Balancing Needs Amid System Gaps: Expert Perspectives on Home-Based Dementia Care with Migrant Caregivers in Israel

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Publication Details

Journal
Journal of Aging & Social Policy
Published
2026-09-17
DOI
https://doi.org/10.1080/08959420.2026.2733657
Primary Topic
Dementia and Cognitive Impairment Research
Type
article
Field-Weighted Citation Impact
0.00

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article

Balancing Needs Amid System Gaps: Expert Perspectives on Home-Based Dementia Care with Migrant Caregivers in Israel

Milena von Kutzleben, Mark Schweda, Natalie Ulitsa, Liat Ayalon et al.
Journal of Aging & Social Policy
Dementia and Cognitive Impairment Research
article

Balancing Needs Amid System Gaps: Expert Perspectives on Home-Based Dementia Care with Migrant Caregivers in Israel

Milena von Kutzleben, Mark Schweda, Natalie Ulitsa, Liat Ayalon, Anna-Eva Nebowsky
article en

Abstract

In Israel, home-based dementia care increasingly depends on migrant live-in caregivers. While enabling aging in place with continuity and personalized care, this arrangement creates significant legal, ethical, and emotional challenges. This qualitative study draws on interviews with 14 Israeli meso-level experts, operating at the intersection of policy and practice, to explore their perceptions of the current arrangement. The analysis reveals a deeply ambivalent stance: migrant live-in caregiving is viewed as functionally indispensable yet structurally flawed, often described as "the least bad solution" within a constrained long-term care system. While benefits for care recipients are acknowledged, concerns about caregiver exploitation, precarious legal conditions, and emotional strain are raised. Recommendations span personal, community, and policy levels, emphasizing person-centered care, improved support and training, and systemic reform. The findings underscore the need for coordinated structural reform to ensure a more equitable and sustainable approach to dementia care.

Journal of Aging & Social Policy
Carl von Ossietzky Universität Oldenburg (DE), Bar-Ilan University (IL)
Volkswagen Foundation
Reduced inequalities
Openalex Percentile: Top 10%
Dementia and Cognitive Impairment Research
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