RISKS OF SOCIAL EXCLUSION IN THE INTERACTION OF THE STATE AND THE FAMILY IN THE ELDERLY CARE SYSTEM


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Abstract

The aim of the study was to establish the risks that contribute to social exclusion when receiving care by the elderly in the interaction of public services and the family in Central and Eastern Europe (Hungary as an example) and Russia. The article systematized the conceptual approaches to the elderly care system in the countries of Central and Eastern Europe (CEE) in comparison with applied in the Russian Federation. The risks that may contribute to exclusion of social groups from care services are discussed. These include: inaccessibility of social and medical services, low social standards and quality of life, poverty of the elderly population, poor development of the transport network in geographically remote regions of Russia, etc. When comparing social care systems, it was revealed that the overall objective of social policy regarding older people, is the provision of care in institutions and at home with clients, where the state plays a decisive role. It was determined that closer cooperation between the official system and family members in caring for the elderly, as well as support and the provision of services, provide a higher level of care, increase the competence of participants in the interaction in care and control over its process.

About the authors

L. Patyan

University of Debrecen

E. Yu. Golubeva

M. V. Lomonosov Northern (Arctic) Federal University

Email: e.golubeva@narfu.ru
доктор биологических наук, доцент, профессор кафедры социальной работы и социальной безопасности

Z. Szeman

Semmelweis University

M. A. Robert

Semmelweis University

References

  1. Голубева Е. Ю., Данилова Р. И., Кондратова Е. И., Коскинен С. Взаимодействие и ответственность семьи и государства по уходу за пожилым человеком в России и Финляндии: кросскультуральный контекст // Клиническая геронтология. 2008. Т. 14, № 5. С. 3-10.
  2. Голубева Е. Ю., Хабарова Л. Г., Соловьев А. Г. Приемная семья как новая технология ухода в политике активного старения в отдаленных северных районах // Экология человека. 2017. № 11. С. 42-46.
  3. Данилова Р. И., Голубева Е. Ю. Социокультурная модель геронтосоциальной работы по повышению качества жизни пожилого населения // Успехи геронтологии. 2007. Т. 20, № 4. С. 123-127.
  4. Дергаева А. Е. Профилактика социального отчуждения пожилых людей в современном российском обществе: автореф. дис.. канд. соц. наук. Санкт-Петербург, 2013. 23 с. URL: https://нэб.рф/catalog/000199_000009_005540532 (дата обращения: 14.04.2017).
  5. Кто должен заботиться о нас в старости? Национальное агентство финансовых исследований. URL: http://old. ageing-forum.org/ru/kto-dolzhen-zabotitsya-o-nas-v-starosti/ (дата обращения: 30.03.2016).
  6. Об утверждении методики оценки эффективности оказания государственной социальной помощи на основании социального контракта: приказ от 30.09.2013 г. № 506н/389 Министерства труда и социальной защиты Российской Федерации URL: http://docs.cntd.ru/document/499050722 (дата обращения: 30.06.2016).
  7. Стратегия действий в интересах граждан пожилого возраста до 2025 г.: распоряжение Правительства Российской Федерации от 5.02.2016 г. № 164-р. URL: http:// base.garant.ru/71322816 (дата обращения: 20.09.2018).
  8. Федеральный проект «Старшее поколение». URL: https://rosmintrud.ru/ministry/programms/demography/3 (дата обращения: 20.05.2019).
  9. Чернышкова Е. В., Андриянова Е. А. Потребление медицинских услуг пожилыми людьми в условиях социального неравенства (на примере Саратовской области) // Саратовский научно-медицинский журнал. 2011. Т. 1, № 7. С. 138-141.
  10. Blusi M., Asplund K., Jong M. Older family carers in rural areas: Experiences from using caregiver support services based on information and communication technology (ICT) // European Journal of Ageing. 2013. Vol. 10. P. 191 - 199.
  11. Carretero S., Stewart J., Centeno C., Barbabella F., Schmidt A., Lamontange-Goldwin F., Lamura G. (2012): Can technology-based services support long term care challenges in home care? Analysis of evidence from social innovation good practices across EU: CARICT Project Summary Report. Retrieved from:http://ipts.jrc.ec.europa.eu Accessed: 12 October 2016).
  12. Draulans V., Hlebec V., Maskeliunas R., Siren A., Lamura G. (2017): Knowledge Synthesis Paper, Working Group of Services Exclusion. COST Action CA15122 -Reducing Old-Age Social Exclusion (ROSEnet): Collaborations in Research and Policy. Retrieved from: https://e-services. cost.eu/files/domain_files/CA/Action_CA15122/second_ progress_report/ Accessed: 12 March 2019).
  13. FengerH. J. M.: Welfare regimes in Central and Eastern Europe: incorporation post communist countries in a welfare regime typology // Contemporary issues and ideas in social sciences. 2007. Vol. 3, N 3. P. 1-30.
  14. Gautun H., Grodem S. A. Prioritising care services: Do the oldest users lose out? // International Journal of Social Welfare. 2015. Vol. 24. P. 73-80.
  15. Gavrilova N. S., Gavrilov L. A. Rapidly Ageing Populations, Russia/Eastern Europe. In: Uhlenberg P. International Handbook of Population Ageing. Springer+Science Business Media B. V., 2009. P. 113-131.
  16. Geissler B., Pfau-Effinger B. (eds.) Care and Social Integration in European Societies, Policy Press Scholarship Online, 2012. P. 1-17.
  17. Geurs K. T., van Eck R. J. R. Accessibility measures: review and applications. Evaluation of accessibility impacts of land - use transport scenarios, and related social and economic impacts. National Institution of Public and Health Environment, Biltoven, 2001.
  18. Ghiga I., Golubeva E. (2018): Russian Federation: Foster families for older people in remote northern Russian territories. Research report of WHO program “Community-based social innovations for healthy ageing”. Retrieved from: https://extranet.who.int/kobe_centre/sites/default/files/pdf/ Appendix_C_CBSI_Case_Studies_FINAL_lowbandwidth_0. pdf Accessed: 12 March 2019).
  19. Golubeva E. The role of social-medical care in enhancing quality of life of elderly people in Russian part of Barents-Euroarctic region // Advances in Gerontology. 2014. Vol. 4, N 4. P. 264-268.
  20. Grigoryeva I. and Sidorenko A. Eldercare in transition(s): the special case of Russia // International Journal of Care and Caring. 2019. Vol. 3, N 1. P. 59-73.
  21. Hlebec V. Care arrangements among social home care users in Slovenia // Studia Socioloczne. 2015. Vol. 2. P. 75-96.
  22. Jacobs Marianne T., Groesse van Gorenou Marjolein I., de Boer, Alice H., Deeg Dorly J. H. Individual Determinants in Older Adults’ Mixed Care Networks // Health and Social Care in the Community. 2014. Vol. 22, N 1. P. 57-66.
  23. Kozponti Statisztikai Hivatal (2015): Szocialis Statisztikai Evkonyv (Hungarian Statistical Office: Yearbook of Social Statisztics). Retrieved from: www.ksh.hu Accessed: 12 January 2016)
  24. Kraus M., Riedel M., Mot E., Willeme P., Rohrling G. and Czypionka T. (2011): A typology of long-term care systems in Europe, Brussels, Centre for European Policy Studies (ENEPRI Working Paper No. 91, August 2010). Retrieved from: www.ceps.eu Accessed: 12 January 2017).
  25. Lamura G., Mnich E., Nolah M., Wijszel B., Krevers B., Mestheneos Liz, DohnerH. Family Carer’s Experiences Using Support Services in Europe: Empirical Evidence From the EUROFAMCARE Study // The Gerontologist. 2008. Vol. 48, N 6. P. 752-771.
  26. Maximova S. G., Noyanzina O. E., Omelchenko D. A. (2018): A Model of Social Exclusion of Elderly People in Siberian Regions // Advances in Gerontology. 2018. Vol. 8, N 1. P. 58-63.
  27. Michon P. Familisation and defamilisation policy in 22 European Countries. Poznan University of Economics Review. University of Poznan. 2008. Vol. 8, N 1. P. 33-54
  28. Mijatovic D. (2018): Estonia Must Not Leave Elderly Behind. Retrieved from: https://emerging-europe.com/news/ eu-commissioner-estonia-must-not-leave-its-elderly-behind/ Accessed: 14 November 2018)
  29. OECD (2012): Looking to 2060: Long Term Global Growth Prospects. OECD Economic Policy Papers, N 3. Retrieved from: https://www.oecd.org/eco/outlook/2060%20 policy%20paper%20FINAL.pdf Accessed: 14 April 2017)
  30. Ogg J. Social exclusion and insecurity among older Europeans: the influence of welfare regimes // Ageing and Society. 2005. Vol. 25. P. 69-90
  31. Patyan L., Fabian G. (2014): Characteristics of elderly people’s access to social services. In: Access to Services in Rural Areas: A Comparison of Finland and Hungary /editors: Ferenc Bodi, Gergely Fabian, Mihaly Fonai, Jorma Kurkinen, Thomas R. Lawson, Hannu Pietilainen, Germany, Bremen Europaischer Hochschulverlag GmbH & Co. KG, pp. 154-159.
  32. Patyan L. (2014): Idoskoruak kozszolgaltatashoz valo hozzaferesenek es szolgaltatashasznalatanak jellemzoi az eszak - alfoldi regioban (The features of elderly people’s use and access public services in the North - East region) Esely, 1, pp. 62-78.
  33. Patyan L. (2017): Professzionalis es csaladi gondozok viszonyrendszere az idosek otthoni gondozasaban (The System of Relationships between the Professional and Family Caregivers in the Home Care of the Elderly People) PhD disszertacio, Eotvos Lorand Tudomanyegyetem Tarsadalomtudomanyi Kar Szociologia Doktori Iskola, Budapest.
  34. Pfau-Effinger B., Eggers T., Grages C., Och R. (2017): Care Policies towards Familial Care and Extra-Familial Care - Their Interaction and Role for Gender Equality. “Changing Policies towards Family Care and Extra-Familial Care and their Consequences - Theoretical Approaches, Concepts and Typologies”. Retrieved from: http://www.transforming-care. net/wp-content/uploads/2017/06/S2_b-Pfau-Effinger.pdf Accessed: 15 November 2017).
  35. Rubovszky J., Cs. (2017): Az idosgondozas megoldatlansaganak aldozatai. A gondozo csaladok helyzete a mai Magyarorszagon (The victims of the unsolved problems in the elderly care. The situation of the family carers in Hungary) (PhD dissertation, ELTE TaTk).
  36. Stoltz P., Uden G., Wilman A. Support for Family Carers for an Elderly Person at Home: A Systematic Literature Review // Scandinavian Journal of Ageing Sciences. 2004. Vol. 18. P. 111-119.
  37. Тrobert M. A. (2015): Az idos hozzatartozot apolok tamogatasanak jelentosege (The role of the support of family carers caring elder adults) Esely, 1, pp. 85-94.

Copyright (c) 2020 Patyan L., Golubeva E.Y., Szeman Z., Robert M.A.

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