ABSTRACT

This study analysed the prevalence of, change and variation in paid informal care as a policy strategy within Swedish municipal eldercare (n = 165) in 2006 and 2016. The results showed that the share of municipalities with this policy has declined since 2006, with just over half of the municipalities offering paid informal care in 2016. Among these municipalities, the practical use of this policy was limited in comparison to ordinary home-care services. Efforts to explain why some municipalities were more likely to have a system of paid informal care than others, were only partially successful, only identifyinga few significant municipal factors that together explained a limited share of the variation among the municipalities. The results raise questions relating to the way these policies are understood/used by municipalities and how older people and their informal caregivers are affected by the way in which the question of paid informal care is handled at the local level.

摘要

本研究分析了瑞典市政老年护理（n = 165）在 2006 年和 2016 年。结果表明，自 2006 年以来，实施这项政策的城市的比例有所下降，2016 年只有一半以上的城市提供有偿非正式护理。在这些城市中，这项政策的实际使用受到限制与普通的家庭护理服务相比。解释为什么一些城市比其他城市更有可能拥有有偿非正式护理系统的努力只是部分成功，仅确定了一些重要的市政因素，这些因素共同解释了城市之间差异的有限份额。结果提出了与市政当局理解/使用这些政策的方式有关的问题，以及老年人及其非正式护理人员如何受到地方一级处理有偿非正式护理问题的方式的影响。