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Private employment of home care workers and use of health services by disabled older people in Italy
National Institute of Health and Science on Aging (INRCA), Italy.
National Institute of Health and Science on Aging (INRCA), Italy.ORCID iD: 0000-0002-1497-0011
National Institute of Health and Science on Aging (INRCA), Italy.
National Institute of Health and Science on Aging (INRCA), Italy.
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2013 (English)In: Euroregional Journal of Socio-Economic Analysis, ISSN 2344-6404, Vol. 1, no 1, 33-42 p.Article in journal (Refereed) Published
Abstract [en]

Home care workers privately employed by households have become today the “third rail” of longtermcare policies in several industrialised countries. In Italy, estimates suggested that they might be asmany as over 840,000, most of them being foreign-born migrants living with the cared for person. So far, littleattention has been paid to the integration and coordination of these workers within the formal care sector.We analysed a cross-sectional sample of 4,814 disabled older Italians living in the community to assess theassociation between the private employment of home care workers and the likelihood of using other formalservices. After controlling for possible confounding effects of predisposing characteristics and need factors,we found that using private assistance at home is strongly associated with the use of all services. Thesecorrelations suggests that a “crowding-in” effect exists between the use of private care and public formalservices, and a clear pattern of care tasks allocation can be identified in Italy, where family and privatecarers are responsible for assisting the older person with basic tasks of daily living, while the residualcompetences of public formal sector relate to specialised health care services.

Place, publisher, year, edition, pages
2013. Vol. 1, no 1, 33-42 p.
National Category
Gerontology, specializing in Medical and Health Sciences
Research subject
Health and Caring Sciences
Identifiers
URN: urn:nbn:se:lnu:diva-51002OAI: oai:DiVA.org:lnu-51002DiVA: diva2:912800
Available from: 2016-03-17 Created: 2016-03-17 Last updated: 2016-04-19Bibliographically approved

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Barbabella, Francesco
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CiteExportLink to record
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Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
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  • Other locale
More languages
Output format
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