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The implementation of elder-care in France and Sweden: a macro and micro perspective

Published online by Cambridge University Press:  18 January 2011

INGRID JÖNSSON ,
ANNE-MARIE DAUNE-RICHARD ,
SOPHIE ODENA  and
MAGNUS RING
INGRID JÖNSSON*
Affiliation:
Department of Sociology, Lund University, Sweden.
ANNE-MARIE DAUNE-RICHARD
Affiliation:
Laboratoire d'Economie et de Sociologie du Travail, CNRS, Université d'Aix-Marseille, France.
SOPHIE ODENA
Affiliation:
Laboratoire d'Economie et de Sociologie du Travail, CNRS, Université d'Aix-Marseille, France.
MAGNUS RING
Affiliation:
Department of Sociology, Lund University, Sweden.
*
Address for correspondence: Ingrid Jönsson, Department of Sociology, Lund University, Box 114 SE 221 00, Paradisg. 5:G, Lund, Sweden. E-mail: [email protected]
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Abstract

This paper presents results from a comparative project on the implementation of elder-care in France and Sweden. The transition to requiring care is understood as a process, and elder-care is seen as a part of a more general organisation of social care that reflects different welfare traditions. An overview of elder-care on the institutional level in the two countries is supplemented by case studies from the perspective of older people which identify ways of co-operation between actors, such as public eldercare providers, family members and help provided by profit and non-profit organisations. The interviews include approximately 20 older persons in each country as well as a small number of administrators and adult children. The study sheds light on how policies are implemented on the local level and puts the focus on who actually does what and when for older persons with care needs. The different roles played by the state, the family, the market and civil society are examined. Family members in France take on a more active role both as co-ordinators of care and as actual caregivers. The study shows that gender and social class remain associated with caring but that such differences are much larger in France than in Sweden.

Keywords

elder-carewelfare traditionclassgender
Type
Articles
Information
Ageing & Society , Volume 31 , Issue 4 , May 2011 , pp. 625 - 644
Copyright
Copyright © Cambridge University Press 2011

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References

Adjerad, S. 2005. Le secteur des emplois familiaux en 2003: la croissance de l'activité se poursuit [The sector of family employment in 2003: continued growth of employment]. Premières Synthèses Informations, 12, 4, 1–6. Dares, Ministère de l'Emploi, Paris.Google Scholar
Agence Nationale des Services à la Personne 2008. Available online at www.servicealapersonne.gouv.fr [Accessed 1 November 2009].Google Scholar
Antman, P. 1996. Barn- och äldreomsorg i Tyskland och Sverige: Sverigedelen. Välfärdsprojektet, 5 [Child- and Elder-care in Germany and Sweden: The Swedish Part. The Welfare Project]. Socialdepartementet, Stockholm.Google Scholar
Bambra, C. 2007. Defamilisation and welfare state regimes: a cluster analysis. International Journal of Social Welfare, 16, 4, 326–38.CrossRefGoogle Scholar
Bigot, F. and Rivard, T. 2003. L'évolution des modes de prise en charge et des métiers de la dépendance [Facing dependency: changes in occupations and models of undertaking care]. In Martin, C. (ed.), La dépendance des personnes âgées: Quelles politiques en Europe? [The Dependence of Older Persons: European Politics]. Presse Universitaires de Rennes, ENSP, Rennes, France, 157–74.Google Scholar
Chardon, M.-A. and Estrade, O. 2007. Les métiers en 2015: Rapport du groupe prospective des métiers et qualifications [Occupations in 2015: A Report on Future Occupations and Qualifications]. CAS et Dares, La Documentation française, Paris.Google Scholar
Chol, A. 2008. Les services à la personne en 2006: une croissance continue [Human services in 2006: continued growth]. Premières Synthèses Informations, 48, 2, 1–8. Dares, Ministère de l'Emploi, Paris.Google Scholar
Conseil Emploi Revenus Cohésion sociale [Council for Employment, Incomes and Social Cohesion]. 2008. Les services à la personne. La documentation française. Human Services, Paris.Google Scholar
Da Roit, B., Le Bihan, B. and Österle, A. 2007. Long-term care policies in Italy, Austria and France: variations in cash-for-care schemes. Social Policy and Administration, 41, 6, 653–71.CrossRefGoogle Scholar
Daly, M. and Lewis, J. 2000. The concept of social care and the analysis of contemporary welfare states. British Journal of Sociology, 51, 2, 281–98.CrossRefGoogle ScholarPubMed
Daune-Richard, A.-M., Jönsson, I., Odena, S., Ring, M. with Petrella, F. 2008. Les trajectoires d'entrée en dépendance des personnes âgées du point de vue du ≪Care≫: Approche comparative France-Suède [Trajectories of Entry into Dependence from the Point of View of Care: A Comparative Study of Elder-care in France and Sweden]. Final report for DRESS-MIRE, Ministère de la Santé, July. Laboratoire d'Economie et de Sociologie du Travail, CNRS-Université d'Aix-Marseille, France.Google Scholar
Ennuyer, B. 2003. Histoire d'une catégorie ‘personne âgées dépendantes’ [The history of the category of dependent elderly persons]. In Martin, C. (ed.), La dépendance des personnes âgées: Quelles politiques en Europe? [The Dependence of Elderly Persons: European Politics]. Presses Universitaires de Rennes, ENSP, Rennes, France, 95–114.Google Scholar
Espagnol, P., Lo, S.-H. and Debout, C. 2008. L'allocation personnalisée d'autonomie et la prestation de compensation handicap au 30 juin 2008 [The Allowances for Personal Autonomy and Handicapped Persons of 30 June 2008]. Etudes et résultats, 666, 1–6. Dress, Ministère de la Santé, Paris.Google Scholar
Esping-Andersen, G. 1990. The Three Worlds of Welfare Capitalism. Polity Press, Cambridge.Google Scholar
Fontaine, R., Gramain, A. and Wittwer, J. 2007. Les configurations d'aide familiales mobilisées autour des personnes âgées dépendantes en Europe [Family help mobilised around elderly dependent persons in Europe]. Economie et statistique, 403/4, 97–115.CrossRefGoogle Scholar
Johansson, L. and Sundström, G. 2006. Policies and practices in support of family caregivers – filial obligations redefined in Sweden. Journal of Aging & Social Policy, 18, 3/4, 7–26.Google ScholarPubMed
Kröger, T. 1997. Local government in Scandinavia: autonomous or integrated into the welfare state. In Sipilää, J. (eds), Social Care Services: The Key to the Scandinavian Welfare Model. Avebury, Aldershot, UK, 95–108.Google Scholar
Larsson, K. and Szebehely, M. 2006. Äldreomsorgens förändringar under de senaste decennierna. Äldres levnadsförhållanden: Arbete, ekonomi, hälsa och sociala nätverk 1980–2003 [Changes in Elder-care in Recent Decades. Living Conditions Among Older People: Work, Economy, Health and Social Networks 1980–2003]. SCB, Stockholm, 411–20.Google Scholar
Le Bihan, B. and Martin, C. 2006. A comparative case study of care systems for frail elderly people: Germany, Spain, France, Italy, United Kingdom and Sweden. Social Policy and Public Administration, 40, 1, 26–46.Google Scholar
Lister, R. 1990. Women, economic dependency and citizenship. Journal of Social Policy, 19, 4, 281–98.CrossRefGoogle Scholar
Millar, J. and Warman, A. 1996. Family Obligations in Europe. Family Policy Studies Centre, London.Google Scholar
Perben, M. 2006. L'allocation personnalisée d'autonomie au 31 décembre 2005 [The allowance for personal autonomy, 31 December 2005]. Etudes et résultats, 477, March, 1–4.Google Scholar
Rainwater, L., Rein, M. and Schwartz, J. 1986. Income Packaging in the Welfare State: A Comparative Study of Family Income. Clarendon Press, Oxford.Google Scholar
Rauch, D. 2006. Institutional fragmentation, institutional engineering and the development of elderlycare and childcare in Sweden. Scandinavian Political Studies, 29, 4, 285–307.CrossRefGoogle Scholar
Rauch, D. 2007. Is there really a Scandinavian social service model? A comparison of childcare and elderly care in six European countries. Acta Sociologica, 50, 3, 249–69.CrossRefGoogle Scholar
Regeringens proposition 1997/98:113. Nationell handlingsplan för äldrepolitiken [Governmental proposal for a national action plan for elderly policy], April 1998. Socialdepartementet, Stockholm.Google Scholar
Regeringens proposition 2006/07:94. Skattelättnader för hushållstjänster, m.m. [Governmental proposal for tax deduction for household services, etc.], 4 April 2007. Finansdepartementet, Stockholm.Google Scholar
Rivard, T. 2006. Les services d'aide à domicile dans le contexte de l'allocation personnalisée d'autonomie [Household services in the context of the allowance for personal autonomy]. Etudes et résultats, 460, 1–10. Dress, Ministère de la Santé, Paris.Google Scholar
Sand, A.-B. 2004. Förändrad tillämpning av offentlig äldreomsorg – ett hot mot målsättningen om demokrati och jämställdhet [Changes in public elder-care – a threat towards democracy and equality]. Socialvetenskaplig tidskrift, 3/4, 293–309.Google Scholar
Socialstyrelsen. 2004. Vård och omsorg om äldre [Care of the Elderly]. Socialstyrelsen, Stockholm.Google Scholar
Szebehely, M. 1995. Vardagens organisering: Om vårdnadsbiträden och gamla i hemtjänsten [The Organisation of Everyday Life: On Home Helpers and Older People in Sweden]. Arkiv Förlag, Lund, Sweden.Google Scholar
Szebehely, M. 1998. Changing divisions of carework: caring for children and frail elderly people in Sweden. In Lewis, J. (ed.), Gender, Social Care and Welfare Restructuring in Europe. Ashgate, Aldershot, UK, 257–83.Google Scholar
Szebehely, M. 2000. Äldreomsorg i förändring – knappare resurser och nya organisationsformer [Changes in elder-care – scarce resources and new organisational forms]. In Szebehely, M. (ed.), Välfärd, vård och omsorg. Forskarantologi från Kommittén Välfärdsbokslutet [Welfare and Care. A Research Anthology from the Welfare Commission]. SOU 2000:38, Socialdepartementet, Stockholm, 171–225.Google Scholar
Szebehely, M. and Ullmanen, P. 2008. Vård av anhöriga – ett högt pris för kvinnor [Care of relatives – at a high price for women]. Välfärd, 2, 12–4.Google Scholar
The Swedish Association of Local Authorities and Regions 2006. Care of the Elderly in Sweden Today. The Swedish Association of Local Authorities and Regions, Stockholm.Google Scholar
The Swedish Association of Local Authorities and Regions 2009. Developments in Elderly Policy in Sweden. The Swedish Association of Local Authorities and Regions, Stockholm.Google Scholar
Thorslund, M. 2002. Dagens och morgondagens vård och omsorg [Today's and tomorrow's care of older people]. In Andersson, L. (ed.), Socialgerontologi [Social Gerontology]. Studentlitteratur, Lund, Sweden, 231–52.Google Scholar
Trydegård, G.-B. 2000. Tradition, Change and Variation: Past and Present Trends in Public Old-age Care. Department of Social Work, Stockholm University, Stockholm.Google Scholar
Weber, F. 2006. Reconnaître les aidants familiaux [Recognition of family helpers]. Connaissance de l'emploi, 34, September, 1–4. Centre d'Etudes de l'Emploi, Paris.Google Scholar