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...

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Main Authors: Husayn Marani, Sara Allin, Sandra McKay, Gregory P. Marchildon
Format: Article
Language:English
Published: SAGE Publishing 2023-01-01
Series:Health Services Insights
Online Access:https://doi.org/10.1177/11786329221144889
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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.
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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
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