The Financial Risks of Unpaid Caregiving During the COVID-19 Pandemic: Results From a Self-reported Survey in a Canadian Jurisdiction
As health service delivery shifts from institutions to the home, greater care responsibilities are being imposed on unpaid caregivers. However, gaps remain concerning how these responsibilities are contributing to caregivers’ financial risk. This study describes results from an online survey conduct...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
SAGE Publishing
2023-01-01
|
Series: | Health Services Insights |
Online Access: | https://doi.org/10.1177/11786329221144889 |
_version_ | 1797959378321539072 |
---|---|
author | Husayn Marani Sara Allin Sandra McKay Gregory P. Marchildon |
author_facet | Husayn Marani Sara Allin Sandra McKay Gregory P. Marchildon |
author_sort | Husayn Marani |
collection | DOAJ |
description | As health service delivery shifts from institutions to the home, greater care responsibilities are being imposed on unpaid caregivers. However, gaps remain concerning how these responsibilities are contributing to caregivers’ financial risk. This study describes results from an online survey conducted in late-2020 in Ontario, Canada, about the financial risks of unpaid, homebased caregiving throughout the first year of the COVID-19 pandemic. Among 190 caregivers, salient findings include difficulties paying for care expenses after the pandemic was declared than before ( P = .002); more caregivers retiring or becoming unemployed during the pandemic than before ( P = .013); and a significant relationship between paying out-of-pocket for a home care worker and experiencing a decrease in the availability of such support during the pandemic ( P = .029). Overall, the financial stressors of caregiving during the pandemic contributed negatively to caregivers’ mental health, with 64.2% noting could be partly offset by greater government and employment-based assistance in managing care expenses and productivity losses. Findings from this study will better inform policies that aim to protect unpaid caregivers from financial risk in pandemic recovery efforts and beyond. Results may also be useful in other welfare states where unpaid caregivers provide the majority of home care services. |
first_indexed | 2024-04-11T00:31:26Z |
format | Article |
id | doaj.art-393b1d4fe8894ba889cfee9dfa7e3aaa |
institution | Directory Open Access Journal |
issn | 1178-6329 |
language | English |
last_indexed | 2024-04-11T00:31:26Z |
publishDate | 2023-01-01 |
publisher | SAGE Publishing |
record_format | Article |
series | Health Services Insights |
spelling | doaj.art-393b1d4fe8894ba889cfee9dfa7e3aaa2023-01-07T13:33:26ZengSAGE PublishingHealth Services Insights1178-63292023-01-011610.1177/11786329221144889The Financial Risks of Unpaid Caregiving During the COVID-19 Pandemic: Results From a Self-reported Survey in a Canadian JurisdictionHusayn Marani0Sara Allin1Sandra McKay2Gregory P. Marchildon3North American Observatory on Health Systems and Policies, University of Toronto, Toronto, ON, CanadaNorth American Observatory on Health Systems and Policies, University of Toronto, Toronto, ON, CanadaDepartment of Physical Therapy, University of Toronto, Toronto, ON, CanadaNorth American Observatory on Health Systems and Policies, University of Toronto, Toronto, ON, CanadaAs health service delivery shifts from institutions to the home, greater care responsibilities are being imposed on unpaid caregivers. However, gaps remain concerning how these responsibilities are contributing to caregivers’ financial risk. This study describes results from an online survey conducted in late-2020 in Ontario, Canada, about the financial risks of unpaid, homebased caregiving throughout the first year of the COVID-19 pandemic. Among 190 caregivers, salient findings include difficulties paying for care expenses after the pandemic was declared than before ( P = .002); more caregivers retiring or becoming unemployed during the pandemic than before ( P = .013); and a significant relationship between paying out-of-pocket for a home care worker and experiencing a decrease in the availability of such support during the pandemic ( P = .029). Overall, the financial stressors of caregiving during the pandemic contributed negatively to caregivers’ mental health, with 64.2% noting could be partly offset by greater government and employment-based assistance in managing care expenses and productivity losses. Findings from this study will better inform policies that aim to protect unpaid caregivers from financial risk in pandemic recovery efforts and beyond. Results may also be useful in other welfare states where unpaid caregivers provide the majority of home care services.https://doi.org/10.1177/11786329221144889 |
spellingShingle | Husayn Marani Sara Allin Sandra McKay Gregory P. Marchildon The Financial Risks of Unpaid Caregiving During the COVID-19 Pandemic: Results From a Self-reported Survey in a Canadian Jurisdiction Health Services Insights |
title | The Financial Risks of Unpaid Caregiving During the COVID-19 Pandemic: Results From a Self-reported Survey in a Canadian Jurisdiction |
title_full | The Financial Risks of Unpaid Caregiving During the COVID-19 Pandemic: Results From a Self-reported Survey in a Canadian Jurisdiction |
title_fullStr | The Financial Risks of Unpaid Caregiving During the COVID-19 Pandemic: Results From a Self-reported Survey in a Canadian Jurisdiction |
title_full_unstemmed | The Financial Risks of Unpaid Caregiving During the COVID-19 Pandemic: Results From a Self-reported Survey in a Canadian Jurisdiction |
title_short | The Financial Risks of Unpaid Caregiving During the COVID-19 Pandemic: Results From a Self-reported Survey in a Canadian Jurisdiction |
title_sort | financial risks of unpaid caregiving during the covid 19 pandemic results from a self reported survey in a canadian jurisdiction |
url | https://doi.org/10.1177/11786329221144889 |
work_keys_str_mv | AT husaynmarani thefinancialrisksofunpaidcaregivingduringthecovid19pandemicresultsfromaselfreportedsurveyinacanadianjurisdiction AT saraallin thefinancialrisksofunpaidcaregivingduringthecovid19pandemicresultsfromaselfreportedsurveyinacanadianjurisdiction AT sandramckay thefinancialrisksofunpaidcaregivingduringthecovid19pandemicresultsfromaselfreportedsurveyinacanadianjurisdiction AT gregorypmarchildon thefinancialrisksofunpaidcaregivingduringthecovid19pandemicresultsfromaselfreportedsurveyinacanadianjurisdiction AT husaynmarani financialrisksofunpaidcaregivingduringthecovid19pandemicresultsfromaselfreportedsurveyinacanadianjurisdiction AT saraallin financialrisksofunpaidcaregivingduringthecovid19pandemicresultsfromaselfreportedsurveyinacanadianjurisdiction AT sandramckay financialrisksofunpaidcaregivingduringthecovid19pandemicresultsfromaselfreportedsurveyinacanadianjurisdiction AT gregorypmarchildon financialrisksofunpaidcaregivingduringthecovid19pandemicresultsfromaselfreportedsurveyinacanadianjurisdiction |