Suchergebnisse

Questo studio realizzato dal Centro Studi e Ricerche Economico-Sociali per l'Invecchiamento (CRESI) dell'IRCSS INRCA per conto del Comitato per il Controllo e la Valutazione delle Politiche afferente al Consiglio Regionale delle Marche, nasce con l'obiettivo di valutare il gradimento degli interventi e dei servizi socio-sanitari esistenti da parte degli anziani non autosufficienti e delle loro famiglie (caregiver). L'indagine, realizzata con la collaborazione delle organizzazioni sindacali dei pensionati FNP-CISL, SPI-CGIL e UILP-UIL, ha consentito di raggiungere 450 nuclei familiari distribuiti nei 13 distretti sanitari della regione Marche, scattando una "fotografia" dell'esistente, al fine di poter fornire indicazioni e raccomandazioni sulla riorganizzazione dei servizi rivolti a questa fascia di popolazione, anche alla luce dei recenti impulsi pervenuti dall'adozione del "Piano nazionale per la non autosufficienza". L'indagine si è svolta in due tranche. Nella prima, condotta nel periodo novembre 2019 – marzo 2020, è stato raccolto il quadro dettagliato del punto di vista degli anziani assistiti e dei loro famigliari caregiver. Nella seconda, svoltasi nel periodo giugno-agosto 2020, è stato realizzato un follow-up telefonico, mirato a cogliere l'impatto dell'epidemia da Covid-19 sui partecipanti della prima rilevazione, al fine di comprendere come l'emergenza sanitaria abbia influito sulle condizioni di vita e sull'assistenza ricevuta da questi anziani e dalle loro famiglie, onde poter meglio riorganizzare i servizi per la fase post-pandemica.

"This report provides a range of examples on how the Active Ageing Index (AAI) can be used as a practical tool by policymakers, researchers and other interested parties to identify areas where appropriate policies can realise the active potential of older people"--Executive summary

In this topical book, older people's volunteering is studied in eight European countries at the structural, macro, meso and micro levels. Overall it highlights how different interactions between the levels facilitate or hinder older people's inclusion in voluntary work and makes policy suggestions for an integrated strategy.

Austerity measures on services provision, introduced due to recent economic crises, have stimulated the search for innovative welfare solutions, including options that are not directly or entirely funded by public sources. In Italy, recent legislation has promoted the development of occupational welfare (OW) measures, aimed at strengthening the supply of services to support employees with informal (elder) care responsibilities. This paper aims to describe how the newly introduced OW schemes might innovate existing care arrangements, by identifying their impact on the different actors involved in home care provision (care recipients, family carers, home care service providers and migrant care workers), as well as at a macro level in terms of promoting social innovation. The international relevance of the Italian case comes from the fact that it is one of the more representative familistic care regimes, largely characterized by home care provided by informal carers and migrant care workers (MCW). The importance of Italian OW schemes is increasing, and in 2018 their presence in company-level bargaining agreements grew by more than 15%. A rapid review of the literature and expert interviews allowed us to describe the complex Italian OW schemes system, and to identify the positive implications of their application for the country's long-term care (LTC) context, underlining what makes these measures a clear example of "social innovation" likely to have a future positive impact on home-based care in Italy.

Intro -- Contents -- List of Figures -- List of Tables -- 1: Towards an Evidence-Based Active Ageing Strategy -- 1.1 Introduction -- 1.2 Use of AAI for Policymaking -- 1.3 Subnational Adaptations of the AAI -- 1.4 Comparative Analysis of Active Ageing -- 1.5 Methodological Improvements in Measuring Active Ageing -- 1.6 Use of Active Ageing Index in Non-EU Countries -- References -- Part I: Building Evidence for Active Ageing Policies Active Ageing Index and its Potential -- 2: Are Societies with a High Value on the Active Ageing Index More Age Integrated? -- 2.1 Background -- 2.2 Conditions for Cross-age Interaction -- 2.2.1 Laws and Policies -- 2.2.2 Settings -- 2.2.3 Controls -- 2.3 Cross-age Interaction and Ageism -- 2.4 Method -- 2.4.1 Data -- 2.4.2 Measures -- 2.4.3 Analytical Strategy -- 2.5 Results -- 2.5.1 AAI and Settings Enabling Cross-age Interactions -- 2.5.2 Determinants of Cross-age Friendships -- 2.5.3 Cross-age Friendship and Ageism -- 2.6 Conclusion -- References -- 3: The Expected, Evaluated, Perceived, Valued and Prevalent Social Roles of Older People: Are They by Consent? -- 3.1 Introduction -- 3.2 The Demography-Related Context and Roles Older People Are Expected to Play in Actively Ageing Societies -- 3.3 Social Roles in Higher Age -- 3.3.1 The Active Ageing Index as an Evaluation of Role Performance on the National Level -- 3.3.2 Roles to Play: As "Society" Sees It -- 3.3.3 Preferred Roles: From the Perspective of Older People Themselves -- 3.4 Expected, Evaluated, Perceived and Valued Roles: Are They by Consent? -- 3.5 Roles Played -- 3.6 Conclusions and Discussion -- References -- 4: The Active Ageing Index (AAI) and its Relation to the Quality of Life of Older Adults -- 4.1 Introduction -- 4.2 Methods, Data and Variables -- 4.3 Results -- 4.4 Discussion -- References.

This article illustrates the implications of two recent trends on family carers' health: the employment of home-based migrant care workers; and the provision of web-based supports. The main factors traditionally associated with carers' health are used to analyse the results of a six-country study via a multilevel linear regression. Attention will be dedicated to the role of migrant care workers, who are often hired by private households to provide eldercare. Finally, web-based services for carers will be investigated by considering InformCare, a recently implemented European platform tested on a sample of carers from three countries (Germany, Italy and Sweden).

Depuis une dizaine d'années, un nombre croissant d'Italiens embauche, à titre privé, des travailleurs migrants, pour des services d'aide à domicile. Ces aidants sont souvent hébergés chez l'employeur et s'occupent des personnes âgées fragiles. Ce phénomène a pris une ampleur considérable, avec une sorte d'«ethnicisation» du secteur des soins aux seniors. En effet, les ménages italiens sont de moins en moins en mesure de procurer une aide informelle, comme le voulait la tradition. Ce changement s'explique par la progression de l'emploi féminin, ainsi que par les différents mécanismes d'allocations versées pour pourvoir aux soins, susceptibles d'être cumulées (et qui sont préférées à la fourniture directe de soins), et par la vision culturelle encore «familialiste» qui explique l'aversion pour le placement en institut spécialisé. Cet article propose un aperçu des grandes tendances qui gouvernent actuellement l'offre et la demande d'aide et de soins aux personnes âgées en Italie, sous l'angle de la démographie, du marché du travail et de l'aide sociale, esquissant notamment les motivations qui poussent les familles italiennes à embaucher des aidants migrants à domicile, ainsi que les difficultés auxquelles ceux-ci sont confrontés, et conclut sur une analyse du rôle de médiation que pourrait jouer l'Union européenne pour traiter ce phénomène qui progresse à l'échelle internationale.

AbstractTo promote long-term care policies for older adults, accurate mapping of the often invisible and insufficiently recognized role of their informal caregivers is needed. This paper measures the prevalence of informal caregivers in the European population, illustrates current difficulties in gathering unequivocal information on this topic and deals with the scientific and policy implications of the problem. Using the European Health Interview Survey (EHIS), the European Quality of Life Survey (EQLS) and the Study on Health and Ageing in Europe (SHARE), the current difficulties in gathering unequivocal information on this topic are illustrated. In most countries, the share of informal caregivers varies, sometimes markedly, among the three surveys. As for the sex of caregivers, while confirming the well-known higher prevalence of caregivers among women than among men, large variations emerge across the three surveys in most countries in respect of the two sexes. The takeaway message of the paper is that it is urgent to promote international concerted action in gathering comprehensive informal caregiving information and/or exploring in greater depth the different intercultural understandings of informal care itself.

In dem Beitrag werden die Ergebnisse einer Online-Umfrage informeller Pflegepersonen in Europa vorgestellt. Ziel dieser Studie, die von Eurocarers in Zusammenarbeit mit dem italienischen National Institute of Health and Science on Ageing (INRCA IRCCS) gefördert wurde, war es zu analysieren, wie sich der Covid-19-Ausbruch auf die Bedingungen informeller Pflegekräfte auswirkte, und die Wünsche dieser Pflegepersonen hinsichtlich einer besseren Unterstützung in Pandemiezeiten zu erheben. Die Gelegenheitsstichprobe umfasste 2468 Betreuer aus 17 Ländern, wobei die meisten Befragten aus Tschechien, Estland, Finnland, Deutschland, Italien, Portugal und Schweden antworteten. Aus den Ergebnissen können Handlungsempfehlungen in verschiedenen Bereichen abgeleitet werden: ein ausgewogener Zugang von pflegenden Angehörigen zum Arbeitsmarkt (z. B. durch Anerkennung ihrer Betreuungskompetenzen) ; Stärkung der Strategien zur Vereinbarkeit von Beruf und Privatleben ; Sicherstellung von Rentengutschriften auf der Grundlage von Pflegezeiten ; Förderung integrierter Dienste und Informationen ; Einbindung informeller Pflegekräfte als Mitgestalter von Fördermaßnahmen, auch durch nutzerfreundliche digitale Lösungen.

Although the active ageing concept generally has positive connotations, with expected benefits at the micro, meso and macro levels, the application of this concept in terms of policy making presents challenges and risks to be avoided (for instance, a predominantly productivist interpretation and a top-down imposition with limited possibilities for bottom-up exchanges; or a disregard for the risk of excluding older people with more disadvantaged backgrounds). Two crucial strategies to minimise risks are the implementation of policies by considering and respecting territorial diversity, and the involvement of all the relevant stakeholders in a participatory consultative and co-decisional approach. This paper entwines both strategies together by focusing on Italian in-country differences in terms of active ageing, and employing the Active Ageing Index for policy-making purposes. This activity is part of a governmental national pilot project aimed at promoting multilevel co-managed co-ordination of active ageing policies across Italy. The analysis identified five groups of regions that differ from the classical, geographic and socio-economic division between the North, Centre and South. Additional in-group analyses were conducted to investigate within-cluster differences. This study will inform a large multilevel stakeholder network for evidence-based policies and their monitoring at both the national and regional levels, in line with the perspective of mainstreaming ageing.