Exclusion from Home Care Services in Central and Eastern European Countries: A Focus on Hungary and the Russian Federation

Zsuzsa Széman,Elena Golubeva,László Patyán

doi:10.1007/978-3-030-51406-8_12

Zsuzsa Széman, Elena Golubeva + Show 1 more

Open Access

https://doi.org/10.1007/978-3-030-51406-8_12

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Abstract

AbstractDue to demographic changes all European countries face significant challenges concerning the provision of home and community care for older people. While challenges in organising care services seem to be generally similar, the resources, values and responsibilities are different across countries. The purpose of this chapter is to investigate current knowledge and patterns concerning exclusion from home care services in Central and Eastern European countries, focusing especially on Hungary as a central EU member state and the Russian Federation, as a non-EU Eastern European country. As existing international research typically focuses on Anglo-Saxon contexts, this chapter draws on the national language literature of these two nations as sources of empirical data for the analysis. Our analysis indicates that there is a long-standing risk of exclusion from home care services in both countries, with a need for reform to existing provisions to address this exclusion. Despite this a differential impact of macro-level policy is evident within the two jurisdictions, with some new innovations within the Russian Federation.

Highlights

The chapter begins with a short review of national studies within Central and Eastern Europe (CEE) countries on areas related to social exclusion and exclusion from health and home care services
Despite the fact that certain aspects of social exclusion of older people are widely considered within the Russian literature, there is no coherent approach to exclusion from home care services
This chapter highlights that in Hungary and Russian Federation (Russia) research rarely directly considers exclusion of older people from home care services, but more typically examines the challenges of the system in health and social care systems in general, e.g. issues of demand, system limitations, and legislation

Summary

12.1 Introduction

One of the challenges of care policies is to provide accessible and effective care that older adults can receive in their home. A report on long-term care (LTC) by the European Commission (2018) underlines that there is a clear trend on the part of the Commission and older people to prioritise home and community care provision. As much of the existing research focuses almost exclusively on Anglo-Saxon contexts and studies written in English, there are significant gaps in knowledge concerning home care provision, the potential of exclusion from this provision and regional variations across CEE countries.

Patyán Faculty of Health, Department of Gerontology, University of Debrecen, Nyíregyháza, Hungary

12.2 Exclusion from Home Care Services in Central and Eastern Europe

12.3 Exclusion from Home Care Services in Hungary

12.4 Exclusion from Home Care Services in the Russian Federation

Findings

12.5 Conclusion