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Day Care in the United Kingdom and the Netherlands: A Comparative Study

Published online by Cambridge University Press:  14 November 2008

Henk Nies ,
Susan Tester  and
Jan Maarten Nuijens
Henk Nies
Affiliation:
Senior Researcher, National Hospital Institute of The Netherlands, P.O. Box 9697, 3506 GR, Utrecht, The Netherlands
Susan Tester
Affiliation:
Policy Development Officer, Centre for Policy on Ageing, London, United Kingdom
Jan Maarten Nuijens
Affiliation:
Psychologist, Nursing Home ‘De Bieslandhof’, Délft, The Netherlands
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Abstract

The United Kingdom and the Netherlands differ significantly with respect to structure, policy, legislation and financing of their care delivery systems. Day care services for elderly people thus developed in considerably different policy and socio-historical contexts. In this article various aspects of day care in the two countries are compared. The most marked distinctions between the countries concern supply and distribution of services. The practice of day care, however, appears to be very similar, as indicated by similar objectives, care and activities, staffing and premises, and demographic, social and medical characteristics of users. Some differences are noted concerning problems with transport and organisational linkages of day care services. It is concluded that the supply and distribution of services are largely determined by government policy and that design, quality and day-today practice are primarily a consequence of professional standards and the needs of users and their relatives. Further, a new conceptualisation of day care is advocated: different terminology, more flexibility and a wider range of activities. Finally, the future contributions of day care within both countries' policy contexts are discussed.

Type
Research Article
Information
Ageing & Society , Volume 11 , Issue 3 , September 1991 , pp. 245 - 273
Copyright
Copyright © Cambridge University Press 1991

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References

NOTES

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