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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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