Health in shrinking regions. Breaking the downward spiral of shrinkage, socio-socioeconomic
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2020-01-07
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en
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Although the total world population grows, many regions in the world are faced with the opposite: demographic decline. The Netherlands, despite an overall demographic growth, has got multiple regions with a declining population. A shrinking and aging population brings a unique set of problems, creating a downward spiral between a shrinking population, lowering socio-economic status and deteriorating health. Simultaneously, decentralization of government tasks increased the need for self-management and participation, without a clear understanding of whether or not all layers of society are able to meet this demand. The aim of this thesis is to provide a framework of action to intervene in this spiral and improve the general health standard for shrinking regions. To create this framework, a qualitative study has been carried out. Analysis showed that although participation plays a central role in healthcare policy, there is no clear definition of participation, which makes setting goals and expectations very difficult. Defining what is meant with participation improves the ability to set goals and expectations, increasing the chances of successful participation. Additional interventions include a more integrated and long term approach to healthcare, combining functions and interventions to serve multiple purposes and changing the approach to healthcare prevention.
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Faculteit der Managementwetenschappen