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Explaining governmental involvement in home care across Europe: An international comparative study

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  • Genet, Nadine
  • Kroneman, Madelon
  • Boerma, Wienke G.W.

Abstract

The involvement of governments in the home care sector strongly varies across Europe. This study aims to explain the differences through the conditions for the involvement of informal care and governments in society; wealth and the demographic structure. As this study could combine qualitative data and quantitative data analyses, it could consider larger patterns than previous studies which were often based on ideographic historical accounts. Extensive data were gathered in 30 European countries, between 2008 and 2010. In each country, policy documents were analysed and experts were interviewed. International variation in regulation and governmental funding of personal care and domestic aid are associated with differences in prevailing values on family care, tax burden and wealth in a country. Hence, this study provides evidence for the obstacles – i.e. country differences – for transferring home care policies between countries. However, longitudinal research is needed to establish whether this is indeed the causal relationship we expect.

Suggested Citation

  • Genet, Nadine & Kroneman, Madelon & Boerma, Wienke G.W., 2013. "Explaining governmental involvement in home care across Europe: An international comparative study," Health Policy, Elsevier, vol. 110(1), pages 84-93.
    • Handle: RePEc:eee:hepoli:v:110:y:2013:i:1:p:84-93
    DOI: 10.1016/j.healthpol.2013.01.009
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    References listed on IDEAS

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    1. Navarro, Vicente & Shi, Leiyu, 2001. "The political context of social inequalities and health," Social Science & Medicine, Elsevier, vol. 52(3), pages 481-491, February.
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    1. Calvó-Perxas, Laia & Vilalta-Franch, Joan & Litwin, Howard & Mira, Pedro & Garre-Olmo, Josep, 2021. "A longitudinal study on public policy and the health of in-house caregivers in Europe," Health Policy, Elsevier, vol. 125(4), pages 436-441.
    2. Zeytinoglu, Isik U. & Denton, Margaret & Brookman, Catherine & Plenderleith, Jennifer, 2014. "Task shifting policy in Ontario, Canada: Does it help personal support workers’ intention to stay?," Health Policy, Elsevier, vol. 117(2), pages 179-186.
    3. Christine Fekete & Mohit Arora & Jan D. Reinhardt & Mirja Gross-Hemmi & Athanasios Kyriakides & Marc Le Fort & Julia Patrick Engkasan & Hannah Tough, 2020. "Partnership Status and Living Situation in Persons Experiencing Physical Disability in 22 Countries: Are There Patterns According to Individual and Country-Level Characteristics?," IJERPH, MDPI, vol. 17(19), pages 1-11, September.
    4. van Noort, Olivier & Schotanus, Fredo & van de Klundert, Joris & Telgen, Jan, 2018. "Explaining regional variation in home care use by demand and supply variables," Health Policy, Elsevier, vol. 122(2), pages 140-146.
    5. Kaschowitz, Judith & Brandt, Martina, 2017. "Health effects of informal caregiving across Europe: A longitudinal approach," Social Science & Medicine, Elsevier, vol. 173(C), pages 72-80.
    6. Laia Calvó-Perxas & Joan Vilalta-Franch & Howard Litwin & Oriol Turró-Garriga & Pedro Mira & Josep Garre-Olmo, 2018. "What seems to matter in public policy and the health of informal caregivers? A cross-sectional study in 12 European countries," PLOS ONE, Public Library of Science, vol. 13(3), pages 1-12, March.

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