Contested Professionalism Payments for Care and the Quality of Home Care

In the recent past, policy makers have emphasized the benefits and positive aspects of direct payments for care of frail elderly people. In this article, the authors present the theoretical framework of “struggling logics of home care,” by means of which they explore the underlying logics of the int...

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Bibliographic Details
Published in:Administration & society 2007-07, Vol.39 (4), p.451-475
Main Authors: Knijn, Trudie, Verhagen, Stijn
Format: Article
Language:English
Subjects:
Care of the aged
Elderly
Frailty
Home
Home Health Care
Indigent care
Long term care insurance
Medical personnel
Netherlands
Nonprofit organizations
Older people
Payments
Policy Making
Professionalism
Quality of care
Quality of service
Reimbursement
Social policy
Social services
Welfare state
Workers
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Summary:In the recent past, policy makers have emphasized the benefits and positive aspects of direct payments for care of frail elderly people. In this article, the authors present the theoretical framework of “struggling logics of home care,” by means of which they explore the underlying logics of the introduction of payments for care: market, family, and state. More specifically, the authors show the strengths and weaknesses of a fourth logic—professionalism—and expound how this logic is submitted to marketized and familialized payments for care. The authors conclude that there are indeed some positive aspects of the trend toward payments for care. However, (female) professional home care workers benefit hardly at all. On the long term, this could also erode the quality of care provided to recipients.
ISSN:0095-3997
1552-3039
DOI:10.1177/0095399707300520