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Session Overview
RN01_04c_IC: Care and Social Investment
Thursday, 31/Aug/2017:
9:00am - 10:30am

Session Chair: Tine Rostgaard, KORA
Location: Intercontinental - Ypsilon I
Athenaeum Intercontinental Hotel Syngrou Avenue 89-93 Athens, Greece Floor: Level 1

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The Concept of "Social Investment in Long-Term Care"

Hans-Joachim Reinhard

University of Applied Sciences Fulda, Germany

The need for long-term care is a growing challenge for all European countries. The demographic changes entail several problems: in the countryside it is often difficult to organise and maintain adequate services for long-term care. Secondly, since trained professional staff is hard to find often untrained underpaid migrants with an uncertain legal status fill this gap. But the main issue for all countries is how to finance long-term-care. Long-term care needs an intensive manpower and there are only few possibilities to automatize care (eg. by robots) because care is a very personal and emotional matter. Many countries have shifted a good part of the organisation of care and of the implicit financial burden to the dependant or the dependant person`s family. In view of the change in family structures (e.g. increasing number of childless persons) this model will not work in future. The cost-intensity of long-term care results in many countries in the pauperization of persons in need for care given the overall decrease in old-age pensions. But financial constraints, which are mostly due to the EU-restrictions of the Stability and Growth Act refrain governments from investing in a better and decent care in human dignity.

This cross-country and comparative presentation shows how various European systems have approached and reacted on this social task. It will also reveal the EU social policy on long-term care, in particular the EU-Commission’s new idea of a “Social Investment in Long-Term Care” for an ageing society. This concept is currently under discussion and considered as a feasible tool to mitigate some of the deficiencies in providing long-term care and to improve the situation of people in need for care.

Social Investment in Long-Term Care: Stakeholders' views

Alexandra Lopes1, Virginija Poškutė2, Bent Greve3, Ismo IsmoLinnosmaa4, Zosia Rutkowska5


Social investment has come to be seen as a new approach in contrast to Keynesian and Liberalism in the understanding of the development of welfare states. An abundant number of books and articles have been published in recent years to discuss the contours of the concept and its meanings for policy design and implementation. However, less emphasis has been put on whether the understanding of social investment has reached the stakeholders in a given a social policy field. This paper will try to discuss how stakeholders in the field of Long-Term Care perceive social investment and its applications to address LTC policies. The paper is based upon focus-group interviews done in different countries, representing different strands of welfare state development (Lithuania, Poland, Finland, Portugal and Denmark). The collection of data takes place during January and February 2017. The collection of data is done within the framework of the Horizon 2020 project SPRINT - Social Protection Innovative Investment in Long-Term Care. The paper will present the analysis from a comparative perspective presenting long-term care in the countries, how the stakeholders perceive and understand the concept of long-term care social investment.

Evaluating the design, participation, effectiveness and impact in support programmes for carers of elder people

Maria Silveria Agullo-Tomas1, Vanessa Zorrilla-Muñoz1, Alberto Veira-Ramos1, Esteban Agullo-Tomas2

1Institute of Gender Studies (IEG) and Department of Social Analysis; Carlos III University of Madrid (UC3M). Getafe, Spain;; 2Psychology Faculty; Oviedo University. Oviedo, Spain

Purpose: The problems surrounding care for the elderly are a demonstrable fact in our society. The research called "Carers of the elderly: the situation regarding the Dependency Act and evaluation of programmes for caregivers" (MINECO, "Ministry of Economy and Competitiveness", CSO2009-10290, National R&D Plan, 2009-2013, Spain) reflects the persistence of carer problems by exploring programmes for carers of elder people by qualitative and quantitative methods. This proposal emphasizes the quantitative analysis.

Methodology: CRPAC questionnaire develops items based on different surveys with special focus on EUROFAMCARE SPQ. The selected representative sample (439 programs) stems from Spain. Initially, a total of 57 items were examined to compose the dimensionality analysis for CRPAC. The questionnaire was answered by the program supervisors. The CRPAC scales assessed reliability and validity, including internal consistency, factor analysis, criterion-related validity, and average correlation between factors. Finally, the regression model tests the factors.

Results: AIC and BIC define the chosen factors. The decision was refined by factors referred to as "design," "participation," "effectiveness," and "impact of programmes”. Cronbach’s alpha coefficients range from 0.97 and 0.99 between these factors. The regression model considers the effectiveness as variable criterion (ANOVA with p <0.01), and, design, participation, and impact of programmes as predictor variables. The model is statistically significant (adjusted R2 = 0.9264, F (3,334) = 1400.39, p <0.01).

Conclusion: Evaluation of effectiveness could be considered for the application an improve caregiver programmes strategies by using the CRPAC questionnaire. Finally, this research underlines the need of review in quantitative gender perspective.

Keywords: Ageing, caregivers of elder people, support programmes for carers, quantitative method, evaluation, gender

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