Devaux, Camille

Departmental inequalities in access to “résidences autonomie” - 2020.


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At the end of 2018, 120,000 elderly people in France lived in “résidences autonomie” (RAs). RAs allow residents to have private accommodation while benefiting from shared spaces and services. Formerly known as logements-foyers, RAs were reformed by the ASV law, which assigns them the role of preserving residents’ autonomy. Yet little has been written about RAs. This article seeks to fill this void, starting by looking at inequalities. How are RAs distributed across France? Is this available supply financially accessible? How do departments, leaders in social action, position themselves regarding these inequalities? A qualitative approach through interviews and documentary analysis was adopted, coupled with statistical analyses based on the national directory of health and social establishments (FINESS) and an unprecedented database of institutions’ price lists. This enabled a comprehensive territorial diagnosis to be made, showing that the territorial distribution of RAs is uneven and that prices do not always vary according to the supply of services. Departmental policies on RAs are based on very varied commitments and choices across territories, which contributes to reinforcing inequalities between elderly people according to their place of living.