La politique de soutien aux personnes âgées dépendantes
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Abstract EN:
The 1982 census in france revealed an increase in elderly people above the age of 65. Among those who were over 85, a quarter were no longer autonomous since 1945, the french government has taken measures to equip services to take charge of the whole of the aging population and not merely those in need. At the same time, obligatory retirement pension schemes have been enacted for all professional categories. This public policy for the aging population has taken shape progressively. It is applied by public collective services, by the national health service, by private organizations and associations approved, or by private initiative. These means of support are based on maintenance in the home or in state welfare homes. Since 1980, there has been an increased awareness of the need to take complementary measures to meet the particular needs of old people who have become dependent. The solutions are not altogether satisfactory and need to be improved. This research has focused on the administrative, legal and financial aspects of the problem. The evolutionary character of the legislation and institutions has been underlined, especially since the population is counting on the public services to take over the traditional means of support which were the family and private works (. . . )
Abstract FR:
Le recensement de 1982 revela en france l'augmentation du nombre des personnes agees de plus de 65 ans. Parmi celles qui depassaient 85 ans, un quart perdaient leur autonomie. Depuis 1945, le gouvernement a cree des equipements et des services destines a l'ensemble de la population agee et non plus aux seuls indigents. En meme temps des regimes obligatoires de retraite se sont developpes pour toutes les categories professionnelles. Cette politique publique de la vieillesse s'est elaboree progressivement. Elle est appliquee par les collectivites publiques, la securite sociale, les organismes prives conventionnes et par des initiatives individuelles. Ces modalites de soutien sont axees sur le maintien a domicile et sur le sejour en etablissements sanitaires ou sociaux. Depuis 1980, l'on a compris que des mesures complementaires etaient necessaires pour repondre a l'etat particulier des personnes agees dependantes. Les solutions sont encore imparfaites et des progres restent a accomplir. Cette these porte sur les aspects administratifs, juridiques et financiers du probleme. Le caractere evolutif de la legislation et des institutions a ete souligne, d'autant que la population compte sur les pouvoirs publics pour prendre le relai des moyens d'aide traditionnels : la famille et les oeuvres privees. Une politique efficace de soutien aux personnes agees dependantes exige des services, des equipements, des institutions adaptes ainsi qu'un personnel (. . . )