Social Care Services in Transition: New trends in care provision for older people in Finland

Jiby Mathew Puthenparambil, Doctoral Student

In recent years, Finland has witnessed several changes in the social care sector, particularly in the care for older people. First of all, a coverage drop is evident in all types of public care provisions for older people, and second, there has been substantial and fast growth in the private care sector. A recent estimation suggests that the private sector produces a third of the care support for older people.

Through this project, I try to examine the use of social care services, public and private, at two stages; first, at the municipality level, that is, how differently municipalities are organizing their care services for older people? How often is the private sector involved in organizing social care provisions, particularly in home help and service housing with 24 hours assistance?; second, at the individual level, how older people use formal private and public care services? Why older people choose private care as an alternative source in a comprehensive tax-subsidized Finnish social care system? How often do older people receive support from public and private sectors?

Here, I use both quantitative cross-sectional and quantitative longitudinal approach. Data from the Finnish Statistic and Indicator Bank (SOTKA-net), Statistics Finland (Tilastokeskus) and a three-wave longitudinal survey “Everyday life, support and services” (“Arki, apu ja palvelut”, conducted in 2001, 2010, and 2015) are included in this project. Various statistical methods are used such as cross tabulation, chi square, logistic and multinomial regression, multilevel models, and generalized estimating equations model.