Capabilities, Help and Resources for seniors living in in households / CARE Households (survey on)

Dernière mise à jour le : 21/11/2016

Présentation de l'opération

Organisme producteur :

Research, studies, appraisal and statistics department (DREES) of the Ministry for Health 

Partenariat :

The project management of the survey is carried out by INSEE.
The operation is designed in partnership with a design group including:
- The Central Agricultural Social Mutual Fund (CCMSA)  ;
- The National Old Age Insurance Fund (CNAV)  ;
- The French National Centre for Scientific Research (CNRS)  ;
- The national solidarity office for autonomy.  (CNSA) ;
- The Directorate for Social Communication (DGCS) ;
- The National Institute for Demographic Studies (INED)  ;
- National Institute for Health and Medical Research (Inserm);
- The Institute for Research and Documentation in Health Economics (Irdes) ;
- House of Social Sciences for disability (MSSH);
- The University of Paris 1;
The National Union of Family Associations (Unaf) has joined this group, which has been transformed into an operating group. 

Type d'opération :


Objectifs :

CARE surveys focus on the living conditions of the elderly, their difficulties in carrying out everyday activities and the help they receive.
The "households CARE" survey has three main objectives: to monitor the evolution of dependency, to estimate the remainder related to dependency and to measure the involvement of the entourage with the elderly.
Since Health and Disability surveys, issues around the dependency of elderly persons  have played an important role in public debates. However, current information systems do not provide answers at national level to the evolution of the number of dependent elderly people. The "seniors" section of the CARE survey will characterize the elderly according to several definitions of the loss of autonomy. The evolution of the prevalence of dependence will be estimated in relation to the Health and Disability Survey - Households section 2008-2009. 
The 2011 national debate on dependency has raised many questions about the required financial, human and technical resources. The current information systems do not allow to evaluate at national level the means mobilized by the households facing the dependency and their difficulties to face it. 
The purpose of the CARE household survey is to estimate the remaining burden of household dependence, by addressing the costs of dependency and public and private care linked to dependency. The remaining burden is defined by the difference between the costs and the public subsidies involved in the care of dependency.  Finally, the survey is aimed at understanding how families organize themselves in order to cope with the remainder: help in everyday activities provided by the relatives, payment with current income of the elderly person, but also sale of wealth, dissaving, credit, financial transfers from the family or renunciation to the cares. 
The CARE household survey also seeks to identify the nature, quantity and origin of existing human, financial and technical aids as well as the unmet needs. This objective was already addressed in the " Health and Disability” surveys.
The "caregivers" section supplements the information of the "seniors" section on:
- the caregiver's relationship with the carereceiver,
- the human, financial, material and moral support provided by the caregiver,
- the benefits related to the loss of autonomy of the carereceiver and for which the caregiver has taken steps.
The caregiver will also be asked about his state of health and the consequences of the help provided on his professional, social and emotional life. 

Thèmes abordés :

Seniors' section
- Common core of householdss
- Dependency
- Health (including European mini-module and deficiencies)
- Use of care and accommodation
- Functional limitations
- Restrictions on activities
- Accessibility
- Aids
- Technical aids
- Accommodation arrangements
- Human Aids
- Financial help
- Income, Allowances and Benefits
- Regular Expenditures and Household Constraints
Caregivers' section
- The caregiver's relationship with the carereceiver,
- The human, financial and material help provided by the caregiver,
- The consequences of the aid (on health, working life, family life, leisure)
- Benefits related to the loss of autonomy that the aided person could not have informed. 

Champ de l'opération

Champ géographique :

Metropolitan France

Champ(s) statistique(s) couvert(s) :

Individuals aged 60 or over living in "ordinary" dwellings, that is to say not in communities (old people's homes, EHPAD retirement homes, homes, prisons, hospitals ...) and mobile homes (sailors, homeless people ...).

Persons living in sheltered housing have been included.

Caractéristiques techniques

Unité statistique enquêtée :

Seniors' section : Individuals born before 1955/05/02 and responding to the Everyday Life and Health Survey ( 2014). 
Caregivers' section : Individuals declared to be an helping relative by the senior. 

Périodicité de l'opération :

Not regular

Période et mode de collecte :

The survey is conducted by INSEE agents between May and mid October 2015. 
- the senior part was done face-to-face;
- the caregiver component was carried out either face-to-face (when the caregiver was present at the time of the senior interview and agreed to answer) or by telephone. 

Historique :

The Disability, Incapacity and Dependence (HID) surveys (1998 and 1999) and then Health and Disability Survey - Households section and survey of informal carers (HAS)  2007 are strongly related to the CARE household survey. These previous surveys covered the whole population, living in ordinary housing in metropolitan France and in the French overseas departments. The objectives of these surveys were to estimate the number of disabled or dependent persons by type of disability, to measure certain indicators resulting from the public health law, to identify the nature, quantity and origin of the existing aid, to list the unmet needs and to measure the social disadvantages suffered by people with disabilities. 

Plan de sondage :

The sample consists of 15,000 individuals for the senior section and approximately 8,000 individuals for the caregiver section. 

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