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Welfare Reform on the Web (June 2006): Care of the elderly - overseas

A critical policy analysis of an emerging agenda for home care in one Canadian province

S. Duncan and L. Reutter

Health and Social Care in the Community, vol.14, 2006, p.242-253

Article presents a critical policy analysis of home care in the province of Alberta, Canada. The analysis reveals that home care is undergoing medicalisation, an evolutionary course that is not supported by primary healthcare principles. This critical analysis reveals that regional home care is not evolving in the direction of a broad definition of health services that includes home support, family support and preventative services. Although research evidence points to the need for comprehensive services to sustain people in their homes, policy documents continue to identify primarily acute care substitution and publicly funded professional care services.

Who will take care of the elderly in China? A review of the problems caused by China’s one-child policy and their potential solutions

Y. Zhang and F.W. Goza

Journal of Aging Studies, vol.26, 2006, p.151-164

One of the unavoidable consequences of China’s one child per couple policy has been its transformation into an aging society. This means that care for the elderly traditionally provided by extended families is no longer available for most Chinese. This article explores possible sources of alternative provision in urban and rural contexts. In urban areas existing neighbourhood committee programmes that care for the elderly could be extended and residential care could be expanded. In rural areas problems are exacerbated by the out-migration of young people to find work in the cities. Here, the solution may lie in provision of old age pensions to enable the elderly to buy in assistance and improving employment prospects to encourage the young to stay put.

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