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De blinde vlek

Langdurige zorg is te eenzijdig ingestoken

Tijdschrift Beleid en Maatschappij, Aflevering 3 2020
Auteurs Dr. Sander R. Hilberink en Dr. Mieke Cardol
SamenvattingAuteursinformatie

    The most relevant part of a discussion is not what is discussed but what cannot be spoken of. The real taboos are those for which it is taboo to call them taboos. The status quo defines itself as non-ideological while denouncing any challenge to itself as radical.
    Therefore the column ‘De blinde vlek’ frames the framers, politicizes the status quo and articulates what is not heard of.


Dr. Sander R. Hilberink
Dr. Sander R. Hilberink is lector ondersteuningsbehoeften: levenslang & levensbreed bij Kenniscentrum Zorginnovatie van Hogeschool Rotterdam.

Dr. Mieke Cardol
Dr. Mieke Cardol is als lector disability studies verbonden aan Kenniscentrum Zorginnovatie van Hogeschool Rotterdam.
Artikel

Decentralisatie: maatwerk of uniformiteit?

Het Wmo-beleid van Nederlandse gemeenten

Tijdschrift Beleid en Maatschappij, Aflevering 3 2011
Trefwoorden decentralization, local government, social care
Auteurs Judith van der Veer MSc., Jelmer Schalk MSc. en Dr. Rob Gilsing
SamenvattingAuteursinformatie

    A main motive for policy decentralization is the belief that municipalities are better able to customize public policy to local circumstances, and to realize made-to-measure service provision. In this respect, the introduction of the Social Support Act (Wmo) is an interesting example. With the lack of ‘vertical’ accountability obligations to the national government, the Wmo is governmentally innovative. Whether the decentralization results in customized forms of social support is a fascinating one because a detailed reading of the Wmo and its implementation displays possible incentives as well as barriers to made-to-measure service provision. The empirical exploration in this article uses data from the 2007-2009 evaluation of the Wmo conducted by the Netherlands Institute for Social Research (SCP). The evaluation shows that municipalities involve diverse stakeholders in formulating Wmo policy, and that their involvement seems to lead to customized service provision. At the same time, municipalities follow nationwide models, and information provided by the central government seems to have a major impact on local social care policy. The article concludes with an outlook on future directions in local debates on social care and the recommendation to give time for major decentralization trajectories such as the Wmo.


Judith van der Veer MSc.
Judith van der Veer is promovendus en was als medewerker verbonden aan het Sociaal en Cultureel Planbureau tijdens de eerste Wmo-evaluatie. Correspondentiegegevens: J.C.V. van der Veer, Vrije Universiteit Amsterdam, Faculteit der Sociale Wetenschappen/Bestuurswetenschappen, De Boelelaan 1081, 1081 HV Amsterdam, j.c.v.vander.veer@vu.nl.

Jelmer Schalk MSc.
Jelmer Schalk is promovendus en was als medewerker verbonden aan het Sociaal en Cultureel Planbureau tijdens de eerste Wmo-evaluatie. Correspondentiegegevens: J. Schalk, Universiteit van Utrecht, Sociologie/ICS, Heidelberglaan 2, 3584 CS Utrecht, j.schalk@uu.nl.

Dr. Rob Gilsing
Rob Gilsing is Hoofd Onderzoeksgroep Jeugd, opvoeding en onderwijs en was als projectleider verbonden aan het Sociaal en Cultureel Planbureau tijdens de eerste Wmo-evaluatie. Correspondentiegegevens: Dr. R. Gilsing, Verwey-Jonker Instituut, Kromme Nieuwegracht 6, 3512 HG Utrecht, rgilsing@verwey-jonker.nl.

    Public expensens on elderly care are paid through the exceptional Medical Expenses Act (Algemene Wet Bijzondere Ziektekosten, AWBZ in Dutch) or the Social Support Act (Wet Maatschappelijke ondersteuning, WMO in Dutch). These expenses have risen 2.8% yearly in the past decennium. This is mainly due to rising cost prices. In the same period the growth in the volume of care was much lower. Especially the volume of home care increased, while the volume of nursing-home care decreased. This is caused by the improving health of the Dutch population. Moreover Dutch elderly can live independently longer, which means that the participation component in the volume nursing-home care decreases. This trend in decreasing participation will continue the coming years, but due to the fast ageing of the Dutch population the care volume will increase somewhat faster than in the past. According to our calculations this leads to an increase of expenses of 3.6% yearly. The population decline will put severe pressure on the number of employees. This will possibly induce a reduction in the available supply of care and an increase in wages in the care sector. As a result the consequences of the population shrinkage on public expenses are unknown.


Evelien Eggink
Evelien Eggink is werkzaam als senior onderzoeker bij het Sociaal en Cultureel Planbureau (SCP). Correspondentiegegevens: Dr. E. Eggink Sociaal en Cultureel Planbureau (SCP) Onderzoeksgroep Quartaire Sector Postbus 16164 2500 BD Den Haag e.eggink@scp.nl

Evert Pommer
Evert Pommer is werkzaam als hoofd onderzoeksgroep bij het Sociaal en Cultureel Planbureau (SCP).

Isolde Woittiez
Isolde Woittiez is werkzaam als senior onderzoeker bij het Sociaal en Cultureel Planbureau (SCP).

    This article identifies institutions and arrangements concerning the reconciliation of working life and family life for various European countries. These institutions and arrangements concern time (flexible working hours and leave arrangements), money (tax systems) and facilities (childcare facilities). A fairer distribution of all work and care tasks requires proper facilities at national level in respect of childcare, parental leave, so-called leave savings schemes, the right to work part-time, etc. Such facilities are of particular importance while taking the first steps towards a fairer distribution: they will enable men to take on more tasks at home, while making it easier for women to work outside the home. The article concludes that with regard to reconciliation facilities, the differences between the several welfare states within the European Union are fading away. This is interesting, because as a result the EU countries are increasingly finding common ground in terms of solutions for reconciliation and more specifically the role of men.


Ivy Koopmans
Ivy Koopmans is als onderzoeker verbonden aan de Utrecht School of Economics van de Universiteit Utrecht. Adres: Utrecht School of Economics, Vredenburg 138, 3511 BG Utrecht, I.Koopmans@econ.uu.nl

Joop Schippers
Joop Schippers is hoogleraar Arbeids- en Emancipatie-economie aan de Universiteit Utrecht en tevens is hij als programmahoogleraar verbonden aan de Organisatie voor Strategisch Arbeidsmarktonderzoek (OSA). Adres: Utrecht School of Economics, Vredenburg 138, 3511 BG Utrecht
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