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Qualitative Health Research
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A Comparative Study of Dementia Care in England and the Netherlands Using Neo-Institutionalist Perspectives

Susanne Kümpers

Social Science Research Center, Berlin, Germany

Ingrid Mur

Hans Maarse

Arno van Raak

Department of Health Organisation, Policy and Economics, University of Maastricht, the Netherlands

In this article, the authors compare dementia care in England and the Netherlands. They used qualitative methods to explore recommended standards of service provision and perceived achievements in mainstream care. They found some similarities in recommended standards and in major shortcomings in mainstream services: notably, weaknesses of generic services in supporting patients and carers, and failure to achieve integrated care. Priorities regarding service provision differed. Whereas in England, a social model of care was used to encourage empowerment of both the person with dementia and the carer, Dutch care professionals focused more on "warm care concepts" and on support of the carer rather than the patient. The balance between community care and institutional care also differed. The authors used neo-institutionalist concepts to explore these similarities and differences as embedded in the (historically developed) structural and cultural contexts of the respective health and social care systems.

Key Words: dementia care • social model of care • England • the Netherlands • cross-national comparative research • neo-institutionalism

Qualitative Health Research, Vol. 15, No. 9, 1199-1230 (2005)
DOI: 10.1177/1049732305276730
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[Abstract] [PDF]