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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

Published online by Cambridge University Press:  16 December 2013

STÉPHANIE J. M. NOWAK ,
CLAUDIA C. M. MOLEMA ,
CAROLINE A. BAAN ,
SIMON J. OOSTING ,
LENNEKE VAANDRAGER ,
PETER HOP  and
SIMONE R. DE BRUIN
STÉPHANIE J. M. NOWAK
Affiliation:
Centre for Nutrition, Prevention, and Health Services, National Institute for Public Health and the Environment, Bilthoven, The Netherlands.
CLAUDIA C. M. MOLEMA
Affiliation:
Centre for Nutrition, Prevention, and Health Services, National Institute for Public Health and the Environment, Bilthoven, The Netherlands.
CAROLINE A. BAAN
Affiliation:
Centre for Nutrition, Prevention, and Health Services, National Institute for Public Health and the Environment, Bilthoven, The Netherlands.
SIMON J. OOSTING
Affiliation:
Animal Production Systems Group, Department of Animal Sciences, Wageningen University and Research Centre, The Netherlands.
LENNEKE VAANDRAGER
Affiliation:
Animal Production Systems Group, Department of Animal Sciences, Wageningen University and Research Centre, The Netherlands.
PETER HOP
Affiliation:
LEAS bureau voor zorgvernieuwing, Zoetermeer, The Netherlands.
SIMONE R. DE BRUIN*
Affiliation:
Centre for Nutrition, Prevention, and Health Services, National Institute for Public Health and the Environment, Bilthoven, The Netherlands.
*
Address for correspondence: Simone R. de Bruin, Centre for Nutrition, Prevention, and Health Services, National Institute for Public Health and the Environment, PO Box 1, 3720 BA Bilthoven, The Netherlands. E-mail: simone.de.bruin@rivm.nl or srdebruin@hotmail.com
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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.

Keywords

day caredecentralisationdementiagreen care farmsmunicipalitiessocial participation
Type
Articles
Information
Ageing & Society , Volume 35 , Issue 4 , April 2015 , pp. 704 - 724
Copyright
Copyright © Cambridge University Press 2013 

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References

Boeije, H. 2005. Analysing in Qualitative Research. Boom Lemma, The Hague. (In Dutch).Google Scholar
Bossert, T., Larranaga, O. and Giedion, U. 2003. Decentralization and equity from resource allocation: evidence from Colombia and Chile. Bulletin of the World Health Organization, 81, 1, 95–100.Google Scholar
De Bruin, S. R., Oosting, S. J., Enders-Slegers, M. J. and Schols, J. M. G. A. 2012. Farming for health – exploring the benefits of green care farms for dementia patients in the Netherlands. In Gilliard, J. and Marshall, M. (eds), Transforming the Quality of Life for People with Dementia Through Contact with the Natural World – Fresh Air on My Face. Jessica Kingsley Publishers, London, 72–85.Google Scholar
De Bruin, S. R., Oosting, S. J., Kuin, Y., Hoefnagels, E. C. M., Blauw, Y. H., De Groot, L. C. P. G. M. and Schols, J. M. G. A. 2009. Green care farms promote activity among elderly people with dementia. Journal of Housing for the Elderly, 23, 4, 368–89.Google Scholar
De Bruin, S. R., Oosting, S. J., Tobi, H., Blauw, Y. H., Schols, J. M. G. A. and De Groot, C. P. G. M. 2010 a. Day care at green care farms: a novel way to stimulate dietary intake of community-dwelling older people with dementia? Journal of Nutrition, Health & Aging, 14, 5, 352–7.Google Scholar
De Bruin, S. R., Oosting, S. J., van der Zijpp, A. J., Enders-Slegers, M. J. and Schols, J. M. G. A. 2010 b. The concept of green care farms for older people with dementia: an integrative framework. Dementia, 9, 1, 79–128.Google Scholar
Dutch Alzheimer's Association 2011. Estimated Number of People with Dementia per Municipality (2010–2040). Dutch Alzheimer's Association, Bunnik, The Netherlands. Available online at http://www.zorgvisie.nl/pagefiles/76793/003_rbiadam-download-zvs12259d02.pdf (In Dutch) [Accessed 6 August 2012].Google Scholar
Dutch Federation of Agriculture and Care 2012. Client Groups. Dutch Federation of Agriculture and Care (FLZ), Voorthuizen, The Netherlands. Available online at http://www.landbouwzorg.nl/index.php?pagid=55&hb=72 (In Dutch) [Accessed 12 May 2012].Google Scholar
Dutch Ministry of Health, Welfare and Sport 2013. Letter About Pilot Studies ‘Better Care at Lower Cost’. Letter of E.I. Schippers (Minister of Health, Welfare, and Sport) to the Chair of the Dutch Parliament, 23 April. Dutch Ministry of Health, Welfare and Sport, The Hague, The Netherlands. Available online at http://www.rijksoverheid.nl/documenten-en-publicaties/kamerstukken/2013/04/23/kamerbrief-over-proeftuinen-en-pilots-betere-zorg-met-minder-kosten.html (In Dutch) [Accessed 27 May 2013].Google Scholar
Edzes, Arjen J. E., Broersma, L. and van Dijk, J. 2012. Have Dutch municipalities become more efficient in managing the cost of social assistance dependency? Journal of Regional Science, Doi: 10.1111/j.1467-9787.2012.00762.x (published online 16 04 2012).Google Scholar
Elings, M. 2012. Effects of Care Farms. Scientific Research on the Benefits of Care Farms for Clients. Taskforce Multifunctional Agriculture and Plant Research International (Wageningen UR), Zegveld, The Netherlands. Available online at http://landbouwzorg.nl/files/Effectstudie-zorglandbouw_TaskforceMultifunctioneleLb.pdf (In Dutch) [Accessed 10 June 2012].Google Scholar
Ernst & Young Advisory and Trimbos Institute 2012. The Value of Green Care Farming. Societal Businesscase for Day Care by Green Care Farms. Ernst & Young Advisory and Trimbos Institute, Utrecht, The Netherlands. Available online at http://www.rijksoverheid.nl/documenten-en-publicaties/rapporten/2012/08/23/de-zin-van-zorglandbouw-maatschappelijke-businesscase-dagbesteding-door-zorgboerderijen.html (In Dutch) [Accessed 27 November 2012].Google Scholar
European Commission 2009 a. 2009 Ageing Report: Economic and Budgetary Projections for the EU-27 Member States (2008–2060). Directorate-General for Economic and Financial Affairs of the European Commission, Brussels. Available online at http://ec.europa.eu/economy_finance/publications/publication14992_en.pdf [Accessed 28 May 2012].Google Scholar
European Commission 2009 b. Report of the Ad Hoc Expert Group on the Transition from Institutional to Community-based Care. European Commission – Directorate-General for Employment, Social Affairs and Equal Opportunities. Available online at http://ec.europa.eu/social/main.jsp?langId=en&catId=89&newsId=614&furtherNews=yes [Accessed 28 May 2012].Google Scholar
Hacker, B. 2009. Hybridization instead of clustering: transformation processes of welfare policies in Central and Eastern Europe. Social Policy and Administration, 43, 2, 152–69.Google Scholar
Hassink, J., Elings, M., Zweekhorst, M., Van Den Nieuwenhuizen, N. and Smit, A. 2010. Care farms in the Netherlands: attractive empowerment-oriented and strengths-based practices in the community. Health and Place, 16, 423–30.Google Scholar
Hassink, J., Grin, J. and Hulsink, W. 2013. Multifunctional Agriculture Meets Health Care: Applying the Multi-Level Transition Sciences Perspective to Care Farming in the Netherlands. Sociologia Ruralis, 53, 2, 223–245.Google Scholar
Hassink, J., Zwartbol, C., Agricola, H. J., Elings, M. and Thissen, J. T. N. M. 2007. Current status and potential of care farms in the Netherlands. NJAS Wageningen Journal of Life Sciences, 55, 1, 21–36.Google Scholar
Haubenhofer, D., Elings, M., Hassink, J. and Hine, R. 2010. The development of green care in Western European countries. Explore, 6, 2, 106–11.Google Scholar
Hine, R., Peacock, J. and Pretty, J. 2008. Care farming in the UK: contexts, benefits and links with therapeutic communities. Therapeutic Communities, 29, 3, 245–60.Google Scholar
Kroneman, M., Cardol, M. and Friele, R. 2012. (De)centralization of social support in six Western European countries. Health Policy, 106, 1, 76–87.Google Scholar
Netherlands Institute for Social Research 2010. Evaluation of the Social Support Act 2007–2009. Netherlands Institute for Social Research, The Hague. Available online at http://www.scp.nl/Publicaties/Alle_publicaties/Publicaties_2010/Op_weg_met_de_Wmo (In Dutch) [Accessed 4 April 2012].Google Scholar
Norwegian Ministry of Health and Care Services 2009. The Coordination Reform. Proper Treatment – At the Right Place and Right Time. Norwegian Ministry of Health and Care Services. Available online at http://www.regjeringen.no/upload/HOD/Dokumenter%20INFO/Samhandling%20engelsk_PDFS.pdf [Accessed 3 September 2012].Google Scholar
Pavolini, E. and Vacarelli, G. 2012. Is decentralization good for your health? Transformations in the Italian NHS. Current Sociology, 60, 4, 472–88.CrossRefGoogle Scholar
Potting, M. 2009. Changing social responsibilities: the role of advocacy organizations in the construction of the Social Support Act in the Netherlands. European Journal of Social Work, 12, 2, 169–83.CrossRefGoogle Scholar
Putters, K., Grit, K., Janssen, M., Schmidt, D. and Meurs, P. 2010. Governance of Local Care & Social Service: An Evaluation of the Implementation of the Wmo in the Netherlands. Erasmus University Rotterdam, Rotterdam, The Netherlands. Available online at http://repub.eur.nl/res/pub/21240/Microsoft%20Word%20-%20Governance%20of%20local%20careSchoon%20versie5.pdf [Accessed 5 April 2012].Google Scholar
Raymond, E., Sévigny, A., Tourigny, A., Vézina, A., Verreault, R. and Guilbert, A. C. 2013. On the track of evaluated programmes targeting the social participation of seniors: a typology proposal. Ageing & Society, 33, 2, 267–96.Google Scholar
Rudkjøbing, A., Olejaz, M., Birk, H., Nielsen, A., Hernández-Quevedo, C. and Krasnik, A. 2012. Integrated care: a Danish perspective. British Medical Journal, 345, 7867, e4451.Google Scholar
Saltman, R. and Bankauskaite, V. 2006. Conceptualizing decentralization in European health systems: a functional perspective. Health Economics, Policy and Law, 1, 127–47.Google Scholar
Saltman, R., Bankauskaite, V. and Vrangbaek, K. 2007. Decentralization in Health Care: Strategies and Outcomes. European Observatory on Health Systems and Policies. Available online at http://www.euro.who.int/en/publications/abstracts/decentralization-in-health-care.-strategies-and-outcomes [Accessed 1 November 2012].Google Scholar
Schäfer, W., Kroneman, M., Boerma, W., Van Den Berg, M., Westert, G., Devillé, W. and Van Ginneken, E. 2010. The Netherlands – Health System Review. World Health Organization, on behalf of the European Observatory on Health Systems and Policies, Copenhagen. Available online at http://www.euro.who.int/__data/assets/pdf_file/0008/85391/E93667.pdf [Accessed 12 May 2012].Google ScholarPubMed
Singh, N. 2008. Decentralization and public delivery of healthcare services in India. Health Affairs, 27, 4, 991–1001.Google Scholar
Span, K. 2012. Network governance roles – descriptions, identifications and predictions. PhD Thesis, Tilburg University, Tilburg, The Netherlands. Available online at http://arno.uvt.nl/show.cgi?fid=122710 [Accessed 10 January 2013].Google Scholar
Statistics Netherlands 2011. Demographic Key Figures per Municipality. Statistics Netherlands, The Hague. Available online at http://www.cbs.nl/nl-NL/menu/themas/bevolking/publicaties/publicaties/archief/2011/2011-b55-pub.htm (In Dutch) [Accessed 12 May 2012].Google Scholar