Structure in care communities How structure in a care community influences collaboration between actors

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2024-06-21

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en

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Demographic developments on a national scale in combination with a labour shortage in the Dutch care sector have increased the difficulty to organise long-term care for elderly people. Despite several reforms in the care system, enormous pressure has emerged on informal caregivers. Furthermore, elderly people are increasingly faced with a lack of social inclusion. In order to counter these issues, care communities have emerged as a new way of organising long-term care. Care communities are able to promote active ageing, whilst keeping care affordable. Care communities encompass a wide range of actors and forms. Therefore, this thesis aimed to analyse the relationship between a care community structure and the collaboration between actors. In order to analyse this relationship, a multiple-case study was conducted, in which two care communities were compared alongside four dimensions of structure: unit grouping, decentralisation, job specialisation and formalisation (Vriens et al., 2018). Semi-structured interviews were conducted with those involved in organising and living in care communities. The results indicated that a care community 1) should enable actors to collaboratively reflect on collaboration goals 2) should support a bottom-up participation in community building 3) generally benefits from a low level of job specialisation 4) benefits from a low level of formalisation. Thereby, the thesis provides the reader with some fundamental aspects of a community-based form of organising in the context of care communities. Future research could focus on how a community structure develops over time.

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Faculteit der Managementwetenschappen