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Background: Higher life expectancy has produced a higher older people porpulation, not necessarily with a consistent quality of life, showing a high rate of vulnerability and dependence. The current social and health crisis situation has highlighted the need to create new integrated models of care that could be translated into social and health policies. Objective: The present study aims to develop, test, and validate an innovative integrated care model for older people with dependence and at risk of social exclusion and their caregivers. Methods: The TEC-MED project participants are nine project partners and six associated partners, with geographic coverage from six countries in the Mediterranean basin, Spain, Tunisia, Italy, Lebanon, Egypt, and Greece. Project coordination will take place at three different levels, macro, meso and micro, through six work packages. The pilot phase uses qualitative-quantitative method to assess the impact of the TEC-MED project, it is expected to train 36 Training Agents, six per country, who apply to a total of 28,200 people (mainly elders and their caregivers). Conclusion: The study proposes a new social integrated care organizational model focused on the integration of social and health care, comprising the governance model; the organization structure and the skills profiles for the caring personnel. [ABSTRACT FROM AUTHOR]

The article analyzes the need to personalize care and support in the dependency care system in Spain. It emphasizes the importance of moving away from institutional models and focusing on a person-centered approach. The relevance of the current differentiation between care and support is discussed, the contributions of personal assistance to promote autonomy and self-determination are explored, and the implications of personalization in accessing and contracting services are considered. The paradigm of personalization is identified as the central concept of the developing model. The draft law for the reform of the Dependency and Autonomy Promotion Law (LAPAD) eliminates the age criterion and allows people in a situation of dependency to receive personal assistance services. The purpose of personal assistance is expanded so that people with different degrees of dependency and of all ages can receive support tailored to their needs and preferences. Personal assistance is considered a human right and constitutes an essential support for developing the autonomy and self-determination of people with disabilities. Although its development is limited, it is expected that the services and benefits of the LAPAD will be modified to reflect a more open vision. The article addresses the lack of development of the person-centered approach in home care services and the need to reformulate the Home Help Service (SAD) to provide more comprehensive and personalized care. It is proposed to integrate the job profiles of personal assistants, SAD workers, and household employees into one under the figure of personal assistance. In addition, the need for common training and improved working conditions for these professional profiles is raised. The importance of ensuring quality support and care, tailored to the person's needs and based on respect for their uniqueness, is emphasized. The article focuses on the importance of improving working conditions and wages in the care sector, as well as promoting professional development to attract more workers and prevent the leakage of employees to other sectors. The need for personalization in the hiring of care and support services is highlighted, and free choice is mentioned as a basic element of personalization. Examples of other European countries that use economic benefits to access care services are mentioned, and it is noted that in Spain, user free choice is hardly taken into account and competition among provider companies occurs in the public contracting of the service. The article analyzes different models of economic benefits in the field of dependency care in Spain and other countries. In Gipuzkoa, the economic benefit model of personal assistance allows users to choose the service provider. In Navarra, there are economic aids to hire a professional caregiver. In addition, an increasing number of autonomous communities allocate the economic benefit linked to the service to the coverage of home care services. The article also mentions the results of evaluations in Sweden and Denmark, where it has been observed that free choice does not always guarantee individualized care and that the entry of private entities can affect working conditions. The article discusses the model of personalization in social and care services. On the one hand, it is argued that this model reinforces universality and adaptation to the needs of users, although at the expense of the working conditions of the staff. On the other hand, it is mentioned that this approach can lead to public disengagement and the privatization of care. The importance of offering guidance and support to users, as well as ensuring sufficient amounts to access quality services, is emphasized. The need for greater regulation and quality evaluation in this type of model is also mentioned. The article addresses the need for intervention by public administrations to promote a solid supply of support and care service provider entities, with social responsibility and rooted in the community. [Extracted from the article]

Copyright of Politica y Sociedad is the property of Universidad Complutense de Madrid and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Aging population in the Valencian Community poses challenges to be addressed urgently, especially in rural areas. 297 municipalities in the interior have an ageing rate of over 20 %. Among them, 52 municipalities are at risk of depopulation. The key to successful ageing is to maintain the balance between the capabilities and limitations of the ageing person and the resources in the environment. Friendly, adapted spaces and adequate social and health resources make it possible to age with quality of life. Ageing at home is a goal desired by most people; it helps to maintain the continuity of the life course, to live autonomously, but the community and social resources must offer the necessary support to make it possible. The aim of this research is to know the needs derived from the situation of dependency in people over 65 years old who need care, the needs expressed by their caregivers and the existing resources, analysing the case of La Vall dels Alcalans (Ribera Alta Region, Valencia), with 1,849 people over 65 years old (784 in a situation of dependency, 42.4 %), 668 over 80 years old, and mostly women. The article reflects on the need to take care of the care that is required in each place. Longevity entails a greater demand for long-term care, adequate resources and services, territorialized and sustainable actions. This is a cross-cutting problem that requires a joint effort from different regional and municipal administrations. [ABSTRACT FROM AUTHOR]

The article analyzes the sufficiency, adequacy, and quality management in the Spanish system of care for dependency. It examines the use of services and economic benefits by individuals served in the System of Autonomy and Care for Dependency (SAAD), as well as the tools developed to guarantee the quality of long-term care. According to data from the Disability, Personal Autonomy, and Dependency Survey (EDAD 2020), the most used social benefit is home assistance, followed by telecare. Additionally, it is observed that a significant percentage of people do not receive any type of service or benefit. The article presents data on the distribution of people with disabilities and dependency in Spain in 2020. The combination of formal and informal services and benefits received by these individuals is analyzed. It is highlighted that 78% of cases receive more than five hours of care daily, with a higher percentage in home care. Additionally, the distribution of services and benefits by autonomous communities is mentioned, showing significant differences. The low hourly intensity of home assistance service and the insufficiency of economic benefits to cover care costs are noted. The text presents a series of data on beneficiaries of benefits according to the degree of dependency in different autonomous communities of Spain. Percentages and numbers of beneficiaries in each category are mentioned, as well as the average ratio of benefits per person. Information is also provided on specific benefits included in each category. Additionally, data on the average intensity of the Home Assistance Service (SAD) and the average amount of the Economic Benefit for Care in the Family Environment (PECEF) and the Economic Benefit Linked to Residential Services (PEVS) by degree and autonomous community are presented. The article analyzes the sufficiency, adequacy, and quality management in the Spanish system of care for dependency. It highlights that there is a widespread perception that the catalog of services and benefits provided for in the dependency law is neither sufficient nor adequate to meet the needs of users. Deficient services such as personal assistance, supervised housing, and personal autonomy promotion services are mentioned. The need to improve access to technical aids and support products is also raised, as well as the development of intensive case management models to personalize care. The article addresses the need to improve case management and care services for dependent people in Spain. The importance of allocating adequate budgets and resources to case managers, as well as providing training and support to family caregivers, is emphasized. The need to expand and diversify the catalog of services and benefits, as well as improve social and health coordination, is mentioned. The trend towards the deprofessionalization of care and access to digital care hiring platforms is also noted. Overall, the fragility and limitations of the care system in Spain, which have been highlighted during the COVID-19 pandemic, are emphasized. The article addresses problems related to the quality of care in residential and home care in Spain. It highlights that residential facilities offer uniform care with limited options for residents, double rooms, and constant turnover of professionals. Additionally, the lack of social and health coordination and the insufficiency of current required ratios are mentioned. Regarding home care, the low hourly intensity, rigidity, and inflexibility of the service are noted. The need to promote changes in organizational practices and professional cultures to personalize and flexibilize residential care is raised. The need to flexibilize and enrich home care services is also emphasized. The article addresses the lack of flexibility and bureaucracy in the system, [Extracted from the article]

The article describes a pilot study on the implementation of the Etxean Bizi project, which seeks to reformulate the care provision model and allow people in need of care to stay in their homes if they wish. The study was based on the case management methodology and a person-centered approach. The effects on the lives of older and dependent people in three municipalities in Gipuzkoa were examined. The importance of social and healthcare coordination to meet care needs continuously and comprehensively is highlighted. The study shows improvements in quality of life and depression in the experimental group, as well as a decrease in caregiver burden. Additionally, it was found that the home care program is more cost-effective than a residential placement. [Extracted from the article]

This article compares the formulas used to organize dependency care services in various European countries, such as France, Germany, the United Kingdom, the Netherlands, and Sweden. Seven specific aspects of each country are described, such as the scope of services, territorial and competency organization, coordination between dependency care systems and the healthcare system, access to services, the content of the service portfolio and benefits, issues related to care provider organizations and personnel, service financing, and inspection, evaluation, and quality assurance. The article analyzes the territorial and competency organization of long-term care services in different European countries. In Germany, the care system is based on a social insurance system, with primary responsibilities falling on social security and the states. In France, an economic benefit called allocation personnalisée d'autonomie is used, and provincial departments play an important role in financing and managing the system. In Italy, the system is more fragmented, with both social security and municipalities and provinces managing different aspects of direct care services. In the Netherlands, care for dependent individuals is provided through four different systems, and municipalities are responsible for offering home care services. In Scotland, services for dependent older people are provided and financed by local authorities in coordination with the National Health Service. In Sweden, municipalities are responsible for managing social services, while the management of healthcare services falls to the provinces. The countries analyzed share basic characteristics in terms of public coverage, access criteria, and system universality. The provision of services varies between direct allocation, economic benefits, or mixed systems. Access to services is based on needs assessment and the development of a care plan. The article describes different types of dependency care services in various European countries. In France, there are regular housing units with individual rooms and shared services that are not subject to residential regulations but rather regulations for home care services. In Scotland, residential and home support services are offered, but domestic tasks are not included in the public service and must be financed by users. In Sweden, personal and domestic care services are offered, as well as economic benefits for caregivers and personal assistants. In Denmark, preventive home visits and rehabilitation programs are offered. In the Netherlands, benefits vary depending on the financing framework, and intensive 24-hour services are offered as an alternative to institutionalization. In 2014, the Irish Health Service implemented a pilot program called Intensive Home Care Packages aimed at people with dementia. The program sought to increase the intensity and diversity of services through the intervention of a specialized case manager. Program evaluations showed that participants did not experience a decline in their quality of life, and there were high levels of satisfaction among caregivers. The article discusses the economic participation of users in dependency care services in different European countries. In Sweden, the co-payment for home care services is determined based on the hours of service provided, the user's income, and the limits established by national regulations. In Germany and France, the co-payment is related to the amount of economic benefit received by dependent individuals and their income. In Scotland, a system of free personal care is established for people who meet the access criteria determined by each municipality. Additionally, the importance of establishing frameworks for regulation, authorization, accreditation, and inspection of social services or dependency care services is mentioned to ensure quality. [Extracted from the article]

The article analyzes the impact of COVID-19 on residential centers in the Basque Country and highlights the importance of risk factors related to the center. According to the study, the residential center and its characteristics can explain up to 55% of the differences in the risk of infection among people living in these centers. Additionally, it was found that infected individuals had between a 22% and 57% higher risk of death. The need to continue researching to identify specific center factors that should be modified to reduce infections is emphasized. [Extracted from the article]

El presente trabajo parte de la premisa de que el envejecimiento de la población es un fenómeno que hay que abordar desde las políticas públicas puesto que interroga a la sociedad en su conjunto y exige la responsabilidad de los Estados como garantes de los derechos de las personas mayores. Tales políticas deberán guiarse por los estándares y principios marcados por Naciones Unidas, el Consejo de Europa y la Unión Europea, que reclaman adoptar un enfoque basado en derechos Humanos y una atención integral centrada en la persona, como canales para articular un tratamiento adecuado de los derechos de las personas mayores, sin olvidar el compromiso ético de todos los agentes implicados en dar respuesta a las situaciones de vulnerabilidad.

Este artículo resume un informe financiado por el Departamento de Política Social de la Diputación Foral de Gipuzkoa sobre la atención a las personas mayores dependientes en la Comunidad Autónoma Vasca, la Comunidad Foral Navarra e Ipar Euskal Herria. El objetivo del trabajo es triple. Por una parte, describir el funcionamiento básico del sistema de servicios sociales para personas mayores o dependientes en cada territorio. Por otra, ofrecer datos e indicadores que permitan dimensionar y poner en relación el alcance de esas políticas en cada territorio, desde el punto de vista del número de personas atendidas, los servicios ofrecidos, el personal ocupado o el gasto realizado. Por último, identificar las principales similitudes y divergencias que existen entre los tres territorios, identificar los retos comunes —así como los específicos de cada territorio— y plantear algunas recomendaciones para la mejora de los servicios en los tres territorios analizados, a partir de los aprendizajes extraídos. [ABSTRACT FROM AUTHOR]

La epidemia causada por la covid-19 ha colocado en el primer plano de la agenda política —como no había ocurrido hasta ahora— los problemas que desde hace años arrastra el modelo de atención a la dependencia en España, y ha obligado a las administraciones a plantearse un cambio de rumbo en la organización del sistema. Este artículo plantea algunas pistas para reorganizar el modelo de atención a la dependencia en el conjunto del Estado español a partir, fundamentalmente, del diseño de los sistemas de atención a la dependencia de otros países de nuestro entorno. [ABSTRACT FROM AUTHOR]

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Chile is one of the oldest countries in Latin America. Changes in household structures show a trend towards the increase of one-person households and the institutionalization of older people. Few studies delve into the differences according to the residential context, in this study we compared the socio-family profile (family functionality and social support networks) and the level of dependency of a sample of 62 non-institutionalized and institutionalized older people in the city of Arica (north From Chile). This research was carried out between the months of February to March 2019. The results confirm worse health conditions (dependency) and a fragile socio-family profile (more family dysfunctionality and less perceived social support) for institutionalized older people. In light of these findings, it is necessary to deepen research on the reality of institutionalized older people, especially on how residences incorporate autonomy as the central axis of geriatric intervention. [ABSTRACT FROM AUTHOR]

Si bien el número de habitantes de Euskadi se mantiene estable en los últimos años, la esperanza de vida en nuestra comunidad es una de las más altas del mundo. Esta realidad nos está planteando un nuevo paradigma social y sanitario,tanto por el aumento del número de personas mayores como por el nuevo patrón de personas con enfermedades crónicas y, en muchos casos, en situación de dependencia. Muchas de las personas que han optado por el ingreso en un centro residencial, son personas con problemas de salud, con elevados niveles de dependencia que requieren de atención sanitaria y social. La mayoría son personas que presentan pluripatologías y están polimedicadas y el despliegue de la receta electrónica y el acceso a la historia clínica va a beneficiarlas enormemente: en seguridad, en control de la medicación, en coordinación entre los profesionales de los distintos ámbitos, etc… El Proyecto e-Rezeta en el ámbito Sociosanitario ha supuesto el despliegue e implantación de la receta electrónica y del acceso a la historia clínica en 300 centros residenciales que atienden a casi 20.000 personas. Estas personas consumen unamedia anual de casi 75 medicamentos por persona. Además, casi el 90% usó absorbentes de incontinencia urinaria y el 10% consumió productos dietéticos. Los medicamentos constituyen uno de los recursos más demandados por parte de estas personas, con un importante aumento del número de prescripciones y de consumos. El 68% toman 5 o más medicamentos, un 33% tienen prescritos 10 o más medicamentos, el 12% de estas personas consume más de 15 medicamentos y casi un 6% consumen más de 20 medicamentos. En definitiva, estos datos ponen de manifiesto una realidad que requería de una actuación de cara a dotar a nuestros profesionales tanto del ámbito sanitario como del social de los recursos necesarios para mejorar la atención de estas personas. La implantación de la Historia Clínica y de la Receta Electrónica está permitiendo mejorar la calidad del servicio asistencial a las personas residentes aumentando la seguridad de todo el proceso clínico y farmacéutico. De esta forma, hemos dado inicio a un nuevo modelo de atención en el ámbito residencial que iremos consolidando en los próximos años de cara a configurar una atención sociosanitaria puntera y de calidad. Pretendemos, de este modo, impulsar que, con carácter general, la atención médico-farmacéutica dirigida a las personas residenciadas se desarrolle de manera integral y coordinada, de tal forma que los actos de prescripción y dispensación de medicamentos y productos sanitarios que realicen las personas encargadas de su atención médica y las encargadas de su atención farmacéutica se integren de manera ordenada en la respuesta institucional a las necesidades de las personas residentes. Un trabajo centrado en las personas, en nuestras personas mayores y en aquellas en situación vulnerable y de fragilidad que supone un cambio y un avance muy importante, significativo y sustancial en el modelo de atención a las personas residentes en las residencias de personas mayores y centros sociosanitarios tanto a nivel farmacéutico como del conjunto asistencial.

A raíz de la aprobación de la Ley 39/2006, de 14 de diciembre, de Promoción de la Autonomía Personal y Atención a las personas en situación de dependencia, aumentó la promoción de servicios públicos de cuidados para hacer frente a las necesidades sociales; cosa que, por un lado, contribuyó a generar nuevas plazas de empleo, pero por el otro, ha convertido los cuidados en un sector ocupacional caracterizado por la feminización y la precariedad laboral, ya que se tienden a privatizar dichos servicios públicos, y las organizaciones privadas devienen las principales empleadoras del sector. Los estereotipos de género se reproducen en estos trabajos, donde las mujeres son las principales contratadas y los pocos hombres candidatos encuentran limitaciones para acceder a estas ocupaciones. En este artículo se analizan los discursos y prácticas de los agentes que operan en la gestión de los servicios de ayuda a domicilio (organizaciones y servicios sociales municipales), para conocer las barreras culturales y de oportunidad que dificultan la igualdad de género en estos servicios. La estrategia metodológica utilizada se basa en el análisis cualitativo de las entrevistas realizadas a los gestores del cuidado y de las observaciones en diferentes servicios públicos y organizaciones privadas.

The ‘care crisis’ has been a recurrent theme in feminist debates and academic studies on care, social policy and citizenship. The care deficit is particularly severe is the ageing societies of Southern Europe. In Spain, familialism prevails in eldercare. This implies a permanent trust on the family, on its intergenerational solidarity and on its gender structure as provider of help and support. At the same time, studies show that migrant domestic workers increasingly meet the care needs of older dependent people. The globalization of care tends to perpetuate the gendered nature of care since the caring tasks remain in women’s hands. Scrutinizing eldercare policies is an important issue for feminist and social policy research given the dominance of women in care-giving and care work and the gendered coding of care work. By means a discourse-oriented policy analysis this paper examines key policy texts related to the reforms of Dependent Care and of Household Employment. The article demonstrates that public policy has an important role in constructing care work(ers); public policy shapes the positions of those doing care-giving work, the valuation of their work, and their social citizenship status. As such, they vitally shape gendered power relations. While family carers and domestic workers are constructed very differently, in common for these two categories of carers is that they perform undervalued work. The findings are discussed in the light of the theoretical conceptualization of recognition and its links to redistribution.

Las personas mayores de 65 años conceden mucha importancia a las diferentes prestaciones sociales. En base a un muestreo realizado con 1200 sujetos, se observa que las prestaciones sociales más valoradas están relacionadas con la problemática que afecta directamente a las personas mayores: los estados de salud, las limitaciones en sus actividades de la vida diaria y la dependencia. Le siguen en importancia todas aquellas prestaciones relacionadas con las actividades socioculturales, el ocio, las relaciones interpersonales y los viajes, valorando en paralelo los descuentos especiales que para ello se proporcionan. Existe una clara relación inversa entre la salud (y la edad) y la valoración de las prestaciones de tipo sociocultural, de compañía y de asistencia en las actividades relacionadas con la dependencia parcial.

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Copyright of International Journal of Organizations / Revista Internacional de Organizaciones (RIO) is the property of Analisi Social i Organitzativa grup de recerca and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

La diferente evolución experimentada por el subsector de las residencias para personas mayores durante las últimas décadas en las distintas comunidades autónomas del Estado, consecuencia de la aplicación de políticas sociales independientes desde las que desarrollar normas propias de homologación y acreditación de geriátricos, ha desembocado en un mapa estatal de servicios residenciales aparentemente disperso e inconexo y que parece no respetar el principio de solidaridad interterritorial promulgado por la Constitución. En un plano simétrico y alternativo, sin embargo, las comunidades autónomas asumen competencias en materias como la asistencia social. Ambos vectores no parecen aplicar su fuerza en una misma dirección y un análisis de la realidad simplista y carente de correlaciones entre diferentes variables podría no bastar para explicar una idea de dispersión probablemente no contrastada desde diferentes perspectivas. Este artículo pretende ponderar esta percepción simplista desde el análisis de las posibles correlaciones entre precios, ratios, coste/hora de personal y costes estandarizados de funcionamiento y amortización. [ABSTRACT FROM AUTHOR]

Las residencias para mayores parecen "instituciones cerradas" o "microcosmos independientes" centrando el interés de los medios de comunicación sólo en las deficiencias de las residencias para mayores. Objetivos: comparar la calidad de vida, capacidad funcional, el grado dependencia y los síntomas depresivos de las personas mayores institucionalizadas en residencias comparándolas con los mayores que residen junto a sus familiares. Material y método: se han analizado la calidad de vida y las alteraciones físicas y psicológicas de 400 personas mayores de 60 años de edad, ingresados en residencias de mayores o que viven junto con sus familiares, mediante la realización de un cuestionario que recoge tres índices diferentes (Barthel Index, escala de Yesavage y cuestionario WHOQOL-OLD) para evaluar el grado de dependencia de las personas. Resultados: se ha determinado una reducción significativa de la calidad de vida de las personas mayores que viven en residencias (p0.001). Conclusión: el modelo actual de residencias requiere un cambio que permita dar respuestas a las necesidades reales de nuestros mayores institucionalizados.

The objective of the study was to know how the practice of physical activity influences self-esteem and the level of risk dependence in old age, differentiating between the control group (sedentary) and experimental group (active). Participants were 168 people over 65 years of age, 84 of whom were classified as active and the remaining 84 were completely sedentary. To analyze self-esteem, Rosenberg's Personal Self-Esteem Scale was used whereas Barber's helped to assess the risk of dependence. Positive self-esteem is higher in the active (GE: 3.25 ± .45 vs. GC: 3.14 ± .47) but negative in the sedentary group (GC: 2.23 ± .48 vs. GE: 2.20 ± .52). There were significant differences (p ≤ .001) between the subjects of the CG (2.93 ± 1.67) and those of the EG (1.65 ± 1.03), with the latter showing a lower risk of dependence. There was a positive association between physical activity and positive self-esteem (r = .244; p ≤ .01), as well as between physical activity and the Barber index (r = -.425; p ≤ .001). In conclusion, regular physical activity should be encouraged to improve the level of self-esteem and minimize the risk of dependence on older people. [ABSTRACT FROM AUTHOR]

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Este artículo pretende conocer cuál es el nivel de desarrollo e incorporación de las tecnologías avanzadas en la prestación de los servicios sociales. La reflexión se ha centrado en la población que, por edad o dependencia, requiere de apoyos. Se plantean cuestiones como las diferentes concepciones sobre la tecnología y la tecnología avanzada, o sobre el porqué de los casos de éxito. Asimismo, se plantean los principales retos y recomendaciones que nuestra sociedad debe abordar si queremos que la tecnología nos sirva para proveer de mejor manera los servicios con los que hoy contamos y los que estamos diseñando de cara al futuro. [ABSTRACT FROM AUTHOR]

Este artículo explora las situaciones de desprotección social que se dan en tres colectivos: las personas mayores, las personas tutoras en fragilidad y las personas con enfermedad mental. Para ello, en primer lugar analiza los factores de riesgo a que están expuestos cada uno de ellos, para después esbozar las causas y consecuencias específicas que el aislamiento y la exclusión social tienen en estos grupos poblacionales. Finalmente, identifica algunas de las señales que alertan de una posible desprotección y sugiere pautas para que las políticas y los servicios sociales prevengan y atajen mejor este fenómeno. [ABSTRACT FROM AUTHOR]

El estudio analiza las condiciones de vida de las personas mayores de un municipio mediano de la provincia de Tarragona con el objetivo de proponer algunas reestructuraciones en los servicios sociales y culturales y los modelos de intervención. Se han tenido en cuenta aspectos cuantitativos (demografía del municipio referente a la progresión de la edad de jubilación, sexo, nivel educativo, profesional y económico, inventario de recursos y dispositivos, usuarios de servicios y participación ciudadana), así como de carácter cualitativo (mediante grupos de discusión y entrevistas personalizadas a personas mayores y a técnicos y responsables municipales). Cada uno de los aspectos analizados se ha emmarcado en el contexto socioeconómico actual, en un momento en el que se están llevando a cabo múltiples reformas, sobre todo en los planes de jubilación públicos y privados, así como en diferentes ámbitos y niveles de la administración. También se han analizado las tendencias socioculturales de los nuevas personas mayores, describiendo los aspectos más relevantes de sus estilos de vida, teniendo en cuenta que son los protagonistas de la revolución cultural de los años sesenta. Ambas cuestiones son las que determinarán el tipo de recursos que habrá que desarrollar en el futuro y los apoyos que deberán recibir las personas mayores para promover su autonomía, mejorar su calidad de vida y sus compromisos con la actividad familiar y municipal.------------------------------------------------------------------The study analyses the living conditions of the old people of an average municipality of the province of Tarragona with the aim to propose some restructurings in the social and cultural services and the models of intervention. They have been taken into account quantitative aspects (demography of the municipality referent to the progression of the age of retirement, sex, educational level, professional and economic, inventory of resources and devices, users of services and citizen participation), as well as of qualitative character (by means of groups of discussion and interviews to old people and to technical and municipal managers). The aspects analysed has been framed in the current socioeconomic context, in the moment that are carrying out multiple reforms, especially in the plans of public and private retirement, as well as in different fields and levels of the administration. Also they have been analysed the trends of the new old people, describing the aspects more rellevants of his lifestyles, taking into account that they are the protagonists of the cultural revolution of the years sixty. Both questions are those that will determine the type of services that it will be necessary to develop in the future and the supports that will have to receive the old people to promote his autonomy, improve his living quality and his commitments with the familiar and municipal activity.

Este artículo sintetiza los resultados del informe sobre la situación de los centros residenciales guipuzcoanos destinados a personas mayores, realizado por el SIIS Centro de Documentación y Estudios en el marco del proceso de reflexión sobre los aspectos básicos de la red de centros residenciales puesto en marcha por el Departamento de Políticas Sociales de la Diputación Foral de Gipuzkoa. Los datos del informe ponen de manifiesto tanto las fortalezas como las debilidades del actual modelo de atenci ón residencial en el territorio. Entre las primeras, destaca la elevada dotación de plazas de responsabilidad pública, el proceso de mejora en las condiciones laborales del personal ocupado, la elevada capacidad de generación de empleo del sector, y la calidad de la atención que se presta en el conjunto de los centros. Entre las debilidades, cabe señalar la progresiva reducción en las coberturas de atención (que se deriva del lento crecimiento en el número de plazas disponibles); la persistencia de cierto prejuicio por parte de las personas potencialmente usuarias, que consideran el ingreso en residencia como una opción poco apetecible; la necesidad de seguir avanzando en un modelo de atención más personalizado y más orientado a la calidad de vida de las personas usuarias; y la sostenibilidad económica del sistema, que requiere reflexionar tanto sobre la financiación pública como sobre la evolución de los costes unitarios y la participación económica de las personas usuarias. [ABSTRACT FROM AUTHOR]

The "care crisis" has been a recurrent theme in feminist debates and research. The care deficit is particularly severe is the ageing societies of Southern Europe. In Spain, familialism prevails in eldercare. This implies a permanent trust on the family, and its gender structure as provider of help and support. At the same time, studies show that migrant domestic workers increasingly meet the care needs of older dependent people. This article argues that as long as women, natives and migrants, fill the gaps in welfare provision, the recognition of caregiving work - and the redistribution of resources and responsibility for care - are vital issues for feminist research. By means a discourse-oriented policy analysis this article examines key policy texts related to dependent care and household employment as well as austerity measures that affect social policy. The article highlights that public policy has an important role in constructing caregiving work. Public policy shapes the positions of caregivers and care workers, the valuation of their work, and their status as workers and carers. While family carers and domestic workers are constructed very differently, two categories of carers have in common that they perform undervalued work. [ABSTRACT FROM AUTHOR]

El presente artículo se basa en una investigación llevada a cabo por profesores de la Universidad Pablo de Olavide de Sevilla, adscritos al Grupo de Investigación de Trabajo Social y Políticas Sociales (Plan Andaluz de Investigación, Desarrollo e Innovación - Ciencias Sociales, Económicas y Jurídicas (PAIDI, SEJ-452), a lo largo de dos años y dentro del marco de colaboración con la Fundación Mercasevilla. El objeto de dicha investigación ha sido el análisis de la sociabilidad de las personas mayores en el medio urbano desde la sociabilidad a la dependencia. El estudio pone de manifiesto las diferencias existentes en el uso de los espacios según la edad de la población, los déficits que esos espacios muestran, y su relación con la situación de dependencia de las personas mayores. En relación a los datos obtenidos, se plantean conclusiones y orientaciones que pueden resultar de interés a técnicos, investigadores, planificadores del territorio y para aquellos que pueden decidir acerca de políticas que modifiquen el espacio urbano. El equipo de investigación establece una relación directa entre la integración social del colectivo de mayores, con el grado de participación en la sociedad en la que se encuentran, y por tanto, con el uso y acceso a los distintos espacios de sociabilidad, que es en definitiva donde ejercen esta participación social.

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Copyright of Pedagogía Social is the property of Pedagogia Social and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Aposta is the property of Aposta and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Far from the traditional view of care need, the process leading to the need of care in elder persons is multi-causal. Beyond the biological dimension, psycho-social factors play a significant role. Health Psychology and Clinical Psychology provide ways of intervention along with prevention and treatment tools. Persons providing care to the elderly play a key role within the social process of care work. They are not only social agents, trying to meet increasing social needs of elder persons, helping them to gain autonomy but they also have to avoid the negative implications of their practice. [ABSTRACT FROM AUTHOR]