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  4. Labor market costs for long‑term family caregivers: the situation of caregivers of persons with spinal cord injury in Switzerland

Labor market costs for long‑term family caregivers: the situation of caregivers of persons with spinal cord injury in Switzerland

BMC Health Services Research, 2023 · DOI: https://doi.org/10.1186/s12913-023-09565-7 · Published: June 26, 2023

Spinal Cord InjuryHealthcareSocial Support

Simple Explanation

Family members who provide care to disabled individuals face significant costs, particularly in the labor market. This study analyzes data from long-term family caregivers of persons with spinal cord injury (SCI) in Switzerland to estimate the reduction in working hours and income loss associated with their caregiving responsibilities. The study found that, on average, family caregivers reduced their working hours by about 23%, which translates to a monetary loss. Women, older caregivers, and less educated caregivers experienced a higher opportunity cost in the labor market. However, caregivers of persons with SCI who work experienced a lower impact on their working status. Health and social systems rely on the unpaid work of family caregivers, which is essential to be recognized and potentially compensated. Without family caregivers, it is unlikely that societies can cope with the increasing need for care, as professional services are limited and expensive.

Study Duration
Not specified
Participants
432 family caregivers in working age
Evidence Level
Cross-sectional study

Key Findings

  • 1
    Family caregivers reduced their working hours by about 23% (8.4 h per week), resulting in a monetary loss of CHF 970 per month.
  • 2
    Women, older caregivers, and less educated caregivers face a higher opportunity cost in the labor market, with income losses of CHF 995, CHF 1,070, and CHF 1,137 per month, respectively.
  • 3
    Caregivers of persons with SCI who work experienced a much lower impact on their working time, with an income reduction of CHF 651 per month.

Research Summary

This study investigates the labor market costs for long-term family caregivers of persons with spinal cord injury (SCI) in Switzerland. It analyzes the reduction in working hours and associated income loss experienced by caregivers after taking on their caregiving roles. The results indicate that caregivers reduce their working hours by approximately 23% on average, leading to a significant monthly income loss. The impact varies based on the caregiver's gender, age, education level, and the cared-for person's working status and level of dependency. The study concludes that family caregivers play a crucial role in long-term care, and their contributions should be recognized and potentially compensated. Without their involvement, health and social systems may struggle to meet the increasing care needs of the population.

Practical Implications

Policy Recognition

Acknowledge the economic contributions of family caregivers in long-term care policies.

Financial Compensation

Explore compensation models for family caregivers to offset income loss and ensure their long-term involvement.

Rehabilitation Investment

Increase investment in rehabilitation services to enhance the independence of individuals with SCI and reduce the caregiving burden on family members.

Study Limitations

  • 1
    Assumptions were made to calculate salaries due to lack of complete data, potentially underestimating the opportunity cost.
  • 2
    The study targeted primary family caregivers, excluding support from other family members, which may lead to an underestimation of the overall opportunity cost.
  • 3
    The length and complexity of the questionnaire may have discouraged participation from highly burdened caregivers, potentially skewing the results.

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