Influence of municipal policy and individual characteristics on the use of informal and formal domestic help in the Netherlands |
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| Affiliation: | 1. The Netherlands Institute for Social Research (SCP), The Netherlands;2. The Netherlands Institute for Health Services Research (NIVEL), The Netherlands;3. The Netherlands Institute for Health Services Research (NIVEL), Department of Sociology, Department of Human Geography (Utrecht University), The Netherlands;1. The Brain Charity, Liverpool, UK;2. Chester MESH (ME Self-Help), Chester, CH2 2AN, UK;3. Chronic Pain Management Service, St Helens Hospital, St Helens, UK;1. Dutch Nurses’ Association, PO Box 8212, 3503 RE, Utrecht, The Netherlands;2. St. Antonius Academy, Hospital, PO Box 2500, 3430 EM, Nieuwegein, The Netherlands;3. 1/NIVEL, Netherlands Institute for Health Services Research, PO Box 1568, 3500 BN, Utrecht, The Netherlands;4. 2/EMGO+/VU Medical Center, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands;5. Transparency in Healthcare from the Patient''s Perspective, Tranzo, Tilburg University, PO Box 90153, 5000 LE, Tilburg, The Netherlands;6. National Health Care Institute, PO Box 320, 1110 AH Diemen, Netherlands;1. Instituto Nacional de Astrofísica, Óptica y Electrónica, Apartado Postal 51 y 216, Puebla 72000, Mexico;2. Universidad de Sonora, Boulevard Luis Encinas y Rosales S/N, Hermosillo, Sonora 83000, Mexico;1. The Dartmouth Institute for Health Policy and Clinical Practice, Level 5, Williamson Translational Research Building, 1 Medical Center Drive, Lebanon, NH, 03756, USA;2. Council of Medical Speciality Societies, 35 E. Wacker Dr. Suite 850, Chicago, IL 60601-2106, USA;3. Division of General Internal Medicine, Massachusetts General Hospital, 50 Staniford Street, 9th Floor, Boston, MA, 02114, USA;4. National Partnership for Women & Families, Washington DC, USA;5. Washington State Health Care Authority, PO Box 45502, Olympia, WA, 98504-5502, USA;6. Department of Urology, David Geffen School of Medicine at UCLA, 10833 Le Conte Avenue, Box 951738, Los Angeles, CA 90095-1738, USA |
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| Abstract: | ![]()
BackgroundThe responsibility for care and social support in the Netherlands has been decentralized to the municipalities, on the assumption that they are able to organise care and social support more effectively and efficiently. Municipalities are responsible for offering citizens the social support they need. They have policy discretion to decide how and to what extent they encourage and support the use of informal help. This article explored whether the local policy focus on informal or formal help influences the actual take-up of domestic help.MethodsData on 567 physically disabled people who use informal or formal help in the household were linked to local policy data in 167 municipalities. We performed multilevel multinomial regression analyses. Since we expected that local policy will have more influence on people with slight or moderate disabilities, cohabitees and people aged under 75, cross-level interaction terms were included between characteristics of local policy and of individuals.ResultsThe findings reveal differences between municipalities in their policy on support and differences in the use of formal or informal support between municipalities.ConclusionsWe found no relationship between local emphasis on informal help and the use of informal help. Possible explanations: some people have a small social network, people using informal help did not apply for municipality support or even do not know the possibility exists. |
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| Keywords: | Support policies from municipalities Physical disabilities Informal and formal domestic help Netherlands |
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