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Care

Care may be defined as the provision of what is necessary for the health, welfare, maintenance and protection of someone or something. It includes early childhood education and care, long-term care of older persons or those with disabilities and healthcare. To understand the implications of care, it is worth distinguishing between care recipients and people with care responsibilities (carers). It is also important to distinguish between care as paid or unpaid work and informal care provided by family and friends. The provision of care services is a key component of social protection, improving quality of life and access to education and employment for EU citizens. 

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Recent updates

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Increasing emphasis on independent living and social inclusion is driving deinstitutionalisation – the shift away from a reliance on residential institutions towards family- and community-based settings for the provision of...

25 October 2024
Publication
Research report
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Work–life balance: Policy developments

In recent years, work–life balance has become a central theme in labour policies across Europe. While EU Member States have adopted different approaches, the common aim is to promote a...

Article
Group of children eating healthy food in day care centre © Oksana Kuzmina/Adobe Stock

The European Child Guarantee outlines recommendations for Member States to support access to healthy nutrition and at least one healthy meal each school day.

Web page

Eurofound research

Eurofound research focuses on a range of care-related topics. These include working and caring, initiatives to support informal carers involved in paid work as well as those who are not, the increased need for long-term care, early childhood education and care (ECEC), and access to public services.

Survey data on care

Eurofound’s regular European Quality of Life Surveys (EQLS) and European Working Conditions Surveys (EWCS) cover various aspects related to these topics.

The EWCS provides data on working time and flexible working arrangements, paid and unpaid work, work organisation and work–life balance. Research covers topics such as the working conditions of women and men, the working conditions of an ageing workforce, as well as health and well-being at work.

The EQLS offers extensive data on care, including the high amount of informal care performed by people who are not in paid employment. The EQLS 2016 provides a range of information about quality of and access to healthcare, long-term care and ECEC services in particular. Based on this data, a 2019 study examines access to and quality of key public services in the EU. It reveals citizens’ perceptions of quality in healthcare, long-term care and ECEC and compares them between countries, groups in society and the receivers of care and indirect service users.

Access to ECEC, healthcare and long-term care

Research looking at access to early childhood education and care (ECEC), healthcare and long-term care services across various Member States outlines the barriers to the take-up of care services and differences in access issues between population groups. As part of its convergence monitoring hub, Eurofound measures convergence in child poverty via a number of indicators measuring social inclusion and protection.  

In response to the COVID-19 pandemic, research has examined access to healthcare and the rise in unmet medical needs both during and in the aftermath of the crisis. It highlights the policy need to look at the impact this will have on the health of a workforce from which more work is expected in the coming years. Moreover, research has explored the impact of the pandemic on the quality of life of older citizens, including the effects on the use of care services and older people’s reliance on other support.

With population ageing and the need for long-term care services on the rise, research has also looked at the employment and working conditions of the long-term care workforce, examined recruitment and retention measures in home- and community-based care services, and also looked at support services for adults with physical and intellectual disabilities and chronic health problems – both physical and mental.

The care workforce

The care sector employs a growing share of workers in the EU, especially women, but is also experiencing increasing staff shortages. Research, as mentioned above, on the care workforce highlights the challenges around working conditions and the interlinkages between care sectors, particularly in relation to staff shortages. Overall, though, most care is being provided by informal carers, caring for family or friends. The research shows that upskilling and better access to care services help informal carers to work, including in the care sector itself.

Combining care and work: towards sustainable work

To be available for employment, work demands must be reconciled with those of one’s private life – in particular, the needs of children or dependent adult relatives. And these needs shift over the course of a working life. Eurofound discusses these issues in its EWCS research on working time and work–life balance in a life course perspective, and on working time patterns for sustainable work.

Addressing the ECEC needs of working parents and the care needs of older or disabled relatives and dependants has become central to the discussion around resolving the work–life balance conflict. Eurofound’s research on reconciling working and caring responsibilities shows the challenges involved in combining work and informal care in times of demographic change, and what measures are available to working carers to allow them to balance these demands.

Key outputs

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The data and analysis cover trends and disparities in children's access to early childhood education and care, education, healthcare, nutrition and housing. The European Child Guarantee represents a significant step...

Web page
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The European Child Guarantee was established in 2021 to ensure that children in need have access to a set of key services. This policy brief analyses trends and disparities in...

21 September 2023
Publication
Policy brief

EU context

Improved access to quality and affordable early childhood education and care (ECEC) and elderly care can help to facilitate the European Commission’s goals to increase employment, particularly the participation of women and older workers in the labour market. The European Pillar of Social Rights puts a strong focus on care, firstly regarding the right to equal opportunities and access to the labour market. This focuses on the right of parents and those with caring responsibilities to a better work–life balance, with suitable leave and flexible working arrangements, as well as access to care services. In the area of social protection and inclusion, it highlights the right of children to affordable early childhood education and good-quality care provision. It stresses the right to timely access to affordable and quality healthcare. It also underlines the right of all to affordable long-term and good-quality care services, particularly home-care and community-based services. 

The European Child Guarantee, adopted in June 2021, aims to ensure that every child in Europe at risk of poverty or social exclusion has access to the most basic of rights like healthcare and education. The Council Recommendation on high-quality early childhood education and care systems, adopted in May 2019, aims to support Member States in improving access to and quality of their services. Eurofound participates in a thematic Working Group as part of this initiative. Adopted in June 2019, the new Directive on work–life balance for parents and carers, aims to increase women’s participation in the labour market and the take-up of family-related leave and flexible working arrangements. 

On 7 September 2022, the European Commission presented a new European Care Strategy as part of its Work Programme 2022 to ensure 'quality, affordable and accessible care services' across the EU. 

 

Eurofound’s work on care links in with the Commission’s 2019–2024 priority on an economy that works for people. Eurofound has contributed in the recent past to the EU initiative on work–life balance.

 

European Industrial Relations Dictionary 

Eurofound expert(s)

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Hans Dubois is a senior research manager in the Social Policies unit at Eurofound. His research topics include housing, over-indebtedness, healthcare, long-term care, social...

Senior research manager,
Social policies research unit
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Daniel Molinuevo is a research manager in the Social Policies unit, having joined Eurofound in 2010. His research on health and social care has focused on the quality and...

Research manager,
Social policies research unit
Publications results (99)

Hobby schools form the main type of out-of-school care in Estonia. Hobby school activities are regulated by the Ministry of Education which provides a common curriculum and certifies instructors. They are supervised by the government and receive most of their funding from municipal governments

06 August 2007

In Portugal, the growth of out-of-school care in disadvantaged areas has taken place along two main lines: the development of compulsory out-of-school care services in primary schools and the development, since the mid-eighties, of publicly-subsidised NGOs working - and projects put in place - in

06 August 2007

In Germany, the out-of-school care system consists of various types of services, many of which are locally based or run by voluntary organisations, and there are no figures on general coverage available. For West Germany it can be estimated that currently still only a minority of children

06 August 2007

This is a report of a conference held in Helsinki 2–3 October 2006, organised by the European Foundation for the Improvement of Living and Working Conditions, in cooperation with the National Research and Development Centre for Welfare and Health (STAKES) and the Finnish Institute of Occupational

22 January 2007

The number of people on long-term disability benefits in Europe is rising and this group is particularly at risk of social exclusion. Although many of those away from work for a long period due to illness or injury would like to rejoin the workforce, very few actually do so in practice. This

07 December 2006

Childcare is a topic of much debate in the enlarged EU due to demographic changes and an ageing population. Against this background, the European Foundation for the Improvement of Living and Working Conditions initiated research into the EU childcare sector, focusing on out-of-school care for

09 November 2006

In the context of an ageing population and increasing demand for care services in the European Union, there is growing concern about the supply of suitably qualified care workers. Low pay, low status, and high rates of turnover and burnout make it difficult to attract workers to the care sector and

28 July 2006

Childcare is a topic of much debate in the enlarged EU due to demographic changes and an ageing population. Against this background, the European Foundation for the Improvement of Living and Working Conditions initiated research into the EU childcare sector, focusing on out-of-school care for

26 July 2006

The situation of people who are absent from work for a long period due to illness or injury and who have become long term disability claimants during their working lives constitutes an issue that is often ignored or absent from political discourse. This heterogeneous group of people is important

26 July 2006

The Foundation is working on sustainable childcare services currently available for school-age children in the 25 Member States of the European Union (EU25). The study aims to support the debate on modernisation of care systems in Europe, to review existing information on childcare services and

02 July 2006

Online resources results (15)

New national minimum wages for care workers

On 1 August 2010, new national minimum wages for care workers came into force setting a minimum hourly wage of €8.50 in western Germany, including Berlin, and €7.50 in eastern Germany. These rates will increase with effect from 1 January 2012 to €8.75 in western Germany and €7.75 in eastern Germany

2001 Territorial Employment Pact agreed for Vienna

Since the mid-1990s, the city council, the Labour Market Service (Arbeitsmarktservice, AMS) and social partner organisations have been cooperating to improve the employment situation in Vienna, which had been relatively poor for some years. In the late 1990s, these efforts were translated into a

Childcare workers' unions plan merger

Since the autumn of 1999, the trade unions representing skilled and unskilled childcare workers - the Danish Federation of Early Childhood Teachers and Youth Educators (Forbundet for pædagoger og klubfolk, BUPL) and the National Union of Nursery and Childcare Assistants (Pædagogmedhjælpernes Forbund

Gender wage gap examined

The independent research body, the Economic and Social Research Institute (ESRI) published a study on the "gender wage gap", entitled /How unequal? Men and women in the Irish labour market/, in October 2000. The study is based on an economy-wide survey of gender wage differentials between 1987 and


Blogs results (9)

Child poverty and exclusion in the EU is on the rise. To address this worrying trend, EU policy needs to focus on access to services, which requires improving data collection, targeting inequalities and involving the workforce that delivers services in policymaking.

24 October 2023
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The dawn of 2022 brought muted optimism to a Europe beginning to emerge from the COVID-19 pandemic, and the progress of vaccination programmes worldwide brought hope. Government and EU support during the pandemic had kept unemployment at bay, averting the widescale collapse of businesses. In step wi

19 December 2022
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The European Pillar of Social Rights states that ‘everyone has the right to affordable long-term care services of good quality, in particular home-care and community-based services’. Taking a step to make this principle a reality, the European Commission is currently preparing a European Care Strate

5 May 2022
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The pandemic has had differential impacts on women. Raised consciousness about them must be applied to advance gender equality in recovery measures. All crises have a strongly gendered impact and none more so than the current pandemic, across a range of indicators. While the virus itself seems to ta

28 April 2021
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Healthcare providers have been overwhelmed by the demand for COVID-19-related care. Medical appointments and treatments for other conditions have often been delayed, potentially leading to escalating health problems and greater future care needs among those who have missed out. If the pandemic leads

18 January 2021
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An ageing Europe and rising public expenditure on long-term care have signalled for some time that the fundamentals of care provision need to be addressed. However, the shocking death toll in care homes during the COVID-19 pandemic and the fact that many long-term care services were ill-equipped to

2 December 2020
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‘Digital transformation’ has been a buzzword in policy circles for some time now, and commitments to making it work for citizens, business and society as whole abound. Brussels has been no exception – the European Commission presented its data and artificial intelligence (AI) strategies in February

23 April 2020
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In this blog piece, originally published in Social Europe, Eurofound Research Officer Daniel Molinuevo looks at the service providers delivering long-term care to older people in Europe.

18 January 2018
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Austerity measures introduced during the crisis have disproportionately concerned cuts in the measures that are most vital for reducing child poverty: cash and tax benefits, a new Eurofound report shows. Furthermore, there has been a move away from universal coverage towards more targeted support. O

3 February 2016
Upcoming publications results (1)

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