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Informal and Formal Care: Exploring the Complementarity

Published online by Cambridge University Press:  14 November 2008

Neena Chappell  and
Audrey Blandford
Neena Chappell
Affiliation:
Director, Centre on Aging, Professor, Department of Sociology, 338 Isbister Building, University of Manitoba, Winnipeg, Manitoba, R3T 2N2, Canada
Audrey Blandford
Affiliation:
Research Assistant, Centre on Aging, University of Manitoba
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Abstract

Although several authors have speculated about the type of relationship between informal and formal care, relatively little empirical work directly examines the interface between the two support systems. This paper examines the correlates of using neither system, only one system and several combinations of both systems. It explores the characteristics of those who do and do not make complementary use of both systems and under what circumstances the two systems are complementary. Multivariate analyses are performed, using logistic regression analyses, to examine the correlates of the different sources of support. Analyses demonstrate that those who utilize the formal care system do so while retaining care from the informal network. Use of the formal system in conjunction with informal care appears to take place in two instances:when seniors are in need and critical elements of their informal network are lacking, or when they have an intact informal support network, but their health needs are extremely high. In both of these instances the formal system enters to assist the informal network. The data point to the complementarity of the two care systems, not in terms of task specificity, but rather, in terms of a sharing of overall task load.

Type
Research Article
Information
Ageing & Society , Volume 11 , Issue 3 , September 1991 , pp. 299 - 317
Copyright
Copyright © Cambridge University Press 1991

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References

NOTES

1 Heinemann, G. D., Interdependence in informal support systems: the care of elderly urban widows. In Peterson, W. A. and Quadagno, J. (eds), Social Bonds in Later Life, pp. 165–86. Sage Publications, Beverly Hills, CA, 1985.Google Scholar

2 Chappell, N. L. and Havens, B., Who helps the elderly person: a discussion of informal and formal care. In Peterson, W. A. and Quadagno, J. (eds), Social Bonds in Later life pp. 211–22. Sage Publications, Beverly Hills, CA, 1985.Google Scholar

3 Branch, L. G. and Jette, A. M., Elders' use of informal long-term care assistance. The Gerontologist, 23 (1983), 51–6.CrossRefGoogle ScholarPubMed

4 Stone, R. et al. , Caregivers of the frail elderly: a national profile. The Gerontologist, 27 (1987), 616–26.CrossRefGoogle ScholarPubMed

5 Chappell, N. L. and Blandford, A., Health service utilization by elderly persons. Canadian Journal of Sociology, 12 (1987), 195–215.CrossRefGoogle Scholar

6 Wolinsky, F. D., Health care policy and the elderly – short term cures and longterm catastrophes. Paper presented at the annual meeting of the Society for the Study of Social Problems, Detroit, Michigan, 1983.Google Scholar

7 Wolinsky, F. D. and Coe, R. M., Physician and hospital utilization among non- institutionalized elderly adults: an analysis of the health interview survey. Journal of Gerontology, 39 (1984) 334–51.CrossRefGoogle Scholar

8 Wan, T. T. H. and Arling, G., Differential use of health services among disabled elderly. Research on Aging, 5 (1983), 411–31.CrossRefGoogle Scholar

9 Cantor, M. H., The informal support system: Its relevance in the lives of the elderly. In Borgatta, E. F. and McCluskey, N. G. (eds), Aging and Society Current Research and Policy Perspectives, pp. 131–44. Sage Publications, Beverly Hills, CA, 1980.Google Scholar

10 Stoller, E. P. and Earl, L. P., Help with activities of everyday life:sources of support for the non-institutionalized elderly. The Gerontologist, 23 (1983) 64–70.CrossRefGoogle Scholar

11 Noelker, L. S. and Poulshock, S. W., The Effects of Families Caring for Impaired Elderly in Residence. Final report, Administration on Aging, U.S. Department of Health and Human Services, Washington, DC, 1982.Google Scholar

12 Wenger, G. C., Elderly carers: the need for appropriate intervention. Ageing and Society, 10 (1990), 197–219.CrossRefGoogle Scholar

13 Doty, P., Family care of the elderly: the role of public policy. The Milbank Quarterly, 64 (1986), 34–75.CrossRefGoogle ScholarPubMed

14 Noelker, L. S. and Bass, D. M., Home care for elderly persons: linkages between formal and informal caregivers. Journal of Gerontology, 44 (1989), 563–70.CrossRefGoogle ScholarPubMed

15 Horowitz, A., Dono, J. E. and Brill, R., Continuity or change in informal support? the impact of the expanded home care program. Paper presented at the annual meeting of the Gerontological Society of America,San Francisco, California,November, 1983.Google Scholar

16 Daatland, , Svein, Olav, What are Families For? Ageing and Society, 10 (1990), 1–15.CrossRefGoogle Scholar

17 Chappell, N. L., The interface between three systems of care: self, informal and formal. In Ward, R. and Tobin, S. (eds), Health in Aging: Sociological Issues and Policy Directions, pp. 159–79. Springer Publishing, New York, NY, 1987.Google Scholar

18 Shanas, E., The family as a support system in old age. The Gerontologist, 19 (1979), 169–74.CrossRefGoogle ScholarPubMed

19 Shapiro, E. and Tate, R. B., Predictors of long-term care facility use among the elderly. Canadian Journal of Aging, 4 (1985), 11–19.CrossRefGoogle Scholar

20 Litwak, E., Helping the Elderly: The Complementary Roles of Informal fetworks and Formal Systems. The Guilford Press, New York, 1985.Google Scholar

21 Cantor, M. H., Neighbours and Friends: an overlooked resource in the informal support system. Research on Aging, 1 (1979), 434–63.CrossRefGoogle Scholar

22 Cantor, M. H. and Little, V., Aging and social care. In Binstock, R. H. and Shanas, E. (eds), Handbook of Aging and the Social Sciences, 2nd edn, pp. 745–81. Van Nostrand Reinhold Company, New York, NY, 1985.Google Scholar

23 Penning, J. J., Receipt of assistance by the elderly: hierarchical selection and task specificity. The Gerontologist, 30 (1990), 220–7.CrossRefGoogle ScholarPubMed

24 Chappell, N. L., In-group differences among elders living with friends and family other than spouse. Journal of Ageing Studies, 5 (1991), 61–76.CrossRefGoogle Scholar

25 Chappell, N. L., The interface between three systems of care: self, informal and formal. In Ward, R. and Tobin, S. (eds), Health in Aging: Sociological Issues and Policy Directions, pp. 159–79. Springer, New York, 1987.Google Scholar

26 Penning, M. J. and Chappell, N. L., Self-care in relation to informal and formal care. Ageing and Society, 10 (1990), 41–59.CrossRefGoogle Scholar

27 George, L. K., Easing caregiver burden: the role of informal and formal supports. In Ward, R. A. and Tobin, S. S. (eds), Health in Aging, Sociological Issues and Policy Direction, pp. 133–58. Springer, New York, 1987.Google Scholar

28 Tennstedt, S. L., McKinlay, J. B. and Sullivan, L. M., Informal care for frail elders: the role of secondary caregivers. The Gerontologist, 29 (1989) 677–83.CrossRefGoogle ScholarPubMed

29 Fengler, A. and Goodrich, N., Wives of elderly disabled men: the hidden patients. The Gerontologist, 19 (1979), 175–84.CrossRefGoogle ScholarPubMed

30 Sundstrom, G., Family and state: recent trends in the care of the aged in Sweden. Ageing and Society, 6 (1986), 169–96.CrossRefGoogle Scholar

31 Statistics Canada, The Daily. Catalogue 11–001, 9 07 1987, p. 13.Google Scholar

32 Finch, J. and Mason, J., Filial obligations and kin support for elderly people. Ageing and Society, 10 (1990), 151–75.CrossRefGoogle Scholar