The prospects for caring: economic theory and policy analysis

This paper examines three distinguishing features of caring:that it involves the development of a relationship, that caringresponsibilities and needs are unequally distributed and thatsocial norms influence the allocation of care and caring responsibilities,to draw out their implications for analysing caring and itsmovement between unpaid and paid economies. Rising opportunitycosts of caring are found to produce pressures experienced indifferent ways across different sectors of the economy. These,coupled with inequalities in care responsibilities and labourmarket opportunities, influence the movement of care betweenpaid and unpaid economies. This analysis is then used to examinethe likely evolution of caring norms and practices and how policymight intervene to avoid an uncaring future.     

Eldercare hours,work hours and perceived filial obligations

ABSTRACT

In this paper, we take a fresh look at the magnitude of the trade-off between caring informally for a parent and paid work. We adopt a simultaneous approach with a primary focus on how hours of care are influenced by hours of work rather than the other way round. We also investigate the role that filial obligations play in choices of caring versus working. Using the SHARE data (2004 and 2006) we find that the elasticity of informal care hours in response to working hours is between ?0.17 in the caregivers sample and ?0.19 in the women-only caregivers sample; small but not negligible. Moreover, we find that a 10%increase in the index measuring the strength of filial obligations increases weekly hours of care by about two and a half hours.     

The Return to Caring Skills: Gender,Class, and Occupational Wages in the US

Feminist economics has contributed to the understanding of the economic importance of care work. Most studies find a wage penalty associated with caring occupations. This study extends the feminist research on care work beyond caring occupations by identifying specific caring skills and activities derived from the 2014 O*NET job-evaluation data. Four caring skills – (1) Assisting and Caring for Others, (2) Establishing and Maintaining Interpersonal Relationships, (3) Service Orientation, and (4) Social Perceptiveness – were used in ordinary least-squares and quantile wage regressions for 623 occupations in the United States. Findings indicate that the return to caring and assisting skills results in a wage penalty for low-wage workers but a wage premium for workers in high-wage and male occupations. By identifying the impact of gender and class on the economic return to particular caring skills, the study broadens the understanding of care work, especially in relation to US wage inequality.     

Women and Retirement Pensions: A Research Review

Abstract

The links between women's caring work and access to economic resources are particularly critical in the context of widespread public policy debates about retirement and pensions, many of which neglect care as a key issue for analysis. However, among feminist economists it is widely recognized that women's patterns of care provision have adverse implications for their access to economic resources in later life. The feminist economics literature examines many of the interactions between women's caring roles and their access to resources, particularly women's capacity to access economic resources through publicly mandated or regulated pension schemes. This article reviews research that places women's patterns of work and care at the center of analyses of retirement pension policy in an effort to provide a summary of research on gender and pensions policy and to contrast the extent to which differing institutional and policy frameworks accommodate women's caring roles.     

Care,Paid Work,and Leisure: Rounding the Triangle

The current distribution of paid work and caring work is inequitable. Some people are combining very long hours of paid work with caring responsibilities, while others with no caring responsibilities are also excluded from paid work. Nancy Fraser's (1996) concept of gender equity, is drawn upon as a normative standard against which to evaluate different models of work and child care in France and the U.K. In practice, distinctions between work, care and leisure are blurred. Correspondingly, all citizens could spread their time more evenly between these activities in order to obtain a more equitable distribution of the costs and benefits of social reproduction.     

How Do Household Tasks Shape Employment Contracts? The Provision of Care in Portugal

This study illustrates the complexities involved in outsourcing domestic work to the market. It draws on an original dataset of paid domestic workers in Portugal to examine how specific tasks interact with and explain contractual arrangements. A fuzzy cluster analysis categorizes paid domestic workers into caregivers and cleaners; however, a great degree of overlap implies that caring also entails cleaning tasks necessary for the care receiver’s well-being. A subsequent Tobit regression analysis shows that caregivers have more formal and stable contracts but earn lower wages and have longer working hours relative to cleaners. The study finds a segmentation of national origin and that some migrants are at a disadvantage in care work. The study also examines how employers deal with the idiosyncrasies of domestic work such as navigating trust-related issues.     

Innis Lecture: Canadian policies for broad‐based prosperity

Abstract. Canadian policy makers operate in the fog of myth, a myth that has been repeated so often it is mistaken for truth. According to this myth there is only one path to prosperity, and if we are to successfully travel this path, first charted by Americans, then we must abandon our most disadvantaged. We must sacrifice our core Canadian values of community and caring on the altar of competitiveness. Yet the facts of the last three decades scream out against this myth. Over that time Canada's per capita GDP fell by almost 20% relative to the United States. And this sacrifice of prosperity did not make us a more caring society. Instead, it depleted our fiscal resources by a staggering $68 billion per year and left us without the wherewithal to take care of our most disadvantaged. In this paper I debunk the myth that there is a trade‐off between a prosperous society and a caring society. In place of the myth I offer up a cohesive picture of what ails Canada and how we can cure it.     

Doing it all: Women’s employment and reproductive work in Tajikistan

Central Asia has low labor force participation rates for women, despite high levels of poverty in the non-oil producing countries. Female labor force participation is related to competing uses for women’s time, especially in a context of poor infrastructure and limited availability of purchased replacements for household labor. We examine factors affecting women’s participation in employment and reproductive household work in Tajikistan, drawing on the 2003 Tajikistan Living Standards Survey. We incorporate specific conditions in Central Asia, including the prevalence of extended family households, norms about how women share household work, an absence of market substitutes for caring and reproductive labor, employment in family enterprises and poor infrastructure, especially in rural areas. We estimate the system using a Generalized Maximum Entropy (GME) approach. We find that few individual and household characteristics are related to time in employment. Time in noncare reproductive work decreases if a woman receives direct remuneration for her employment (compared to working in a family farm or enterprise but receiving no direct remuneration), but increases if the woman has less access to infrastructure. Rural women spend more time in both employment and non-care reproductive work than urban women, but less time in care work. Lack of infrastructure may leave women with few choices with respect to non-care reproductive work, while overall levels of time poverty create pressures on care time.     

Reciprocity in Caring Labor: Nurses’ Work in Residential Aged Care in Australia

Feminist economists identify reciprocity as a motivation for both paid and unpaid caring work. In general, reciprocity describes people responding to each other in similar ways, either benevolently or harmfully. The quality of care is potentially increased when care relationships are motivated by positive and generalized forms of reciprocity and decreased with negative forms of reciprocity. This study draws on nursing literature and two qualitative studies in Australian residential aged care facilities, conducted in 2002–3 and 2009, to identify a new form called “professional reciprocity.” This form of reciprocity involves deliberate and skilled relational work by nurses to facilitate mutual and interdependent exchanges with care recipients that are beneficial to both care recipients and nurses. This study argues that professional reciprocity, as a skill that can be taught, is important for achieving quality care and workers’ job satisfaction.     

Counting Care Work in Social Policy: Valuing Unpaid Child- and Eldercare in Korea

This study demonstrates the usefulness of quantifying and valuing time spent on unpaid care work and explores the links between social policies, unpaid care work, and gender equality in the context of recent social care reforms in the Republic of Korea. Using information provided by two nationally representative surveys, this article elaborates on the gendered organization of care provision and the total costs of care services for children and the elderly, including unpaid family care, family expenditures on care services, and state support in the form of public expenditures. The study finds that omitting the role of family care services overestimates the state's role in caring for children and elderly adults. A closer look at the impact of long-term care insurance reveals the need for integrated analyses of the qualitative and quantitative aspects of the social organization of care, especially in regard to gender equality.     

Workload measurement in a community care program

The delivery of services in the community is a expanding area of health care due to the rapid shift from institutional to community care. However, limited attention has been given to accurately predict or measure nursing resource utilization. A workload measurement tool developed by the community care program at WestView Health Centre (Stony Plain, Alberta, Canada) sought to address the unique challenges of determining workload while caring for clients in their own homes. The implementation of this tool facilitated improved understanding of work requirements associated with each client on caseload. The continued use of this tool will lead to refinement of case mix and professional utilization, and may show benefits in the future for novice nurse growth, staff retention, and satisfaction.     

Of Markets And Martyrs: Is It OK To Pay Well For Care?

If caring work were well paid, would it lose some of the special, emotional, interpersonal aspects we want in "real" care relationships? Some fear that the introduction of "market values" would lead to such an outcome. This article seeks to bring to light some logical fallacies and insufficiently expunged gender dualisms that may lie, unexamined, under such concerns. Examining the ways we think and talk about markets, meanings, and motivations, it argues that the foci of feminist concern should instead be the concrete structures of caregiving and the problem of under-demand.     

Paid employment and unpaid caring work in Spain

The objective of this paper is to investigate the determinants of unpaid time in caring activities, with a special emphasis on the gender dimension. Data from the Household Panel Survey for Spain is used to estimate an ordered probit model for the hours interval in care of children and adult people in need of care. The results show that gender is one of the key determinants of the distribution of time in caring. Being in paid employment is also an important factor in the time devoted to caring. Demographic variables like age, marital status and education are also relevant, particularly in the case of women. Finally, cultural habits and customs are also important.     

A new approach in psychiatric care delivery

A unique approach for service in psychiatric care delivery has been used in a psychiatric setting at two sequentially tested inpatient locations. The patients in one setting were children and adolescents and in the other adolescents and adults. The approach used a psychiatric team comprising a psychiatrist, registered nurses, social workers, and a nurse practitioner. An overview of the psychiatric care delivery approach as it affects staff and patients is provided. The goal of this team-based model of service delivery is to provide quality care to patients in a caring and cost-effective manner.     

Labor supply, child care, and welfare in Spanish households

This paper presents a household model in which both spouses work and care for their children, thereby obtaining a measure of household welfare. Applying this model to the Spanish case allows for drawing some basic conclusions. That is, the highest efficiency in caring for children is obtained when time is offered by the mother. Moreover, the time dedicated to child care by the father is considered as leisure time in a higher proportion than time dedicated by the mother. Also, a direct and strong relationship is detected between monetary income and welfare. Household welfare is greater when the children are older, and welfare increases when the father dedicates less time to work outside the home.The authors would like to thank the anonymous referees for their helpful comments and suggestions on an earlier version of this paper. The authors are also indebted to the Ministerio Español de Trabajo y Asuntos Sociales for its financial support.     

Who Dares to Care? (In the World of Finance)

This study argues that gendered barriers to care are limiting the progress of socially responsible investment (SRI). Anchored within the world of finance – an industry predicated on mathematical theorizing, neoclassical economic thought, and omission of relational values – the inclusion of environmental, social, and governance (ESG) reporting, a commonly used term for nonfinancial information in SRI, in investment decision making confronts several barriers. One such barrier concerns care: who cares for what, and where. In an environment where an atomistic-individualistic ontology dominates, and a relational-values ontology is omitted, the study investigates the possibilities for ESG to have a wider uptake. It considers the changes required to align the inherently relational aspect of care within a culture of economic reasoning reliant on the exclusion of care. It concludes with suggestions for how a relational caring perspective can be incorporated to accommodate and encourage SRI in the world of financial management.     

主观社会地位对制造业工人工匠精神的影响：基于认知-情感个性系统理论

以制造业工人为研究对象,基于认知-情感个性系统理论,构建主观社会地位影响工匠精神的双路径模型,检验心理所有权与和谐式工作激情在主观社会地位与工匠精神之间的中介作用,以及关怀型伦理氛围的调节作用。通过对收集的538份有效数据进行统计分析,研究结果表明：(1)主观社会地位对制造业工人工匠精神有显著正向影响;(2)心理所有权与和谐式工作激情在主观社会地位对工匠精神的影响关系中起部分中介作用;(3)关怀型伦理氛围在心理所有权、和谐式工作激情与工匠精神的关系中发挥正向调节作用。研究结果揭示了主观社会地位对制造业工人工匠精神的双路径影响机制,丰富了工匠精神的前因变量研究,并为培育制造业工人工匠精神提供指导。     

Measuring caring--the next frontier in understanding workforce performance and patient outcomes

Caring is not generally considered in structured and scientific analysis of situations. But this may be a mistake. Caring likely has a return on investment that surpasses all other technology, pharmacotherapy, or system that has been developed to date for health care. As the puzzle of caring as an intervention of healing continues to come together, the outcomes of care for self and others will become clear. It is apparent by the number of studies generated by just one group, the Caring International Research Collaborative, there is a shared belief caring is healing and has a potential for return on investment that has yet to be realized.     

Making Visible the Hidden Economy: The Case for Gender-Impact Analysis of Economic Policy

This paper makes the case for analyzing the gender impact of economic policy, based on the existence of an unpaid as well as a paid economy and on structural differences between men's and women's positions across the two economies. Economic policy is targeted on the paid economy. However, unintended impacts on the unpaid care economy may limit how effective any policy can be. Gender-impact assessment will not only make the effects of economic policies on gender inequalities transparent; it will also enable policy makers to achieve all their goals more effectively, whether or not these goals relate explicitly to gender. The introduction in the UK of a new Working Families' Tax Credit (WFTC), designed to make employment pay and help reduce child poverty, provides an example of how gender-impact assessment could have been used to improve an initial policy design. The paper also suggests criteria for evaluating economic policy, so that its full gender impact and its effects on both paid and caring economies can be assessed.