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Networks are increasingly seen as promising generic solutions to complex public problems. This article analyzes network‐building in action within a specific regional setting as an attempt to cope with increasing and varied demands for older person care, studying everyday organizational and policy activities of actors. Drawing on a qualitative in‐depth case study of a regional network in Zeeland—the most aging region in the Netherlands—our findings illuminate how this network is created, nurtured, and sustained, and the particularities and complexities this involves. Our practice‐based approach demonstrates that network‐building requires the ongoing work of many agents within organizational contexts, as well as the outside interference of stakeholders to make the network "work" within the wider population of networks, institutional context, and geographical place. This highlights to network literature the importance of place‐based interventions that characterize how a network develops and pursues opportunities to come up with suitable responses to local needs. [ABSTRACT FROM AUTHOR]

Managing inter-organizational networks has been studied extensively, yet little attention has been paid to what it means for organizations and their management to participate in multiple networks simultaneously. This study therefore explores from a management-organizational perspective how hospitals in a Dutch urbanized region process and manage a 'network of collaborations'. We analyse the managerial strategies and activities performed to align organizational interests with the emergence of networks. While the network narrative has become dominant in public policy, this study adds empirical insights to the meaning and practice of governing in a networked environment. [ABSTRACT FROM AUTHOR]

Objective: Not only care professionals are responsible for the quality of care but other stakeholders including regulators also play a role. Over the last decades, countries have increasingly invested in regulation of Long-Term Care (LTC) for older persons, raising the question of how regulation should be put into practice to guarantee or improve the quality of care. This scoping review aims to summarize the evidence on regulatory practices in LTC for older persons. It identifies empirical studies, documents the aims and findings, and describes research gaps to foster this field. Design: A literature search (in PubMed, Embase, Cinahl, APA PsycInfo and Scopus) was performed from inception up to December 12th, 2022. Thirty-one studies were included. Results: All included studies were from high-income countries, in particular Australia, the US and Northwestern Europe, and almost all focused on care provided in LTC facilities. The studies focused on different aspects of regulatory practice, including care users' experiences in collecting intelligence, impact of standards, regulatory systems and strategies, inspection activities and policies, perception and style of inspectors, perception and attitudes of inspectees and validity and reliability of inspection outcomes. Conclusion: With increasingly fragmented and networked care providers, and an increasing call for person-centred care, more flexible forms of regulatory practice in LTC are needed, organized closer to daily practice, bottom-up. We hope that this scoping review will raise awareness of the importance of regulatory practice and foster research in this field, to improve the quality of LTC for older persons, and optimize their functional ability and well-being. [ABSTRACT FROM AUTHOR]

Community housing services adopt care models such as rehabilitation, recovery-oriented care and person-centered planning to improve the quality of life of service users with an intellectual or psychiatric disability. However, the way these care models are implemented and practiced can negatively impact service users' experience with the service as their complex needs go unmet. In this paper, we conceptualize these experiences through developing the counternarrative of burdens of support. For this we draw on burden of treatment theory. We conducted ethnographic fieldwork in a community service organization in the Netherlands. This included participant observation (84 h), interviews with service users (n = 20), experts-by-experience (n = 8), family members (n = 10) and photovoice workshops. Our analysis identifies four burdens of support: burden of self-determination; re-identification; responsibilisation and re-placement. The results show that burden of support is very much a relational concept: through their support, professionals can aggravate or alleviate burden. People with intellectual or psychiatric disabilities often receive support with living in the community. Good support fits people's needs (e.g. person-centered planning), builds on people's strengths and contributes to recovery and community participation. Even when support is practiced or organized with such aims, service users can have negative experiences. In this research we call this: 'burden of support'. Examples of burden of support identified include: Clients' needs and wishes are sometimes not sufficiently attended too when working with a personal care plan. Too much responsibility is sometimes shifted to clients, which results in feelings of failing or abandonment. The focus on strengths and recovery sometimes leaves too little room for clients to voice support needs. Having to move to a different home or neighborhood as part of becoming more independent can result in many difficulties including loneliness. The research recommended that those who improve services should also alleviate these burdens. [ABSTRACT FROM AUTHOR]