Click here to skip to content

Welfare reform on the Web (May 2007): Care of the elderly - overseas

Day care for persons with dementia: an alternative for whom?

L. Måvall and B. Malmberg

Dementia, vol.6, 2007, p. 27-43

Day care in Sweden is offered as a form of intermediate care for people with dementia which aims to offer a substitute for formal home care services, and create a meaningful day for clients while giving family caregivers a respite. This study of day care clients with dementia over a 12-month period discusses what distinguishes those who discontinued use of the service from those who stayed with it. Results suggest that current day care services are failing to meet the needs of clients with dementia who also show behaviour problems.

New moral economies of welfare: the case of domiciliary elder care in Germany, France and Britain

I. Bode

European Societies, vol.9. 2007, p. 201-227

After the end of the 'golden age' of European welfare states, provision has become more pluralistic and “welfare markets” have emerged. However, for the most part services remain under state control and there are limits to the free play of the market. The outcome of the operation of a quasi-market in social care is not necessarily a reduction in the overall quantity of services available. Rather, service provision has become unstable and subject to new inequalities. This is because provision of a given service now depends on the fluctuating processes of quasi-markets and the impact of state regulation. As a result, in some places service innovations may provide more efficiency and higher quality, while in others, organisational performance is inconsistent or places some consumer groups at a disadvantage. These themes are explored using case studies of home care provision for older people in Germany, France and Britain.

The resilience of personal economy of ageing: an examination of the productivist welfare capitalism of Hong Kong

W.W.L. Wong

Journal of Comparative Social Welfare, vol.23, 2007, p.81-88

In Hong Kong, care of the elderly is a private and family responsibility because of the residual provision of welfare services, the country’s emphasis on economic freedom, political rationality, and the lack of a universal pension system. Families have to care for the elderly at home while planning for their own retirement and old age.

Understanding risk and old age in Western society

J. Powell, A. Wahidin and J. Zinn

International Journal of Sociology and Social Policy, vol. 27, 2007, p. 65-76

This paper explores the concept of “risk” in relation to old age in developed societies. It explores how the breakdown of trust between older people, institutions, policies and individuals impinges on risk, maps out the key assumptions of the risk society and shows how older people have been encouraged to manage risk by buying into social insurance and pension schemes.

Search Welfare Reform on the Web