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Social exclusion and care for the elderly: Theoretical concepts and changing realities in European welfare states

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  • Theobald, Hildegard

Abstract

How approaches in elderly care should be structured to counteract processes of social marginalisation in old age is in the focus of this discussion paper. On a theoretical basis the paper draws on concepts of social exclusion developed in international comparative welfare state research. For the analysis of processes of social exclusion in old age, the ageing process is defined on a wide basis ranging from genetic, social, cultural to environmental components. The term inclusive care describes characteristics of approaches in elderly care, which enable processes of social exclusion to be counteracted. Approaches in elderly care have been re-structured in most member countries of the European Union since the beginning of the 1990s. With the background of the defined characteristics of inclusive care modes of financing, access criteria and procedures, diversification and integration of service facilities and offers as well as the combination with informal care are investigated. The characteristics decisive for inclusive care are defined such as universal accessibility related to social rights, a diversified and integrated care system, a social model of care delivery and the acknowledgement, support and cooperation with informal carers. The findings prove the difficulties and obstacles encountered by certain EU-member countries to fulfil the criteria. Furthermore, according to their risk of experiencing processes of social exclusion, inequalities among different groups of elderly people have become apparent.

Suggested Citation

  • Theobald, Hildegard, 2005. "Social exclusion and care for the elderly: Theoretical concepts and changing realities in European welfare states," Discussion Papers, Research Group Public Health SP I 2005-301, WZB Berlin Social Science Center.
    • Handle: RePEc:zbw:wzbhea:spi2005301
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    References listed on IDEAS

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    1. Theobald, Hildegard, 2004. "Care services for the elderly in Germany: Infrastructure, access and utilisation from the perspective of different user groups," Discussion Papers, Research Group Public Health SP I 2004-302, WZB Berlin Social Science Center.
    2. Ewers, Michael, 1996. "Case management: Anglo-amerikanische Konzepte und ihre Anwendbarkeit im Rahmen der bundesdeutschen Krankenversorgung," Discussion Papers, Research Group Public Health P 96-208, WZB Berlin Social Science Center.
    3. Anonymous, 1999. "Long-Term Care for the Elderly," British Actuarial Journal, Cambridge University Press, vol. 5(2), pages 279-295, June.
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    Cited by:

    1. Hao Zhu, 2022. "Spatial Matching and Policy-Planning Evaluation of Urban Elderly Care Facilities Based on Multi-Agent Simulation: Evidence from Shanghai, China," Sustainability, MDPI, vol. 14(23), pages 1-20, December.
    2. Albertini,Marco, 2016. "Ageing and family solidarity in Europe : patterns and driving factors of intergenerational support," Policy Research Working Paper Series 7678, The World Bank.
    3. Marco Albertini & Emmanuele Pavolini, 2017. "Unequal Inequalities: The Stratification of the Use of Formal Care Among Older Europeans," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 72(3), pages 510-521.

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