The barriers to sustaining and scaling-up housing experiments in community-care: the Dutch experience

Hendrik Cramer (Department of Construction Management and Engineering, Twente University, Enschede, The Netherlands)
Hans Voordijk (Department of Construction Management & Engineering, University of Twente, Enschede, Netherlands)
Geert Dewulf (Department of Construction Management and Engineering, Twente University, Enschede, The Netherlands)

Housing, Care and Support

ISSN: 1460-8790

Publication date: 21 December 2015

Abstract

Purpose

The purpose of this paper is to provide new insights into barriers to sustaining and scaling-up housing and community-care innovations related to changing the long-term care (LTC) system.

Design/methodology/approach

Two housing and community-care experiments were studied. The 11 barriers and four core themes identified to the scaling-up of these experiments were analysed using the three theoretical concepts from the transitions literature: shielding, nurturing, and empowering innovations.

Findings

The barriers included shielding through subsidies without having organizational or political commitment, nurturing networks that underestimated the size of the housing and community-care innovations, and a failed empowerment because of regulatory uncertainty – not knowing the rules of tomorrow and ignoring the reality that it takes time to spread the lessons learnt in experiments.

Research limitations/implications

Housing and community-care innovations need to pay less attention to subsidies and focus more on learning from the experiments, spreading the ideas, and creating commitment from policymakers so that the innovations become empowered.

Originality/value

Empirical insights into the barriers to sustaining and scaling-up housing and community-care innovations into the LTC system are provided and propositions for future transition programmes formulated.

Keywords

Citation

Cramer, H., Voordijk, H. and Dewulf, G. (2015), "The barriers to sustaining and scaling-up housing experiments in community-care: the Dutch experience", Housing, Care and Support, Vol. 18 No. 3/4, pp. 69-79. https://doi.org/10.1108/HCS-02-2015-0003

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Publisher

:

Emerald Group Publishing Limited

Copyright © 2015, Emerald Group Publishing Limited

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