‘Self-management’ and ‘Ageing in place’, Collaborative planning in a local care-context

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2012-08
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en
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Because of the expected growth of the (expensive) demand for health care a social-geographical shift in the organization and thought on elderly healthcare has gained ground in the Netherlands. This shift is expressed in the general concept of ‘Ageing in place’. Instead of caring for elderly in expensive centralized retirement homes, care is brought to the homes of the elderly. Hereby saving costs and providing even better elderly healthcare. This current Dutch idea of ‘ageing in place’ has lead to several local projects in which several actors (mainly local care-organizations, housing organisations, municipalities and welfare-associations) had to collaborate in order to supply local ‘care-arrangements’. To get a better insight in how (and if) the ‘ageing in place approach’ contributes to health, well-being and a reduction of societal health costs a national research project has been initiated. A large comparative study of ten local projects and four ‘control areas’ has been accommodated and initiated by the SEV (a Dutch ‘experimental housing steering group’) in cooperation with the Radboud University Nijmegen, the University Medical Centre Groningen (UMCG) and the HAN University of applied sciences. The studied projects are referred to as ‘test-gardens’ in this thesis. A test-garden’ is a neighbourhood in which the optimal conditions are to be provided in order for inhabitants to live ‘independently’ in their own homes for as long as possible, despite the discomforts that come with age.
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Faculteit der Managementwetenschappen