title: A German-Israeli comparison of informal and formal service use among aged 75+.
abstract: The paper focuses on filial norms and attitudes of older people about the care system of welfare states. It is a further investigation of the OASIS cross national study and examines three questions: First, what do older people in Israel and Germany consider to be the proper balance between the family and the welfare state regarding elder care? Second, what are the responsibilities of the family, the welfare state and other caregivers? Third, in what way do values, filial norms and personal resources relate to actual service use? The empirical data is based on information gathered from respondents living in Israel and Germany, aged 75+. The results of the study indicate that familial help has not been fully replaced by welfare state services. These findings support the complementary perspective. The results also show that most respondents favour a shared responsibility between the welfare state and the family. The findings indicate that familial norms are stable and strong as expressed by elders in both countries. The health situation is the main factor for receiving welfare services and familial help in Israel. In Germany the strong effect of living alone for receipt of welfare services underscores the influence of older adults' social and personal resources on actual service use. The article discusses the findings referring to the importance of a combined mix of the different sources of help for social policy implications.
authors.affiliation: Center of Integration and Health, Alice Salomon University of Applied Sciences, Berlin, Berlin, Germany. lottmann.ralf@googlemail.com
authors.forename: Ralf
authors.initials: R
authors.lastname: Lottmann
authors.forename: Ariela
authors.initials: A
authors.lastname: Lowenstein
authors.forename: Ruth
authors.initials: R
authors.lastname: Katz
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health / Q000208:ethnology*; D017028:Caregivers; D003153:Community Health Services / Q000706:statistics & numerical data*; D003431:Cross-Cultural Comparison; D003430:Cross-Sectional Studies; D005190:Family; D005260:Female; D005858:Germany; D006299:Health Services for the Aged / Q000706:statistics & numerical data*; D006699:Home Care Services / Q000706:statistics & numerical data*; D006701:Home Nursing / Q000706:statistics & numerical data; D006801:Humans; D007407:Interviews as Topic; D007557:Israel; D016015:Logistic Models; D008297:Male; D012944:Social Support; D012946:Social Welfare; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014505:Urban Population; D044465:White People
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