This article proposes that the quality of physical care is an important determinant of quality of life for dependent people. It begins by reporting the findings of a qualitative analysis of physical care in six local authority homes and suggests a framework for understanding the ways in which physical care practices evolved. The paper concludes by illustrating how the same framework can be used as a basis for improving the quality of physical care.

The Danish Early Retirement Pension Scheme (ERPS) introduced in 1979 was intended to contribute to the reproduction of the social order and to the legitimation of the welfare state. The first objective was not achieved. Nevertheless ERPS reduced total unemployment by about 20% and thereby contributed to the positive image of the welfare state.

Survey data show that the poorer the working conditions the stronger the probability that the eligible take early retirement. High rates of unemployment in industries with physically and psychologically onerous work increase the probability of early retirement. Taken together with employers' wishes for as large as possible a labour reserve and their ambivalent attitude to the total withdrawal of marginal workers, these findings render the debate about voluntary versus compulsory withdrawal from the labour market at best insignificant and at worse misleading.

At the same time, ERPS has brought some unintended but quite considerable improvements to the lives of many recipients. These include better self-assessed health, increased contacts with family and friends and new leisure activities. Recently, however, there is evidence of an increase in economic deprivation among recipients, and early retirement pension levels have not kept pace with rises in industrial earnings or the cost of living.

This study develops and tests a causal model of social service use by USA Puerto Rican elderly. Andersen and Newman's Health Framework was employed to classify and test a model of social service use by a national random sample of mainland USA Puerto Rican elderly. The findings indicate that 7 of the original 27 variables (i.e. need for social services, awareness, functional literacy, functional ability, mobility, income and contact with friends and neighbours) accounted for 43% of the variance in use. Counter to our theoretical assumption the need factor accounted for more variance than the enabling factor. Moreover, the predisposing factor and informal support variables were important predictors of utilisation.