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1 – 10 of 261
Article
Publication date: 3 October 2016

Jan Hassink, John Grin and Willem Hulsink

Care farming is an underexplored example of agricultural diversification. In their process of diversification, care farmers are newcomers to the healthcare sector, facing high…

1903

Abstract

Purpose

Care farming is an underexplored example of agricultural diversification. In their process of diversification, care farmers are newcomers to the healthcare sector, facing high entry barriers and lacking the skills required to build a solid and legitimate presence in this new domain. Changes in the care regime have provided opportunities for new players, like regional organizations of care farmers, to gain access to care budgets. The purpose of this paper is to describe and analyze how strategies designed to establish regional organizations of care farms with similar access to institutional resources unfold and are translated into entrepreneurial behavior, organizational identity and legitimacy, and help provide access to care budgets.

Design/methodology/approach

Using entrepreneurship, identity formation and legitimacy building as guiding concepts, the authors interviewed stakeholders and analyzed activities and documents to gain a broad perspective with regard to the organizations, skills and activities.

Findings

The authors identified two types of regional care farm organizations: a cooperative and a corporate type. While the corporate type clearly exhibited entrepreneurial behavior, leading to a trustful and appealing organizational identity, substantial fund-raising and an early manifestation of institutional and innovative legitimacy in the care sector, the cooperative type initially lacked entrepreneurial agency, which in turn led to a lack of legitimacy and a slow development toward a more professional market-oriented organization. Manifesting entrepreneurial behavior and strategically aligning the healthcare and agricultural sectors, and building up both institutional and innovative legitimacy in the care sector proved to be crucial to the successful development of regional organizations of care farms. This study contributes to existing literature by exploring relationships between entrepreneurial and institutional strategies, legitimacy, organizational identity and logics.

Originality/value

This study contributes to the literature by exploring how in times with changes in institutional logics, strategies to establish new organizations unfold. The authors have shown how differences in strategy to establish new organizations with similar access to institutional resources unfold and are translated into diverging organizational identities and degrees of legitimacy. Entrepreneurial behavior is the key to create a trustful and appealing identity and innovative and institutional legitimacy which is important for providing access to an institutionalized sector.

Details

Journal of Organizational Change Management, vol. 29 no. 6
Type: Research Article
ISSN: 0953-4814

Keywords

Article
Publication date: 8 September 2015

Borbála Kovács

The purpose of this paper is to formulate a conceptually and empirically grounded new understanding of childcare arrangements for cross-national and longitudinal micro-level…

Abstract

Purpose

The purpose of this paper is to formulate a conceptually and empirically grounded new understanding of childcare arrangements for cross-national and longitudinal micro-level empirical research by drawing on theoretical discussions about the social, spatial and temporal dimensions of embodied childcare and empirical data in the form of parental narratives from a Romanian qualitative study.

Design/methodology/approach

The paper builds on a critique of an extensive body of empirical literature on the micro-level organisation of childcare and the thematic analysis of in-depth interviews with Romanian parents. The paper combines a critical literature review with findings from a qualitative study on childcare.

Findings

The paper formulates a new understanding of household-level childcare arrangements that is context-insensitive, yet reflects the social, spatial and temporal concerns that the organisation of embodied childcare often raises. The paper expands on six real-life care arrangements in Romanian households represented as different combinations of care encounters.

Research limitations/implications

As the paper draws on parental narratives from a single country, Romania, the mapping of childcare arrangements in other jurisdictions and/or at different times would strengthen the case for the proposed understanding of care arrangements as a valuable tool to represent, compareand contrast household-level care routines.

Originality/value

The idea that parents (especially mothers) make work-care decisions in the light of what is best for their child has been widely documented. However, taxonomies of care arrangements have failed to reflect this. The proposed conceptualisation of childcare arrangements addresses this issue by articulating a conceptually coherent approach to developing empirically grounded childcare typologies that “travel well” cross-nationally and over time.

Details

International Journal of Sociology and Social Policy, vol. 35 no. 9/10
Type: Research Article
ISSN: 0144-333X

Keywords

Article
Publication date: 21 May 2018

Brigitte Aulenbacher, Fabienne Décieux and Birgit Riegraf

The starting point of the paper is the meteoric rise of care and care work upon the societal and sociological agenda. Referring to Polanyi, the authors argue that this is the…

Abstract

Purpose

The starting point of the paper is the meteoric rise of care and care work upon the societal and sociological agenda. Referring to Polanyi, the authors argue that this is the manifestation of a new phase of capitalist societalisation (Vergesellschaftung) of social reproduction in the form of an economic shift. The purpose of this paper is to discuss the societal organisation of care and care work and questions of inequality and justice.

Design/methodology/approach

The first part of the paper illustrates some facets of the economic shift in the field of care and care work. The second part reconstructs the societal organisation of care and care work in the private sector, state, third sector and private households from the mid-twentieth century in the context of questions of inequality and justice. The third part draws on the institutional logics perspective and French pragmatic sociology and the own case studies on home care agencies (HCA), residential care communities (RCC) and early child care (ECC) in Austria and Germany and shows how conflicting demands give rise to new questions of justice. The paper ends with a short conclusion.

Findings

The paper shows how the commodification and de-commodification of care and care work have changed over time and how the economic shift – illustrated in the case of HCA, RCC and ECC – is accompanied by conflicting demands and questions of justice.

Originality/value

A Polanyian perspective on the relation between market and society is combined with the neo-institutionalist and pragmatic idea that orientations rooted in the “logics” of the market, the state, the family and the profession influence how conflicting demands in elder and child care are dealt with and how questions of inequality and justice arise.

Details

Equality, Diversity and Inclusion: An International Journal, vol. 37 no. 4
Type: Research Article
ISSN: 2040-7149

Keywords

Article
Publication date: 25 May 2012

Sally Denham‐Vaughan and Michael Clark

This paper aims to critically examine the care clusters descriptors now being introduced in mental health care in England and to discuss them in the context of trying to further…

392

Abstract

Purpose

This paper aims to critically examine the care clusters descriptors now being introduced in mental health care in England and to discuss them in the context of trying to further approaches to co‐production (and related concepts), and social inclusion and recovery. The paper seeks to introduce a revised set of cluster descriptors that are more lay friendly and that, hence, would be likely to encourage more service user engagement in care.

Design/methodology/approach

The care cluster descriptors are critically examined within the context of desires to engage service users in care and encourage staff to explicitly consider individual strengths as well as needs, i.e. co‐production of care between active service users and providers.

Findings

The implementation of care clusters and the development of new organisations of care based on these present opportunities to further develop in progressive ways how care is planned and developed. The cluster descriptors, however, are not an ideal basis for this. Being designed for one purpose the descriptors do not encourage thinking about individual strengths nor are they very lay friendly. They are not seen as an ideal basis for more actively engaging individuals in the planning and organisation of their care packages. Hence, revised descriptors felt to be more suited to this are presented.

Practical implications

Furthering more recovery oriented and socially inclusive practice in mental health care requires that each part of the system encourages all individuals involved to think in these ways. As the starting point for thinking about care, it is essential that cluster descriptors also work in this way. Services need to consider how the existing cluster descriptors impact on how individual care is thought of and delivered and consider using revised ones for some purposes, especially for engaging individuals in their care.

Originality/value

The care clusters being introduced in mental health care in England need to support progressive developments in care. This is the first time the cluster descriptors have been critiqued from the perspectives of recovery orientation and co‐production.

Details

Mental Health and Social Inclusion, vol. 16 no. 2
Type: Research Article
ISSN: 2042-8308

Keywords

Book part
Publication date: 30 December 2004

I.L. Bourgeault, S. Lindsay, E. Mykhalovskiy, P. Armstrong, H. Armstrong, J. Choiniere, J. Lexchin, S. Peters and J. White

In the majority of the literature on the social organization of care work, care is often defined in more traditional terms to refer to work on or directly related to the body. In…

Abstract

In the majority of the literature on the social organization of care work, care is often defined in more traditional terms to refer to work on or directly related to the body. In this paper, we would like to venture beyond the body to elaborate upon a particular type of care work – negotiating care – that involves negotiations and sometimes petitions for the purpose of securing care. It is a concept that was salient in a comparative study of the experiences of health care providers with the increasing management of health care in Canada and the United States. For physicians and nurses in both settings we find a sense of the increasing burden of negotiating for care for patients – particularly textually mediated negotiations – as the access to and amount of care is increasingly limited through managed care policies. Moreover, the contexts for these negotiations are continually in flux exacerbating the time devoted to negotiate care. It is in the U.S. context, however, that textual negotiation of care is most extensive and differs in terms of audience – insurers as opposed to providers – and purpose – securing payment and not just care.

Details

Chronic Care, Health Care Systems and Services Integration
Type: Book
ISBN: 978-1-84950-300-6

Article
Publication date: 28 September 2020

Sascha Kraus-Hoogeveen, Pascale Peters, Els Van der Pool and Beatrice Van der Heijden

This mixed-method study aims to contribute to the scholarly debate by outlining an individual-level theoretical framework for public value creation and evaluation that builds upon…

Abstract

Purpose

This mixed-method study aims to contribute to the scholarly debate by outlining an individual-level theoretical framework for public value creation and evaluation that builds upon a social exchange perspective. It provides insights into the normative frames of primary stakeholders in the Dutch care at home sector, that is professionals, managers, clients and informal care providers.

Design/methodology/approach

A mixed-method design comprising a customized survey among 349 stakeholders, preceded by 31 in-depth interviews was used.

Findings

This empirical work shows differences and similarities in the stakeholders' normative frames revealed via three dimensions of expectations regarding the process of care delivery: personal contact, impact of rules and procedures and communication.

Social implications

These differences in interpretation have implications for the measurement and evaluation of public value creation.

Originality/value

By statistically and methodologically exploring the different expectations' scales that are developed, we intend to work toward a measure for public value creation, which can be used in future empirical work.

Details

Journal of Health Organization and Management, vol. 34 no. 7
Type: Research Article
ISSN: 1477-7266

Keywords

Book part
Publication date: 17 December 2003

Susan E Short and Rongjun Sun

Among U.S. children, research indicates that early childhood experiences, including the child care environment, affect later educational outcomes. Yet, research on educational…

Abstract

Among U.S. children, research indicates that early childhood experiences, including the child care environment, affect later educational outcomes. Yet, research on educational stratification in low-income countries rarely features the preschool years. We investigate the organization of child care among preschoolers in China. In-depth interviews reveal that grandmother care and formal care are highly desirable. Formal care, in particular, is perceived to provide educational advantage. Using China Health and Nutrition Survey (CHNS) data, and mixed random effects logit models, we explore the determinants of grandmother care and formal care. Results suggest poverty is associated with gender bias; in low-income households, boys without siblings are especially likely to receive formal care. These results call for greater attention to early childhood in research on educational stratification in China and other low-income settings.

Details

Inequality Across Societies: Familes, Schools and Persisting Stratification
Type: Book
ISBN: 978-0-76231-061-6

Article
Publication date: 1 December 2002

Rolf Rønning

This article is about the implications of the different uses of the concept of care in the research and debate on home care. It can be read as a comment on the British debate…

Abstract

This article is about the implications of the different uses of the concept of care in the research and debate on home care. It can be read as a comment on the British debate, seen with Norwegian eyes, and from a starting point where care is a positively loaded concept. The article begins with a definition of care, in order to try to identify some core elements, and then proceeds to examine two main lines of attack on care in the British debate. A distinction between care as an ideal and as practice is introduced, and the article tries to demonstrate how the outcome of caring can be seen as a result both of political attitudes and of different forms of organisation. The article concludes by discussing why we need to save ‘care’ as a positive concept in the evaluation of formal systems providing care as a social service.

Details

Quality in Ageing and Older Adults, vol. 3 no. 4
Type: Research Article
ISSN: 1471-7794

Keywords

Article
Publication date: 22 February 2008

Eva Ellström, Bodil Ekholm and Per‐Erik Ellström

The purpose of this paper is to first elaborate on the notion of a learning environment based on an empirical study of care work. Second, to explore how aspects of a learning…

4637

Abstract

Purpose

The purpose of this paper is to first elaborate on the notion of a learning environment based on an empirical study of care work. Second, to explore how aspects of a learning environment may differ between and within units in the same organization, and how to understand and explain such differences.

Design/methodology/approach

The study was based on a multiple case‐study design including four departments within two care units. Data were collected through direct observation of working conditions and work practices as well as semi‐structured interviews with all care‐workers within the two units (29 persons), and with the head and deputy head for each of the two units.

Findings

It was possible to distinguish between two qualitatively different patterns of working conditions and practices within the four teams. These patterns of practice were interpreted as representing an enabling and a constraining type of learning environment as these concepts were defined in this study. The evidence suggests that the emergence of an enabling learning environment was an outcome of a dynamic interplay between a number of factors that had the character of a virtuous circle.

Originality/value

The article adds to previous research through a distinction between two types of learning environment (enabling and constraining), and by linking these two types of learning environment to different conceptions of learning and to different working conditions and practices.

Details

Journal of Workplace Learning, vol. 20 no. 2
Type: Research Article
ISSN: 1366-5626

Keywords

Book part
Publication date: 18 December 2007

Ildikó Asztalos Morell

Post-socialist transition affected rural gender regimes in multiple ways. This chapter focuses on how changes in the distribution of reproductive responsibilities between state…

Abstract

Post-socialist transition affected rural gender regimes in multiple ways. This chapter focuses on how changes in the distribution of reproductive responsibilities between state, market and family affected the gender division of childcare and household labour in the newly established family farms and, as a result, affected the overall rural gender regime. The gender division of family care and household labour informs the genderedness of social and economic citizenship as it determines men's and women's opportunities to participate in productive work and their relations of economic and social dependency.1 Local (in this case rural) care regimes are formed not only by the conditions of the hegemonic welfare state, but also by the specific conditions characterizing the locality, the local class, age, ethnicity and gender relations.

Details

Gender Regimes, Citizen Participation and Rural Restructuring
Type: Book
ISBN: 978-0-7623-1420-1

1 – 10 of 261