of future need for care across all clusters, with informal network being the second most frequently selected source.
PL
W 1991roku w Słowenii rozpoczął się proces transformacji, któremu towarzyszyła spora zmiana modelu opieki nad starszymi osobami: nowe usługi dla osób starszych mieszkających w domu i ich nieformalnych, w wielu przypadkach spokrewnionych, opiekunów. Tematem artykułu jest opieka domowa oparta na zasadach pomocy społecznej, stanowiąca jedną z tych nowych usług. Pierwsze reprezentatywne badanie dotyczące użytkowników tej formy opieki domowej dla Słowenii (2013) zostało wykorzystane do przeprowadzenia oceny obejmującej osoby powiązane z opieką domową. Analiza wielu podzbiorów (Multiple cluster analysis) danych symbolicznych (brak opieki, wyłącznie formalna opieka, wyłącznie nieformalna opieka, opieka mieszana) przeprowadzona dla 22 codziennych czynności wykazała, że istnieje pięć grup osób działających w ramach usług społecznych opieki domowej. Podzbiory empirycznie przyporządkowano do dostępności sieci opieki nieformalnej i zapotrzebowania na opiekę. Ustalenia w zakresie opieki empirycznie wykazują funkcję kompensacyjną i uzupełniającą opieki formalnej w komplementarnym modelu. Opiekun domowy świadczący usługi społeczne był najczęściej wybieranym dodatkowym źródłem opieki w ramach oceny przyszłego zapotrzebowania na opiekę wśród wszystkich podzbiorów, natomiast sieć nieformalna stanowiła drugie najczęściej wybierane źródło.
Year
Issue
Pages
75-96
Physical description
Contributors
References
  • Allen, M. Susan, Frances Goldscheider and Desirée A. Cimbrone. 1999. Gender Roles, Marital Intimacy, and Nomination of Spouse as Primary Caregiver. The Gerontologist 39 (2): 150–158.
  • Armi, Franca, Edith Guilley and Christian J. Lalive d’Epinay. 2008. The Interface between Formal and Informal Support in Advanced Old Age: A Ten-year Study. International Journal of Ageing and Later Life 3 (1): 5–19.
  • Blomgren, Jenni, Pekka Martikainen, Tuija Martelin and Seppo Koskinen. 2008. Determinants of Home-based Formal Help in Community-dwelling Older People in Finland. European Journal of Ageing 5: 335–347.
  • Bookwala, Jamila, Bozena Zdaniuk, Lynda Burton, Bonnie Lind, Sharon Jackson and Richard Schulz. 2004. Concurrent and Long-Term Predictors of Older Adults’ Use of Community-Based Long-Term Care Services: The Caregiver Health Effects Study. Journal of Ageing and Health 16 (1): 88–115.
  • Cantor, H. Marjorie. 1979. Neighbors and Friends: An Overlooked Resource in the Informal Support System. Research on Ageing 1 (4): 434–463.
  • Cantor, H. Marjorie. 1989. Social Care: Family and Community Support Systems. Annals of the American Academy of Political and Social Science 503: 99–112.
  • Chappell Neena and Margaret Penning. 2005. Family Caregivers: Increasing Demands in the Context of 21st –century Globalization? In: Johnson L. Malcolm. The Cambridge Handbook of Age and Ageing. Cambridge: University Press, pp.455–462.
  • Chappell, Neena and Audrey Blandford. 1991. Informal and Formal Care: Exploring the Complementarity. Ageing and Society 11 (3): 299–317.
  • Denton, Margaret. 1997. The Linkages between Informal and Formal Care of the Elderly. Canadian Journal On Ageing 16 (1): 30–50.
  • Edelman, Perry and Susan Hughes. 1990. The Impact of Community Care on Provision of Informal Care to Homebound Elderly Persons. The Gerontologist 45 (2): 74–84.
  • Geerlings, Sandra W., Anne Margriet Pot, Jos W. R. Twisk and Dorly. J. H. Deeg. 2005. Predicting Transitions in the Use of Informal and Professional Care by Older Adults. Ageing & Society 25: 111–130.
  • Greene, L. Vernon. 1983. Substitution between Formally and Informally Provided Care for the Impaired Elderly in the Community. Medical Care 21 (6): 609–619.
  • Habib, Jack, Gerdt Sundström and Karen Windmiller. 1993. Understanding the Pattern of Support for the Elderly: A comparison between Israel and Sweden. Journal of Ageing and Social Policy 5: 187–206.
  • Hanaoka, Chie and Edward C. Norton. 2008. Informal and Formal Care for Elderly Persons: How Adult Children’s Characteristics Affect the Use of Formal Care in Japan. Social Science and Medicine 67 (6): 1002–1008.
  • Hlebec, Valentina. 2012. Kontekstualni dejavniki uporabe oskrbe na domu v Sloveniji = Contextual factors of home care utilization in Slovenia. Zdravstveno varstvo 51 (2): 120–127.
  • Hopp, Faith P. 1999. Patterns and Predictors of Formal and Informal Care Among Elderly Persons Living in Board and Care Homes. The Gerontologist 39 (2): 167– 176.
  • Hvalič, Touzery Simona. 2009. Družinska oskrba bolnih starih družinskih članov. In: V. Hlebec (ed.). Starejši ljudje v družbi sprememb. Maribor: Aristej, pp. 109–124.
  • Iecovich, Esther. 2014. Ageing in Place: From Theory to Practice. Anthropological notebooks 20 (1): 21–34.
  • Jacobs, Marianne T., Marjolein I. Broese van Groenou, Alice H. de Boer and Dorly J.H. Deeg. 2014. Individual Determinants of Task Division in Older Adults’ Mixed Care Networks. Health and Social Care in the Community 22 (1): 57–66.
  • Katz, Sidney, Amasa B. Ford, Roland W. Moskowitz, Beverly A. Jackson and Marjorie V. Jaffe. 1963. Studies of Illness in the Aged. The Index of ADL: A Standardized Measure of Biological and Psychosocial Function. JAMA; 185: 914–919.
  • Kolarič, Zinka, Tatjana Rakar and Anja Kopač Mrak. 2009. Slovenski sistem blaginje v procesu postopnega spreminjanja. In: V. Hlebec (ed.). Starejši ljudje v družbi sprememb. Maribor: Aristej, pp. 45–76.
  • Korenjak Černe, Simona, Batagelj Vladimir and Japelj Pavešić Barbara. 2011. Clustering Large Data Sets Describer With Discrete Distributions and An Application on TIMSS Data Set. Statistical Analysis and Data Mining 4 (2): 199–215.
  • Lawton, M. Powell and Elaine M. Brody. 1969. Assessment of Older People: Self-maintaining and Instrumental Activities of Daily Living. The Gerontologist 9 (3): 179–186.
  • Li, W. Lydia. 2005. Longitudinal Changes in the Amount of Informal Care Among Publicly Paid Home Care Recipients. The Gerontologist 45 (4): 465–473.
  • Litwak, Eugene. 1985. Helping the Elderly: The Complementary Roles of Informal Networks and Formal Systems. New York: Guilford.
  • Liu, Korbin, Kenneth G. Manton and Cynthia Aragon. 2000. Changes in Home Care Use by Disabled Elderly Persons: 1982–1994. Journal of Gerontology 55 (4): 245– S253.
  • Messeri, Peter, Merril Silverstein and Eugene Litwak. 1993. Choosing Optimal Sup- port Groups: A Review and Reformulation. Journal of Health and Social Behavior 34 (2): 122–137.
  • Nagode, Mateja, Kolarič Zinka and Valentina Hlebec. 2004. Delovanje in vrednotenje varovalno alarmnega sistema za starostnike. Kakovostna starost 7 (1): 21–34.
  • Nagode, Mateja. 2012. Dvajset let izvajanja socialno varstvene storitve pomoč na domu v Sloveniji (1991–2011). In: D. K. Kuzmanič (ed.). Čas beži, a pušča sledi: 50 let centrov za socialno delo in 15 let Skupnosti centrov za socialno delo. Ljubljana: Skupnost centrov za socialno delo, pp.189–212.
  • Noelker, Linda S. and David M. Bass. 1989. Home Care for Elderly Persons: Linkages Between Formal and Informal Caregivers. Journal of Gerontology 44 (2): 63–70.
  • Pahor, Majda and Valentina Hlebec. 2006. Socialna omrežja in zdravje: spremembe v Sloveniji. Zdravstveno varstvo 45 (4): 175–185.
  • Pahor, Majda, Barbara Domajnko and Valentina Hlebec. 2011. Social Support in the Case of Illness: Intergenerational Solidarity = Socialna opora v primeru bolezni: medgeneracijska solidarnost. Zdravniški vestnik 80 (2): 75–83.
  • Patsios Demi, and Davey Adam. 2005. Informal and Formal Community Care for Older Adults: In: M. L.Johnson. The Cambridge Handbook of Age and Ageing. Cambridge: University Press, pp. 597–604.
  • Penning, J. Margaret. 2002. Hydra Revisited: Substituting Formal for Self – and Informal In-Home Care Among Older Adults With Disabilities. The Gerontologist 42 (1): 4–16.
  • Pezzin, E. Liliana, Peter Kemper and James Reschovsky. 1996. Does Publicly Provided Home Care Substitute for Family Care? Experimental Evidence with Endo- genous Living Arrangements. The Journal of Human Resources 31 (3): 650–676.
  • Šircelj, Milivoja. 1997. Tablice umrljivosti prebivalstva Slovenije 1980–1982 – 1994– 1995 / Life tables for the population of Slovenia 1980–1982 – 1994–1995. Ljubljana: Statistični urad republike Slovenije / Statistical office of the Republic of Slovenia.
  • Stoller, Eleanor Palo and Lorna L. Earl. 1983. Help with Activities of Everyday Life: Sources of Support for the Noninstitutionalized Elderly. The Gerontologist 23 (1): 64–70.
  • Stoller, Palo Eleanor and Karen L. Pugliesi. 1991. Size and Effectiveness of Informal Helping Networks: A Panel Study of Older People in the Community. Journal of Health and Social Behavior 32 (2): 180–191.
  • Stypińska, Justyna and Jolanta Perek-Białas. 2014. Working Carers in Poland – Successful Strategies of Reconciliation of Work and Care of an Older Adult. Anthropological notebooks. 20 (1): 87–104.
  • Suanet, Bianca, Marjolein Broese van Groenou, and Theo Van Tilburg. 2012. Informal and Formal Home Care Use among Older Adults in Europe: Can country-differences be explained by societal context and composition? Ageing & Society 32: 491–515.
  • Széman, Zsuzsa. 2014. A New Pattern in Long Term Care in Hungary: Skype and Youth Volunteers. Anthropological notebooks 20 (1): 105–120.
  • Tennstedt, L. Sharon, Sybil L. Crawford and John B. McKinlay. 1993. Is Family Care on the Decline? A Longitudinal Investigation of the Substitution of Formal Long-Term Care Services for Informal Care. The Milbank Quarterly 71 (4): 601–624.
  • Wenger, G. Clare. 1994. Support Networks of Older People: A Guide for Practitioners. Bangor: Centre for social policy research and development.
Document Type
Publication order reference
Identifiers
YADDA identifier
bwmeta1.element.desklight-a78a3c59-327a-412e-9839-87f1e502b8ac
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.