In sociological research on relationships between professionals and volunteers, professionals are often contrasted with volunteers as abstracted, distinct and homogeneous groups. Focusing on healthcare in selected modern societies, and adopting a neo-Weberian and complementary boundary work perspective, this essay argues the landscape is more complex than between paid groups with exclusionary social closure and the unwaged in the market. First, diversification exists within health professions themselves based on social closure, with hierarchies and differential scopes of practice. Second, unpaid volunteers vary in responsibility depending on factors like employment sector and social background, including qualifications and experience. Third, in the paid workforce, there are interstitial non-professionalised health occupations, such as the neglected, lower educated health support workers, forming the largest, most heterogeneous healthcare labour force. Drawing on studies of healthcare, it is argued that recognising the diversification and interplay between professionals, volunteers and support workers is vital for enhancing health policy.
It is often argued that increased volunteer participation in public service organizations will lead to de-professionalization of established professionals. Adopting a relational approach, this article shows that professionalization of new actors can actually initiate and reinforce the professionalization of others. This article focuses on the interplay between nonelite actors in social care that carry out institutional work aimed at pursuing three strategies: classic professionalization of volunteer coordinators, proto-professionalization of volunteers, and advanced professionalization of social care practitioners. Potential negative implications of these professionalization strategies are the hollowing out of paid social care work and the exclusion of vulnerable volunteers.
AbstractIn recent years, a live‐in migrant care (LIMC) market has emerged in European countries with specific care, migration, and employment regime features. In countries with relatively low levels of formal long‐term care (LTC) provision, people in need of care and their families have started purchasing LTC directly from individual – mostly migrant – workers who live‐in with the person in need of care. Previous research has shown that this arrangement is facilitated by the availability of cash‐for‐care benefits that can be freely used by the beneficiaries, and/or by low levels of regulation of employment and migration. The Netherlands traditionally features strong, universal and generous LTC policies. However, recently, the phenomenon of LIMC has also appeared there. Based on exploratory qualitative research, this article examines the features of Dutch LIMC and the factors that foster or hinder its development. Our findings show that the ongoing restructuring of the Dutch LTC system – particularly the emphasis on informal care and decreasing accessibility of institutional care – are important factors pushing an LIMC market. At the same time, various institutional factors limit its growth, particularly the high levels of regulation of the Dutch care, migration and employment regimes. Further cutbacks in the care sector might push more families to this market in the near future, and change the character of the Dutch LTC sector. The Dutch case is relevant for other countries with longstanding traditions of generous LTC services which currently undergo retrenchment, and sheds light on routes to institutional change.
AbstractIn this article we focus on local and transnational forms of active citizenship, understood as the sum of all political practices and processes of identification. Our study, conducted among middle‐class immigrants in Rotterdam, the Netherlands, indicates that the importance of active transnational citizenship should not be overstated. Among these immigrants, political practices are primarily focused on the local level; political practices directed to the home country appear to be quite rare. However, although transnational activities in the public sphere are rather exceptional, many immigrants do participate in homeland‐directed activities in the private sphere. If we look at processes of identification, we see that a majority of the middle‐class immigrants have a strong local identity. Many of them combine this local identification with feelings of belonging to people in their home country.
AbstractIn this article we examine whether migrants' perceived discrimination in the country of settlement leads to an increase of their transnational involvement. So far, this so‐called 'reactive transnationalism' has not been studied extensively. Based on literature on discrimination and transnationalism, reactive transnationalism is expected to be most prominent among socioeconomically successful migrants, particularly among males and those who consider themselves Muslims. Our research among middle‐class migrants in Rotterdam, the Netherlands, indeed shows that the more respondents experienced discrimination, the more transnationally involved they are, both regarding transnational identifications and transnational activities. While no gender difference was found regarding reactive transnational activities, for women perceived discrimination proves to lead to stronger instead of weaker transnational identifications than for men. The fact that no difference was found between Muslim and non‐Muslim respondents regarding reactive transnationalism suggests that, despite heated public debates about 'Islam', in the Netherlands, ethnic divides – being considered as 'Dutch' or 'non‐Dutch' – are even more prominent than religious ones.
In the Netherlands, there is an increasing need for collective forms of housing for older people. Such housing bridges the gap between the extremes of living in an institutionalised setting and remaining in their own house. The demand is related to the closure of many residential care homes and the need for social engagement with other residents. This study focuses on housing initiatives that offer innovative and alternative forms of independent living, which deviate from mainstream housing arrangements. It draws on recent literature on healthcare 'rebels' and further develops the concept of 'rebellion' in the context of housing. The main research question is how founders dealt with challenges of establishing and governing 'rebellious' innovative living arrangements for older people in the highly regulated context of housing and care in the Netherlands. Qualitative in-depth interviews with 17 founders (social entrepreneurs, directors and supervisory board members) were conducted. Founders encountered various obstacles that are often related to governmental and sectoral rules and regulations. Their stories demonstrate the opportunities and constraints of innovative entrepreneurship at the intersection of housing and care. The study concludes with the notion of 'responsible rebellion' and practical lessons about dealing with rules and regulations and creating supportive contexts.