Groenewegen, P. [Promotor]Broese Van Groenou, M.I. [Promotor

van Wieringen, M.

English

Wieringen, M. van

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“Care is not just about care anymore”: Micro-level responses to institutional complexity and change in the Dutch home-care sector

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VU Research Portal“Care is not just about care anymore”van Wieringen, M.2019document versionPublisher's PDF, also known as Version of recordLink to publication in VU Research Portalcitation for published version (APA)van Wieringen, M. (2019). “Care is not just about care anymore”: Micro-level responses to institutionalcomplexity and change in the Dutch home-care sector.General rightsCopyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright ownersand it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.            • Users may download and print one copy of any publication from the public portal for the purpose of private study or research.            • You may not further distribute the material or use it for any profit-making activity or commercial gain            • You may freely distribute the URL identifying the publication in the public portal ?Take down policyIf you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediatelyand investigate your claim.E-mail address:vuresearchportal.ub@vu.nlDownload date: 14. Sep. 2021The Dutch home-care sector is best characterized as a complex and dynamic institutional environment. Institutional complexity particularly comprises the co-existence of a professional care logic and a logic of managed care. Whereas the professional care logic reflects values and practices such as client-centeredness, professional autonomy, competence and effectiveness, the logic of managed care is characterized by values and practices such as accountability, control, efficiency, transparency, and standardization. While both logics have been influencing the (organization of the) caregiving process, over time, the Dutch home-care sector has seen institutional change, involving (incremental) shifts in the relative dominance of these logics. In essence, the co-existence of a professional care logic and a logic of managed care, and their shifting dominance has considerably affected the nature and essence of the work of people working in the home-care sector. This dissertation explores and explains how managers and nurses in the Dutch home-care sector have perceived and acted upon institutional complexity and change. In so doing, it unravels actors’ perceptions and experiences, and how these are informed by the co-existing institutional logics. Thereby, this dissertation captures how and why people respond and act in particular ways in a complex and changing institutional environment. “Care is not just about care anymore”Marieke van Wieringen“Care is not just about care anymore”Micro-level responses to institutional complexity and change in the Dutch home-care sector Marieke van WieringenThe Dutch home-care sector is best characterized as a complex and dynamic institutional environment. Institutional complexity particularly comprises the co-existence of a professional care logic and a logic of managed care. Whereas the professional care logic reflects values and practices such as client-centeredness, professional autonomy, competence and effectiveness, the logic of managed care is characterized by values and practices such as accountability, control, efficiency, transparency, and standardization. While both logics have been influencing the (organization of the) caregiving process, over time, the Dutch home-care sector has seen institutional change, involving (incremental) shifts in the relative dominance of these logics. In essence, the co-existence of a professional care logic and a logic of managed care, and their shifting dominance has considerably affected the nature and essence of the work of people working in the home-care sector. This dissertation explores and explains how managers and nurses in the Dutch home-care sector have perceived and acted upon institutional complexity and change. In so doing, it unravels actors’ perceptions and experiences, and how these are informed by the co-existing institutional logics. Thereby, this dissertation captures how and why people respond and act in particular ways in a complex and changing institutional environment. “Care is not just about care anymore”Marieke van Wieringen“Care is not just about care anymore”Micro-level responses to institutional complexity and change in the Dutch home-care sectorMarieke van Wieringen

“Care is not just about care anymore”:Micro-level responses to institutional complexity and change in the Dutch home-care sector

https://research.vu.nl/ws/files/78516904/abstract%20english.pdf

“Care is not just about care anymore”:Micro-level responses to institutional complexity and change in the Dutch home-care sector

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