| Description |
1 online resource (xxiv, 228 pages) |
| Series |
Routledge revivals |
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Routledge revivals.
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| Contents |
Cover; Title Page; Copyright Page; Contents; List of tables, boxes and figures; Preface by Marie-Jo Guisset; Introduction; Study foci; Why the study?; Book contents; Acknowledgments; Part I; English and French policy goals and service systems: vivent les différences; 1. Concentration of responsibility, authority and accountability; 2. Balance between benefits in cash and kind; 3. Focus of eligibility on the person; 4. Proportions living in residential institutions and receiving home care; 2 Home care in England; 1. Main features pre-reform; 1.1. Service pro vision; 1.2. A ccess |
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1.3. Assessment: structures and incentives2. The evolution of the policy; 2.1. Confluence of policy-shaping influences, 1974-86; 2.2. Model logic and implementation, 1986-1995; The Griffiths model; The White Paper version; Policy guidance; The policy logic in its context; Implementation; 3. Post-reform features; Financing; Supply; 3 Home care in France; 1. Principal services; 1.1. Home help; Financing; Supply; 1.2. Other services; 1.3. Access; 1.4. Assessment: structures and incentives; 2. Official critique and policy themes; 2.1. Policy themes; Assessment; Financing; 3. Reform proposals |
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3.1. Prestation expérimentale dépendance (PED)The Ille et Vilaine Care Management Project; 3.2. Prestation autonomie dépendance (PAD); Assessment and functional dependence; Income test and récuperation sur succession; Monitoring the use of the benefit; Cost to public funds; 3.3. Prestation spécifique dépendance (PSD); Role of the dpartements; Concerns; Part II; 4 Study design; 1. Collection of evidence; 1.1. Research foci; 1.2. Data collection; 1.3. Study features; 5 Users' need-related circumstances and the response of informal caregivers: a comparison for the English and French samples |
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1. Need-related circumstances2. Informal care and needs; 6 Formal agency response to needs and informal care; 1. Comparison of matched areas; 2. Do services in kind displace informal care?; 2.1. Displacement, cost escalation, and the community care reform; 2.2. Displacement, 'substitution', and related concepts; Within-mode substitution; Between-mode substitution; 2.3. Displacement-related indicators; 2.4. Results; 2.5. Model form; 2.6. Model results; Effects of need-related circumstances on levels of informal and formal help; Any tasks (Table 27); Personal care tasks (Table 28) |
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Housework tasks (Table 29)Interactions between informal and formal help; Any tasks (Table 27); Personal care tasks (Table 28); Housework tasks (Table 29); La Manche: significantly different; 2.7. Conclusions; 7 Entry into in stitu tio ns; 1. Methods; 1.1. Matching the English cases to the French sample to compare entry probabilities; 1.2. Predictors and postulated effects; Policy variables: cash benefits; Policy variables: hours of agency services; 1.3. Control and intervening variables; Impairment, disability and handicap; Income support network and living arrangements; Disease types |
| Summary |
First published in 1998,the aims of this book are: the comparison of community care service and financing systems, the comparison of reform arguments and history over the last decade, the comparison of who uses how much of what services, and with what impact on their needs and the probability of having to enter institutions for long-term care. The book breaks new ground by comparing systems from a new perspective and describing contemporary reform argument and proposals for the first time in the English language. It presents new evidence from the most ambitious collection and analysis of quantative data so far made for the comparison of the two countries (based on matched area samples collecting comparable information about cohorts of new users on two or more occasions) The book also shows how the need-related circumstances of users differ between countries and within each country between areas. The book shows how and why higher levels of the French cash benefit for community care had more effect on the central policy goal than its British counterpart, how higher levels of services generally had little impact on it in either country, but on average, how the effect of the British services were much greater |
| Notes |
Originally published: Aldershot, England; Brookfield, Vt. : Ashgate, 1998 |
| Bibliography |
Includes bibliographical references (pages 209-220) and indexes |
| Notes |
Online resource; title from PDF title page (EBSCO, viewed December 26, 2018) |
| Subject |
Older people -- Care -- England
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Older people -- Care -- France
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Community health services for older people -- England
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Community health services for older people -- France
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POLITICAL SCIENCE -- Public Policy -- Social Security.
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POLITICAL SCIENCE -- Public Policy -- Social Services & Welfare.
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Community health services for older people.
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Older people -- Care.
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England.
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France.
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| Form |
Electronic book
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| Author |
Fernández, José, 1971- author.
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Saunders, Robin, 1944- author.
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| ISBN |
9780429460760 |
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0429460767 |
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