Young seniors, aged between 60 and 75, residing in establishments for the elderly are generally in a situation of greater vulnerability than those residing at home, underlines a study published on Friday.
“
People under the age of 75 in institutions have (…) particularly significant limitations for their age, while the oldest residents have sensory and physical limitations close to people living at home
”, underlines this study of the Drees, the statistical service of the social ministries.
This observation "
partly explains the particularly high rate of people under legal protection in establishments, more than two-thirds for residents under 75 years of age
", it is added.
This work is based on surveys conducted in 2015 and 2016 among people aged 60 or over residing in metropolitan France, at home or in institutions for the elderly.
In total, about 4% of this population lived in a reception establishment over the period studied, ie nearly 600,000 people.
More generally, “
the main specificities of nursing home residents are (…) the relative social isolation of the youngest, the fact that a quarter of them are under legal protection, the very high prevalence of cognitive disorders and motors
“, points out this study again.
108,000 additional elderly people in institutions by 2030
The comparison between the situation of seniors in establishments and at home "
makes it possible to specify the concrete conditions of possibility of a significant, even total, stay at home of the current public in Ehpad
", explains the DREES, stressing that the results of the study “
question public policies
” in several respects.
It recalls that it would be necessary to be able to accommodate 108,000 additional elderly people in institutions by 2030, if the proportion of people residing in institutions remained unchanged at each age and at each degree of loss of autonomy.
"
However, the current policy is not oriented towards the massive development of new places in institutions, but rather a residential shift motivated by the wish to stay at home expressed by a majority of elderly people
, ”points out the study.
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With this in mind, “
the economic and social conditions for keeping them at home and supporting their autonomy must be anticipated with regard to the characteristics
” described in the study, these “
implying in particular the existence and economic viability of 'an important home care sector
'.
These services are understood in the broad sense: household help, meals, washing, but also medical and paramedical care at home corresponding to the tasks performed today by the health staff of nursing homes.