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Gender disparities in German home-care arrangements

  • Gender disparities in German home-care arrangements An ageing population correlates with rising needs for long-term care (LTC). Support programmes should con- sider the specific needs of the various subgroups of care dependents and family caregivers. The objective of this study was to analyse the gender-specific disparities in home-care arrangements in Germany, and for this pur- pose, survey and insurance claims data were used. A sur- vey of 2545 insured care recipients with high-level care needs was conducted in 2012 with the Barmer GEK, a major German statutory healthcare insurance. Insurance claims data were provided for a follow-up, focussing on the group aged 60 years and older. For statistical compar- ison, chi-squared test and t-tests were used, and a p- value < 0.05 was considered statistically significant. Most care recipients are female, and they are on average 2 years older than males. Men receive family care mostly from their wives, whereas widows frequently live alone and receive care from daughters, sons, other relatives, neighbours and friends, as well as from professional nursing services. Furthermore, women more often antici- pate the need for (further) professional assistance and move in with a relative or to an assisted living facility or a nursing home in good time. The desired rate for reloca- tion to a nursing home was higher than the anticipated, and during the 6-month follow-up, the actual rate of relocations was in between both. In summary, the caring situation of men and women is different. Care-receiving men are most often cared for by their wives. Widowed women need a social network and their children in order to remain in their own home. To provide better home- care arrangements for women in this situation, the fam- ily and social networks need a stronger focus in politics and research. To stabilise the home-care situation of men with high-level care needs, their wives need more support.

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Author:Andreas BüscherORCiDGND, Sabine MetzingORCiD
Title (English):Gender disparities in German home-care arrangements
Parent Title (English):Scandinavian Journal of Caring Sciences
Document Type:Article
Year of Completion:2015
Release Date:2018/08/23
First Page:164
Last Page:174
Faculties:Fakultät WiSo
DDC classes:600 Technik, Medizin, angewandte Wissenschaften / 610 Medizin, Gesundheit
Review Status:Veröffentlichte Fassung/Verlagsversion