Coexisting principles and logics of elder care

Help to self-help and consumer-oriented service?

Hanne Marlene Dahl, Leena Eskelinen, Eigil Boll Hansen

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

Healthy and active ageing has become an ideal in Western societies. In the Nordic countries, this ideal has been supported through a policy of help to self-help in elder care since the 1980s. However, reforms inspired by New Public Management (NPM) have introduced a new policy principle of consumer-oriented service that stresses the wishes and priorities of older people. We have studied how these two principles are applied by care workers in Denmark. Is one principle or logic replacing the other, or do they coexist? Do they create tensions between professional knowledge and the autonomy of older people? Using neo-institutional theory and feminist care theory, we analysed the articulation of the two policy principles in interviews and their logics in observations in four local authorities. We conclude that help to self-help is the dominant principle, that it is deeply entrenched in the identity of the professional care worker and that it coexists with consumer-oriented service and without major tensions in the logics identified in their practices.
OriginalsprogEngelsk
TidsskriftInternational Journal of Social Welfare
Vol/bind24
Udgave nummer3
Sider (fra-til)287-295
Antal sider20
ISSN1369-6866
DOI
StatusUdgivet - 19 jun. 2015

Emneord

  • home help, elderly care, re-ablement, consumer-oriented service, self-determination

Citer dette

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abstract = "Healthy and active ageing has become an ideal in Western societies. In the Nordic countries, this ideal has been supported through a policy of help to self-help in elder care since the 1980s. However, reforms inspired by New Public Management (NPM) have introduced a new policy principle of consumer-oriented service that stresses the wishes and priorities of older people. We have studied how these two principles are applied by care workers in Denmark. Is one principle or logic replacing the other, or do they coexist? Do they create tensions between professional knowledge and the autonomy of older people? Using neo-institutional theory and feminist care theory, we analysed the articulation of the two policy principles in interviews and their logics in observations in four local authorities. We conclude that help to self-help is the dominant principle, that it is deeply entrenched in the identity of the professional care worker and that it coexists with consumer-oriented service and without major tensions in the logics identified in their practices.",
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Coexisting principles and logics of elder care : Help to self-help and consumer-oriented service? / Dahl, Hanne Marlene; Eskelinen, Leena; Boll Hansen, Eigil.

I: International Journal of Social Welfare, Bind 24, Nr. 3, 19.06.2015, s. 287-295.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

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N2 - Healthy and active ageing has become an ideal in Western societies. In the Nordic countries, this ideal has been supported through a policy of help to self-help in elder care since the 1980s. However, reforms inspired by New Public Management (NPM) have introduced a new policy principle of consumer-oriented service that stresses the wishes and priorities of older people. We have studied how these two principles are applied by care workers in Denmark. Is one principle or logic replacing the other, or do they coexist? Do they create tensions between professional knowledge and the autonomy of older people? Using neo-institutional theory and feminist care theory, we analysed the articulation of the two policy principles in interviews and their logics in observations in four local authorities. We conclude that help to self-help is the dominant principle, that it is deeply entrenched in the identity of the professional care worker and that it coexists with consumer-oriented service and without major tensions in the logics identified in their practices.

AB - Healthy and active ageing has become an ideal in Western societies. In the Nordic countries, this ideal has been supported through a policy of help to self-help in elder care since the 1980s. However, reforms inspired by New Public Management (NPM) have introduced a new policy principle of consumer-oriented service that stresses the wishes and priorities of older people. We have studied how these two principles are applied by care workers in Denmark. Is one principle or logic replacing the other, or do they coexist? Do they create tensions between professional knowledge and the autonomy of older people? Using neo-institutional theory and feminist care theory, we analysed the articulation of the two policy principles in interviews and their logics in observations in four local authorities. We conclude that help to self-help is the dominant principle, that it is deeply entrenched in the identity of the professional care worker and that it coexists with consumer-oriented service and without major tensions in the logics identified in their practices.

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