Social and economic incentives for family caregivers.
Date of Pub
Shindelman, Lois W
The recent emphasis on developing programs and policies to support families who care for aged relatives makes it important
to understand the families' receptivity to the specific social and economic incentives under consideration. The research reported
in this paper draws on the experiences of 203 individuals identified as the primary caregiver to an aged frail relative currently
receiving home care or day care services in New York City. As part of a larger study of caregiving behavior, respondents were
asked to rank their preferences for various service and economic support programs. Findings indicate that family caregivers
perceive service and social supports, specifically medical care and homemaker service, as more crucial than both direct and
indirect financial incentives. Furthermore, the issue of economic incentives elicited an extremely negative reaction from
a significant minority who refused to consider such support in their personal family situations. The analysis indicated that
the caregiver's background characteristics were not critical in differentiating caregivers who select either a service or
an economic incentive. Among the set of variables defining the current caregiving situation, only sex of the aged relative
and utilization of home care services were significantly related to choice of program. Respondents caring for females and
high service utilizers were more likely to prefer service supports. Relevance of findings to current policy initiatives
regarding financial incentives to families are presented.
Aged : Analysis of Variance : Family Health : Financing, Personal/utilization : Health Services for the Aged/economics : Health
Services Needs and Demand/economics : Home Care Services/economics : Human : New York City : Socioeconomic Factors : Support,
U.S. Gov't, P.H.S.