The growing number of very old people and their present and future demands upon existing health and social service resources is of major concern among practitioners and policy makers throughout Europe. This book makes an important contribution to the debate about the future of care for this population group from a cross-national perspective. Policies in most countries stress the need for older people to remain in their own homes for as long as possible. Home care services, in particular home help, are one of the most important ingredients in the service mix aimed to achieve this aim. Chapters on individual countries (Belgium, Denmark, England, France, Germany, Israel, Italy and the Netherlands) describe the range and nature of service provision and discuss the effectiveness of home care policies and the major issues facing the future of home care provision. Three chapters address the issues from a comparative perspective, highlighting similarities and differences in provision and policies and exploring ways of explaining the major differences, in an attempt to assess the likely future directions of home care policies in different countries of the European Community.
'This is an important book. Jamieson has made an admirable attempt to provide a European rather than a British perspective.'
John Bond, Age & Ageing
`Collection of articles that compare policy and practice in various European countries.'
Abstract of Public Administration, Development, and Environment
Home Care in Europe: Background and aims: Age Care Research Europe; Home care in the context of the ACRE framework; `Community care' or `home care'; Home Care Services in The Flanders, Belgium: Home care in Belgium; Trends in policies for older people; The service system in the Flemish region: funding and organization; Present provision in the Flemish region; Home care services in the study area of Groot-Antwerpen; Allocation of home help/cleaning help; The
Home Help Service in Denmark: Home help for elderly people; The clients of home help; Decision making for home help; policy implications; The Home Help Service in England and Wales: The historical
development of the service; The provision of domiciliary help today; The service in practice; Ways forward; Home Care Services in France: Historical development; Existing home-care services for elderly people; Informal support; Co-ordination; Home Care Services in The Federal Republic of Germany (West): The hierarchy of services and service systems; The history of the home care services; The role of health insurance; The role of social welfare provision; Bridging the health and social services
systems: provisions for home care for frail people; The rationale behind service priorities, service hierarchies and the inclusion or exclusion of elderly people; Organization and finance of formal
home care services; The extent of service provision; Allocation of home care in one federal state: a case study from Berlin (West): The structure of the study; The functional capacity and structure of informal support as criteria of need for selected domiciliary services; Service provision in Berlin; Allocation and claim mechanisms; Home Care Services in Israel: The development of home help services; Provision of services today; Issues in the delivery of adequate services; Assessment and
discussion and key issues; Home Care Services in Italy (With Special Reference to Genoa): Italy, Genoa; Home Care Services in the Netherlands: The development of home help services; Present provision of home
help services; The home help service and the care of the elderly; The home help service in practice; The effects of policy; Home Care from a Cross-National Perspective: Home Care Provision and Allocation: The aims of provision - the range of possibilities; The formal policy aims of home care; Home care in practice: patterns of provision and use of services; The process of service allocation; Trends in Home Care Policies: An assessment of home care measures; Past and recent trends; Factors
affecting policies and their implementation; Conclusions.
Series: CEC Health Services Research Series
Number Of Pages: 368
Published: 12th September 1991
Publisher: Oxford University Press
Country of Publication: GB
Dimensions (cm): 24.1 x 16.4
Weight (kg): 0.76