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The inter-relationship between formal and informal care: a study in France and Israel

  • HOWARD LITWIN (a1) and CLAUDINE ATTIAS-DONFUT (a2)
Abstract

This study examined whether formal care services delivered to frail older people's homes in France and Israel substitute for or complement informal support. The two countries have comparable family welfare systems but many historical, cultural and religious differences. Data for the respondents aged 75 or more years at the first wave of the Survey of Health, Ageing and Retirement in Europe (SHARE) were analysed. Regressions were examined of three patterns of care from outside the household: informal support only, formal support only and both formal and informal care, with the predictor variables including whether informal help was provided by a family member living in the household. The results revealed that about one-half of the respondents received no help at all (France 51%, Israel 55%), about one-tenth received care from a household member (France 8%, Israel 10%), and one-third were helped by informal carers from outside the household (France 34%, Israel 33%). More French respondents (35%) received formal care services at home than Israelis (27%). Most predictors of the care patterns were similar in the two countries. The analysis showed that complementarity is a common outcome of the co-existence of formal and informal care, and that mixed provision occurs more frequently in situations of greater need. It is also shown that spouse care-givers had less formal home-care supports than either co-resident children or other family care-givers. Even so, spouses, children and other family care-givers all had considerable support from formal home-delivered care.

Copyright
Corresponding author
Address for correspondence: Howard Litwin, Israel Gerontological Data Center, Paul Baerwald School of Social Work and Social Welfare, Hebrew University, Jerusalem 91905-IL, Israel. Email: howie.litwin@huji.ac.il.
References
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Agree, E. M., Freedman, V. A., Cornman, J. C., Wolf, D. A. and Marcotte, J. E. 2005. Reconsidering substitution in long-term care: when does assistive technology take the place of personal care? Journal of Gerontology: Social Sciences, 60, 5, S272–80.
Albertini, M., Kohli, M. and Vogel, C. 2007. Transfers of time and money among elderly Europeans and their children: common patterns: different regimes? Journal of European Social Policy, 17, 4, 319–34.
Arber, S. and Ginn, J. 1995. Gender differences in informal caring. Health and Social Care in the Community, 3, 1, 1931.
Attias-Donfut, C., Ogg, J. and Wolff, F.-C. 2005. European patterns of intergenerational financial and time transfers. European Journal of Ageing, 2, 3, 161–73.
Ben Shalom, Y. (ed.) 2007. Annual Survey 2006. National Insurance Institute Research and Planning Administration, Jerusalem.
Bonoli, G. 1997. Classifying welfare states: a two-dimension approach. Journal of Social Policy, 26, 3, 351–72.
Börsch-Supan, A. and Jürges, H. (eds) 2005. The Survey of Health, Ageing and Retirement in Europe: Methodology. Mannheim Research Institute for the Economics of Aging, Mannheim, Germany.
Cantor, M. H. 1991. Family and community: changing roles in an aging society. The Gerontologist, 31, 3, 337–46.
Commailles, J., Strobel, P. and Villac, M. 2002. La politique de la famille [Family Policy]. La Découverte, Paris.
Daatland, S. O. and Herlofson, K. 2003. ‘Lost solidarity’ or ‘changed solidarity’: a comparative European view of normative family solidarity. Ageing & Society, 23, 5, 537–60.
Damon, J. 2006. Les politiques familiales [Family Policies]. Presses Universitaires de France, Paris.
Damon, J. 2008. Les politiques familiales dans l'union européenne: une convergence croissante [Family policies in the European Union: a crossing convergence]. Recherches familiales 5: Familles et Europe [Family Research Review 5: Families and Europe]. Union Nationale des Associations Familiales, Paris, 3353.
Davey, A., Femia, E. E., Zarit, S. H., Shea, D. G., Sundström, G., Berg, S., Smyer, M. A. and Savla, J. 2005. Life on the edge: patterns of formal and informal help to older adults in the United States and Sweden. Journal of Gerontology: Social Sciences, 60, 5, S281–8.
Denton, M. 1997. The linkages between informal and formal care of the elderly. Canadian Journal on Aging – Revue Canadienne du Vieillissement, 16, 1, 3050.
Dutton, P. V. 2002. Origins of the French Welfare State: The Struggle for Social Reform in France, 1914–1947. Cambridge University Press, Cambridge.
Esping-Andersen, G. 1990. The Three Worlds of Welfare Capitalism. Polity and Princeton University Press, Cambridge and Princeton, New Jersey.
European, Commissions 2006. Euro-Mediterranean Statistics: General and Regional Statistics. European Commissions, Brussels. Available online at http://www.cbs.gov.il/www/publications/medstat/versions_fr.pdf [Accessed April 2008].
Eurostat 2007. Living conditions and welfare. In Eurostat, Europe in Figures: Eurostat Yearbook 2006–07. Eurostat, Luxembourg. Available online at ec.europa.eu/eurostat [Accessed April 2008].
Feld, S., Dunkle, R. E. and Schroepfer, T. 2004. Race/ethnicity and marital status in IADL caregiver networks. Research on Aging, 26, 5, 531–58.
Ferrera, M. 1996. The southern model of welfare in social Europe. Journal of European Social Policy, 6, 1, 1737.
Fischer, L. R., Green, C. A., Goodman, M. J., Brody, K. K., Aickin, M., Wei, F., Phelps, L. W. and Leutz, W. 2003. Community-based care and risk of nursing home placement. Medical Care, 41, 12, 1407–16.
Friedman, S. M., Steinwachs, D. M., Temkin-Greener, H. and Mukamel, D. B. 2006. Informal caregivers and the risk of nursing home admission among individuals enrolled in the program of all-inclusive care for the elderly. The Gerontologist, 46, 4, 456–63.
Habib, J., Sundström, G. and Windmiller, K. 1993. Understanding the pattern of support for the elderly: a comparison between Israel and Sweden. Journal of Aging and Social Policy, 5, 1–2, 187206.
Kelman, H. R. 1994. Longitudinal patterns of formal and informal social support in an urban elderly population. Social Science and Medicine, 38, 7, 905–14.
Lewin-Epstein, N., Stier, H. and Braun, M. 2006. The division of household labor in Germany and Israel. Journal of Marriage and the Family, 68, 5, 1147–64.
Li, L. W. 2005. Longitudinal changes in the amount of informal care among publicly paid home care recipients. The Gerontologist, 45, 4, 465–73.
Litwin, H. and Auslander, G. 1992. Understanding the interface between formal and informal support systems. European Journal of Gerontology, 1, 3, 464–70.
Llacer, A., Zunzunegui, M. V., Gutierrez-Cuadra, P., Beland, F. and Zarit, S. H. 2002. Correlates of wellbeing of spousal and children carers of disabled people over 65 in Spain. European Journal of Public Health, 12, 1, 39.
Lowenstein, A. and Daatland, S. O. 2006. Filial norms and family support in a comparative cross-national context: evidence from the OASIS study. Ageing & Society, 26, 2, 203–23.
Messeri, P., Silverstein, M. and Litwak, E. 1993. Choosing optimal support groups: a review and reformulation. Journal of Health and Social Behavior, 34, 2, 122–37.
Miner, S. 1995. Racial-differences in family support and formal service utilization among older persons: a non-recursive model. Journal of Gerontology: Social Sciences, 50, 3, S143–53.
Moscovice, I., Davidson, G. and McCaffrey, D. 1988. Substitution of formal and informal care for the community-based elderly. Medical Care, 26, 10, 971–81.
Motel-Klingebiel, A., Tesch-Roemer, C. and Von Kondratowitz, H. J. 2005. Welfare states do not crowd out the family: evidence for mixed responsibility from comparative analyses. Ageing & Society, 25, 6, 863–82.
Organisation for Economic Co-operation and Development (OECD) 2007. Statistical Profile of France. OECD, Paris. Available online at http://stats.oecd.org/wbos/viewhtml.aspx?queryname=314&querytype=view&lang=en [Accessed April 2008].
Penning, M. J. 2000. Self-, informal and formal care: partnerships in community-based and residential long-term care settings. Canadian Journal on Aging – Revue Canadienne Du Vieillissement, 19, 1, 75100.
Penning, M. J. 2002. Hydra revisited: substituting formal for self- and informal in-home care among older adults with disabilities. The Gerontologist, 42, 1, 416.
Pitrou, A. 1994. Les politiques familiales: Approches sociologiques [Family Policies: Sociological Approaches]. Syros, Paris.
Prouix, J., Bourque, D. and Savard, S. 2007. The government-third sector interface in Quebec. Voluntas: International Journal of Voluntary and Nonprofit Organizations, 18, 3, 293307.
Sabbagh, C., Powel, L. A. and Vanhuysse, P. 2007. Betwixt and between the market and the state: Israeli students' welfare attitudes in comparative perspective. International Journal of Social Welfare, 16, 3, 220–30.
Schneider, J., Hallam, A., Islam, M. K., Murray, J., Foley, B., Atkins, L., Banerjee, S. and Mann, A. 2003. Formal and informal care for people with dementia: variations in costs over time. Ageing & Society, 23, 3, 303–26.
Spitze, G., Logan, J. R., Joseph, G. and Lee, E. J. 1994. Middle generation roles and the well-being of men and women. Journal of Gerontology: Social Sciences, 49, 3, S107–16.
Sundström, G., Malmberg, B. and Johansson, L. 2006. Balancing family and state care: neither, either or both? The case of Sweden. Ageing & Society, 26, 5, 767–82.
Sundström, G., Johansson, L. and Hassing, B. 2002. The shifting balance of long-term care in Sweden. The Gerontologist, 42, 3, 350–5.
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Ageing & Society
  • ISSN: 0144-686X
  • EISSN: 1469-1779
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