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EN
Based on ISSP 2012 Family and Health, this paper focuses on informal caregiving for elderly, sick or disabled family members in the Czech Republic. Specifically, it investigates the socio-demographic characteristics of family caregivers. The findings show that the carers are more likely to be female of a productive age; and thus they often have to combine childcare, care for other family member and employment. Findings from this study also demonstrate that in case of women partnership status also influences care involvement. However, socioeconomic status measured by education does not have an effect on the provision of informal care because the institutional context in which private formal care is not widespread.
EN
Introduction. The deteriorating health of persons of advanced age necessitates that essential health care services are provided not only by networks of health care institutions but by informal caregivers as well. Aim. The aim of this study was to assess select aspects of care provision for persons requiring long-term care on the basis of opinions shared by their direct informal caregivers. Materials and methods. Surveys were administered to 982 individuals providing informal care for chronically ill persons or for those with disabilities. The survey was conducted in 2017. The questionnaire contained questions concerning the dysfunctions of chronically ill or disabled persons in their daily functioning and addressed related care problems. Results. Over half of the informal caretakers in the study were over 50 years of age (52.5%), had completed secondary educations (45.8%), and lived mainly in cities with populations under 50 thousand (63.4%). Reconciling care-related duties with one’s own professional work or studies was a problem for 43.2% of caregivers. The care tasks which entailed the greatest difficulties for caregivers were washing intimate areas after urination (57.4%) and bowel movements (55.6%) as well as total body bathing. Conclusions. In the opinion of over half of the surveyed caregivers, the activity posing the greatest difficulty for those providing care for persons partially or completely immobilized and possessing physiological dysfunctions (urinary or fecal incontinence) was the washing of intimate areas of the body.
EN
This paper is devoted to the analysis of the relationships between the level of development of long-term care (LTC) support for the elderly in selected European countries and public expenditure on long-term care, the health condition of the population and the scale of labor market flexibility in connection with a need to provide home care for dependents by working family members (informal carers). For this purpose, one performed a multidimensional analysis of the relationship and showed spatial similarities, creating their own rankings.
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EN
The article explores the practices of elderly care in the Czech Republic from the life-course perspective, using qualitative research methodology: biographical interviews with women providing everyday care to their parents. The case of elderly care presents an opportunity to critically examine the concepts of the ‘third age’ and ‘young old’, that have figured prominently in theoretical and political debates concerning the life stage in which the need to care for one´s parents seems most likely to arise. In the ‘collective story’ based on the narratives of women aged 50-66 who provided everyday care for their elderly mother, I identify and describe the factors that influence how this stage in life unfolds and the decisions women make about their life/life course. I argue that in contemporary Czech society ‘young old age’ cannot be defined in terms of the absence of work commitments or the absence family care commitments, and that the original concepts dealing with this new period in life did not take the new commitments of care or the gendered aspect of them into consideration.
PL
Przedmiotem artykułu są determinanty finansowania opieki długoterminowej w wybranych dwóch państwach Europy Środkowo-Wschodniej. Tekst opiera się na podziale instrumentów finansowania ze względu na okres gromadzenia środków. Pierwszy rodzaj instrumentów (ex ante), odnoszący się do działań realizowanych przed wystąpieniem niesamodziel- ności, to: ubezpieczenie, oszczędności i prewencja. Instrumenty drugiego rodzaju (ex post) są natomiast wykorzystywane w następstwie wystąpienia niesamodzielności. Pytanie badawcze dotyczy relacji (substytucyjność czy komplementarność) między instrumentami ex post i ex ante w Polsce i Republice Czeskiej. Wyniki analizy wskazują, że instrumenty ex post stanowią substytut instrumentów ex ante, co jest konsekwencją dominującej roli finansowania prywatnego.
EN
The article explores the determinants of long-term care financing in the selected countries form Central and Eastern Europe. The article distinguishes two general mechanisms of financing long-term care depending on the occurrence of a need of long-term care. The ex ante mechanisms are applied prior to when the need of long-term care appears. Conversely, the ex post mechanisms are subsequently used as a response to the needs of long-term care. The following research question is posed in the article: whether ex ante and ex post mechanism are complements or substitutes in two CEE countries: Poland and the Czech Republic? The article concludes that ex post mechanisms are substitutes to ex ante mainly due to the prevalence of private financing of long-term care.
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EN
The aim was search for and analyze published researchs dealing with self-efficacy and care burden in informal caregivers and to assess whether there is a relationship between self-efficacy and care burden. The source of the obtained data were licensed and freely available electronic databases. Based on the set criteria, 13 foreign studies published in the period 2010–2020 were included in the detailed analysis and subsequent processing. The results of the found studies have shown that lower self-efficacy is associated with higher care burden, increased stress, and a higher incidence of depressive syndrome in the informal caregivers. On the other hand high self-efficacy is related to the well-being of caregivers and the quality of life of patients. Self-efficacy appears to be an important phenomenon in influencing the care burden and therefore it is necessary to support caregivers to increase their self-efficacy. Appropriately chosen training and education can increase self-efficacy in various areas of care.
CS
Cílem bylo vyhledat a analyzovat publikované výzkumy zabývající se self-efficacy a pečova-telskou zátěží u neformálních pečovatelů a po-soudit, zda existuje vztah mezi self-efficacy a pečovatelskou zátěží. Zdrojem získaných dat byly licencované a volně dostupné elektronické databáze. Na základě stanovených kritérií bylo do podrobné analýzy a následného zpracování zařazeno 13 zahraničních studií publikovaných v období 2010–2020. Výsledky vyhledaných studií poukazují, že nižší self-efficacy souvi-sí s vyšší pečovatelskou zátěží, se zvýšeným stresem a s vyšším výskytem depresivního syndromu u neformálního pečovatele. Vysoké self-efficacy naopak souvisí s pocitem pohody pečovatele a zlepšením kvality života pacienta. Self-efficacy se jeví jako významný fenomén v rámci ovlivňování pečovatelské zátěže, a pro-to je nutné podporovat pečovatele ve zvyšování jejich self-efficacy. Zvýšit self-efficacy v růz-ných oblastech péče mohou vhodně zvolená školení a edukace.
EN
Introduction. In Poland (but not only) the last decades have been characterised by a persistent phenomenon of an increasing proportion of elderly people in the population age structure. The dynamics of social changes, which are caused, among other factors, by demographic processes, makes the issue of elderly care one of the most important challenges today. In our country elderly care is organised mainly in the private sphere – the family plays a huge role here. Meanwhile, the families’ caring potential is diminishing. Aim. The aim of the article is to identify problems and challenges concerning the system of support for the elderly in Poland, including the support provided by informal caretakers. Materials and methods. The study is based on the desk research method. Results. Among the many challenges concerning the situation of the elderly in Poland, those related to health and health care are predominant. Life expectancy does not go hand in hand with health, and with age come (often multidimensional) care needs. Informal caretakers for older people are usually family members (so-called family caretakers), most often women – still underestimated allies of the state care system. Research to date has shown, among other things, that providing care for the elderly is time-consuming, demanding, lacking comprehensive support from the health care system, overburdening caregivers and making it difficult for them to fulfil their other roles, for instance: professional roles. Changing, improving and developing a senior care system so that it would meet the current needs of seniors and their caretakers is a very timely and urgent task. Improving the situation of informal caretakers means improving the situation of their charges.
PL
Wprowadzenie. W Polsce (choć nie tylko) ostatnie dziesięciolecia cechuje trwałe zjawisko, jakim jest wzrost udziału osób starszych w strukturze wieku ludności. Dynamika zmian społecznych, których źródłem są m.in. procesy demograficzne powoduje, że jednym z ważniejszych dziś wyzwań jest kwestia opieki nad seniorami. W naszym kraju opieka ta organizowana jest głównie w sferze prywatnej – ogromną rolę odgrywa tutaj rodzina. Tymczasem jej opiekuńczy potencjał maleje. Cel. Celem artykułu jest wskazanie problemów i wyzwań dotyczących systemu wsparcia osób starszych w Polsce, w tym wsparcia udzielanego im przez opiekunów nieformalnych. Materiały i metody. W pracy wykorzystano dane zastane. Wyniki. Wśród wielu wyzwań dotyczących sytuacji osób starszych w Polsce nie od dziś dominują te, który dotyczą zdrowia i opieki zdrowotnej. Wydłużanie się życia nie idzie w parze ze zdrowiem, a wraz z wiekiem pojawiają się (niejednokrotnie wielowymiarowe) potrzeby opiekuńcze. Opiekunami nieformalnymi seniorów są zazwyczaj członkowie rodziny (tzw. opiekunowie rodzinni), najczęściej kobiety – to wciąż niedocenieni sprzymierzeńcy systemu opiekuńczego państwa. Z dotychczasowych badań wynika m.in., że sprawowanie tej opieki jest czasochłonne, wymagające, pozbawione kompleksowego wsparcia ze strony twórców i świadczeniodawców m.in. systemu opieki zdrowotnej, nadmiernie obciążające opiekunów i utrudniające pełnienie przez nich innych ról (np. zawodowych). Zmiana, doskonalenie i rozwijanie systemu opieki senioralnej, odpowiadającego na bieżące potrzeby zarówno seniorów, jak i ich opiekunów jest zadaniem bardzo aktualnym i pilnym. Poprawa sytuacji opiekunów nieformalnych, to poprawa sytuacji ich podopiecznych.
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