Years of the research: 2018
Country: Hungary
Language: Hungarian
Keywords:
Abstract:
Hungary as one of the CEE countries also facing the issues of the ageing population. Care services - comparing to the other northern and western countries are underdevelopped. Only 10% of the people over 65 years can reach care services. Two third of the exsisting service provisions are home social services. Formal caregivers provides part time services only week days so care receiver also need to receive some care from the family members. This research focuses the patterns of care cooperations and mapps the regulations and the professional protocolls which determines the face of the formal care service. Using qualitative reseach method we asked formal carers about their experiences of the provision of home care, the cooperation with family carers, and the issues that they have to manage in the everyday sytuations. We recorded 20 expert interviews with the leader - caregivers, and 6 focus groups (8 participants with each group). Main findings: the formal caregivers many times take over their role because of the emerging care needs and the miss of family caregivers. To thank to the inadequate regulation, which does not take into account the accessible family care, formal carers does not focus on family members, they do not support them and do not cooperate them during the care process. Professionals are also from the 50+ generation so many times they also have care need in their own family. More focus need to this area. Reagulations and professional knowlegdge have to separate the sytuations where family carers are available and take part of the care process and different services and care have to be provided to the cases where the care responsibility is only for the formal carers'. Special problems (e.g. dementia, frailty) have to be handled in special way in the home care system too.
Researchers:
Type of research: national
Target group: Trained social home care workers who provide care services for eldelry people.
Sample:
20 experts were interviewed, 6 focus groups were committed (including 48 carers)
Aims/Objectives/Background:
The aim of the research is to examine the egzisting relationhsips between formal and family carers in the social home care services in Hungary. The formal care-orintation of the care policy brings disadvantaged situations for family carers. Home care services provides personal care in the individualistic way, while they perceive the presence of the family carers in the background. The care cooperation provides more sustainable and quality care for elder people if the formal system perceive family carers as partners, and as clients too. The research forus on the policy background and the legal and porfessional framework of the home care workers which determines the relationship with the family carers, reveal the patterns of the real connectionship and the forms of the "informal care of informal carers).
Findings/outcome/conclusion/research questions:
The national regulations and the caregiving circumstancies drives professional caregivers to take over their roles. They thies to substitute the family, which cause a deprofessionalisation of formal care, loses their competences, and react many times as family members, not as professionals. The increasing care pressure strengthen their care responsibility even though the home care competences and caring time is limited. Care system need adapt the phenomenon of "family carer" and professional protocolls have to take on the competences how to provide care in a cooperation with family carers, how to support them and what are the sytuations where family care is not available and how to solve it in a professional way.
Publication/reports: not published yet
Financed by: non financed PhD reserach
Contact person: László Patyán, patyan.laszlo@foh.unideb.hu
Copyright
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