Piloting Empowerment-based Social Policy: Voucher and Carer Allowance Schemes in Hong Kong

Terry Y.S. Lum; Michelle H.Y. Shum

doi:10.1093/geront/gnv587.04

Abstract

A new paradigm moving towards empowerment-based social policy for eldercare is taking place in Asia. In Hong Kong, several pilot projects were started to create the necessary conditions for the paradigm shift, including a community care service voucher (CCSV) scheme, a residential care service voucher scheme, and a scheme on living allowance for carers of the elderly persons from low income families. Using mixed methods approach (focus groups with service providers, surveys with participants, analysis of administrative data), we investigated the viability and impacts of these pilot schemes as a new funding mode, with a “money follows the user” approach to shape eldercare using market force and leveraging on Hong Kong’s advantage of strong family tie. Results from interim analysis of the CCSV pilot scheme suggested improved self-rated health and quality of life among the participants, reduced caregivers burden, and appreciation of positive changes by service providers despite set-up challenges.

© The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: [email protected].

Original language	English
Pages	289
DOIs	https://doi.org/10.1093/geront/gnv587.04
Publication status	Published - Nov 2015
Externally published	Yes
Event	Gerontological Society Association 2015 Annual Scientific Meeting - Orlando, United States Duration: 18 Nov 2015 → 22 Nov 2015

Conference

Conference	Gerontological Society Association 2015 Annual Scientific Meeting
Place	United States
City	Orlando
Period	18/11/15 → 22/11/15

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Presenter - peer reviewed
PEARLMAN, E. L. (Speaker)
22 Sept 2016
Activity: Talk/lecture or presentation › Presentation

Cite this

@conference{1519009edda34027935a14d9f41694d9,

title = "Piloting Empowerment-based Social Policy: Voucher and Carer Allowance Schemes in Hong Kong",

abstract = "A new paradigm moving towards empowerment-based social policy for eldercare is taking place in Asia. In Hong Kong, several pilot projects were started to create the necessary conditions for the paradigm shift, including a community care service voucher (CCSV) scheme, a residential care service voucher scheme, and a scheme on living allowance for carers of the elderly persons from low income families. Using mixed methods approach (focus groups with service providers, surveys with participants, analysis of administrative data), we investigated the viability and impacts of these pilot schemes as a new funding mode, with a “money follows the user” approach to shape eldercare using market force and leveraging on Hong Kong{\textquoteright}s advantage of strong family tie. Results from interim analysis of the CCSV pilot scheme suggested improved self-rated health and quality of life among the participants, reduced caregivers burden, and appreciation of positive changes by service providers despite set-up challenges.{\textcopyright} The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: [email protected].",

author = "Lum, {Terry Y.S.} and Shum, {Michelle H.Y.}",

year = "2015",

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N2 - A new paradigm moving towards empowerment-based social policy for eldercare is taking place in Asia. In Hong Kong, several pilot projects were started to create the necessary conditions for the paradigm shift, including a community care service voucher (CCSV) scheme, a residential care service voucher scheme, and a scheme on living allowance for carers of the elderly persons from low income families. Using mixed methods approach (focus groups with service providers, surveys with participants, analysis of administrative data), we investigated the viability and impacts of these pilot schemes as a new funding mode, with a “money follows the user” approach to shape eldercare using market force and leveraging on Hong Kong’s advantage of strong family tie. Results from interim analysis of the CCSV pilot scheme suggested improved self-rated health and quality of life among the participants, reduced caregivers burden, and appreciation of positive changes by service providers despite set-up challenges.© The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: [email protected].

AB - A new paradigm moving towards empowerment-based social policy for eldercare is taking place in Asia. In Hong Kong, several pilot projects were started to create the necessary conditions for the paradigm shift, including a community care service voucher (CCSV) scheme, a residential care service voucher scheme, and a scheme on living allowance for carers of the elderly persons from low income families. Using mixed methods approach (focus groups with service providers, surveys with participants, analysis of administrative data), we investigated the viability and impacts of these pilot schemes as a new funding mode, with a “money follows the user” approach to shape eldercare using market force and leveraging on Hong Kong’s advantage of strong family tie. Results from interim analysis of the CCSV pilot scheme suggested improved self-rated health and quality of life among the participants, reduced caregivers burden, and appreciation of positive changes by service providers despite set-up challenges.© The Author 2015. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: [email protected].

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