Decentralisation of long-term care in the Netherlands: the case of day care at green care farms for people with dementia

Stéphanie J. M. Nowak, Claudia C. M. Molema, C.A. Baan, Simon J. Oosting, Lenneke Vaandrager, Peter Hop, Simone R. De Bruin

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Responsibility for health and social care services is being delegated from central to local authorities in an increasing number of countries. In the Netherlands, the planned transfer of responsibility for day care for people with dementia from the central government to municipalities is a case in point. The impacts of this decentralisation process for innovative care concepts such as day care at green care farms are largely unknown. We therefore interviewed representatives of municipalities and green care farms to explore what consequences they expected of decentralisation for their organisations and people with dementia. Our study shows that communication and collaboration between municipalities and green care farms is relatively limited. Consequently, municipalities are insufficiently aware of how green care farms can help them to perform their new tasks and green care farmers know little about what municipalities expect from them in the new situation. We therefore recommend that municipalities and green care farms keep each other informed about their responsibilities, duties and activities to ensure a tailored package of future municipal services for people with dementia.
Original languageEnglish
Pages (from-to)704-724
JournalAgeing & Society
Volume35
Issue number04
DOIs
Publication statusPublished - 2015

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Long-Term Care
Netherlands
Farms
Communication
Organizations
Delivery of Health Care

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Nowak, Stéphanie J. M. ; Molema, Claudia C. M. ; Baan, C.A. ; Oosting, Simon J. ; Vaandrager, Lenneke ; Hop, Peter ; De Bruin, Simone R. / Decentralisation of long-term care in the Netherlands: the case of day care at green care farms for people with dementia. In: Ageing & Society. 2015 ; Vol. 35, No. 04. pp. 704-724.
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abstract = "Responsibility for health and social care services is being delegated from central to local authorities in an increasing number of countries. In the Netherlands, the planned transfer of responsibility for day care for people with dementia from the central government to municipalities is a case in point. The impacts of this decentralisation process for innovative care concepts such as day care at green care farms are largely unknown. We therefore interviewed representatives of municipalities and green care farms to explore what consequences they expected of decentralisation for their organisations and people with dementia. Our study shows that communication and collaboration between municipalities and green care farms is relatively limited. Consequently, municipalities are insufficiently aware of how green care farms can help them to perform their new tasks and green care farmers know little about what municipalities expect from them in the new situation. We therefore recommend that municipalities and green care farms keep each other informed about their responsibilities, duties and activities to ensure a tailored package of future municipal services for people with dementia.",
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Decentralisation of long-term care in the Netherlands: the case of day care at green care farms for people with dementia. / Nowak, Stéphanie J. M.; Molema, Claudia C. M.; Baan, C.A.; Oosting, Simon J.; Vaandrager, Lenneke; Hop, Peter; De Bruin, Simone R.

In: Ageing & Society, Vol. 35, No. 04, 2015, p. 704-724.

Research output: Contribution to journalArticleScientificpeer-review

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AU - Nowak, Stéphanie J. M.

AU - Molema, Claudia C. M.

AU - Baan, C.A.

AU - Oosting, Simon J.

AU - Vaandrager, Lenneke

AU - Hop, Peter

AU - De Bruin, Simone R.

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AB - Responsibility for health and social care services is being delegated from central to local authorities in an increasing number of countries. In the Netherlands, the planned transfer of responsibility for day care for people with dementia from the central government to municipalities is a case in point. The impacts of this decentralisation process for innovative care concepts such as day care at green care farms are largely unknown. We therefore interviewed representatives of municipalities and green care farms to explore what consequences they expected of decentralisation for their organisations and people with dementia. Our study shows that communication and collaboration between municipalities and green care farms is relatively limited. Consequently, municipalities are insufficiently aware of how green care farms can help them to perform their new tasks and green care farmers know little about what municipalities expect from them in the new situation. We therefore recommend that municipalities and green care farms keep each other informed about their responsibilities, duties and activities to ensure a tailored package of future municipal services for people with dementia.

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