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Strategies of Care surveys the transformations of elderly care policies and practices since the early 1990's, by comparing two extremely different systems: Italy, a familialistic model without relevant policy changes; and the Netherlands, a formal care model under restructuring. The book shows that, while the Dutch system represents a case of institutional and social resistance to welfare restructuring, the Italian system has shifted to a mixed family- and market-based model. It is argued that these trajectories need to be understood from a micro-to-macro perspective, considering the choices and strategies of the actors as influenced by the institutional framework, but also as possible forces of social change. --Book Jacket

This analytic study surveys the transformations of elderly care policies and practices since the early 1990s, by comparing the trajectories of two extremely different care systems: Italy, a familialistic model with no relevant changes in social policies; and the Netherlands, a formal care model under restructuring. The author demonstrates that, in spite of strong policy pressures, the Dutch system remains a formal care model and represents a case of institutional and social resistance to welfare restructuring By contrast, the Italian system has shifted from family-based to a mix of family- and market-based model, despite the absence of substantial policy intervention. She argues that the ongoing changes need to be seen from a micro-to-macro perspective, considering the choices and strategies of the actors that are limited and conditioned by the institutional framework, but also represent possible forces of social change. - Strategies of Care analyseert de veranderingen in de ouderenzorg vanaf het begin van de jaren negentig van de vorige eeuw. Auteur Barbara Da Roit doet dit aan de hand van een vergelijking tussen Italië - een land met een traditioneel, weinig veranderlijk en familievriendelijk model - en Nederland, dat een formeel zorgmodel heeft dat grondig wordt herzien. Het onderzoek bespreekt de trends in de zorgbehoeften van ouderen tegen het licht van de veranderingen in de zorgpakketten. Aan de hand van een analyse op basis van gesprekken met familieleden, professionele zorgverleners en sleutelfiguren in de ouderenzorg geeft dit boek inzicht in de manier waarop zorgpakketten worden geconstrueerd en de logica die daarachter schuilgaat.

Strategies of Care surveys the transformations of elderly care policies and practices since the early 1990's, by comparing two extremely different systems: Italy, a familialistic model without relevant policy changes; and the Netherlands, a formal care model under restructuring. The book shows that, while the Dutch system represents a case of institutional and social resistance to welfare restructuring, the Italian system has shifted to a mixed family- and market-based model. It is argued that these trajectories need to be understood from a micro-to-macro perspective, considering the choices and strategies of the actors as influenced by the institutional framework, but also as possible forces of social change. --Book Jacket.

This analytic study surveys the transformations of elderly care policies and practices since the early 1990s, by comparing the trajectories of two extremely different care systems: Italy, a familialistic model with no relevant changes in social policies; and the Netherlands, a formal care model under restructuring. The author demonstrates that, in spite of strong policy pressures, the Dutch system remains a formal care model and represents a case of institutional and social resistance to welfare restructuring By contrast, the Italian system has shifted from family-based to a mix of family- and market-based model, despite the absence of substantial policy intervention. She argues that the ongoing changes need to be seen from a micro-to-macro perspective, considering the choices and strategies of the actors that are limited and conditioned by the institutional framework, but also represent possible forces of social change.

PurposeThe paper aims to analyse the meaning and extension of discretionary power of social service professionals within network-based interventions.Design/methodology/approachEmpirically, the paper is based on a case study of a network-based policy involving private and public organisations in the Northeast of Italy (Province of Trento).FindingsThe paper identifies netocracy as a social policy logic distinct from bureaucracy and professionalism. What legitimises netocracy is neither authority nor expertise but cooperation, the activation of connections and involvement, considered "good" per se. In this framework, professionalism and discretion acquire new and problematic meanings compared to street-level bureaucracy processes.Research limitations/implicationsBased on a case study, the research results cannot be generalised but pave the way to further comparative investigations.Practical implicationsThe paper reveals that the position of professionals in netocracy is to some extent trickier than that in a bureaucracy because netocracy seems to have the power to encapsulate them and make it less likely for them to deviate from expected courses of action.Originality/valueCombining different literature streams – street level bureaucracy, professionalism, network organisations and welfare governance – and building on an original case study, the paper contribute to understanding professionalism in welfare contexts increasingly characterised by the combination of bureaucratic, professional and network logics.

Migrant care work has emerged as an increasingly important solution to the challenges of growing eldercare needs in both the private and the public sphere. Migrant workers are employed in domestic services in Southern European and in some continental European countries, and they are a significant part of the work force in the formal care sector in many national contexts. The article provides an exploratory cross-country analysis of the phenomenon. After assessing the extent of migrant care work based on individually contracted workers in the domestic sector vs. organization-based care workers in nine European welfare states, it investigates which conditions sustain specific national patterns. Using fuzzy-set analysis the article demonstrates how the intersection of care, migration and employment regimes shapes different patterns of migrant care work.