Inhoud
1. Introduction 9
1.1 Subject and relevance of the study 11
1.2 Research question 15
1.3 Outline of the study 16
2. Home care in its context 19
2.1 Homecare provision in the Netherlands 21
2.2 The homecare environment 29
2.3 The healthcare environment 34
2.4 The societal environment 36
2.5 Home care in its context: synthesis and conclusion 37
3. Theoretical foundation 39
3.1 Basics of organising and managing 41
3.2 The bureaucratic type of design 49
3.3 The socio ‐ technical type of design 53
3.4 Results: three essential ‘qualities’ 60
3.5 Change strategy: changing to the socio ‐ technical type of design 61
3.6 The employees’ perception 65
3.7 Summary 72
4. Methodological foundation 75
4.1 Introduction 77
4.2 Explaining the design of the study 81
4.3 Methodological quality of the study 93
5. Case study of Klein Zwitserland 97
5.1 Introduction 100
5.2 Point of departure 102
5.3 A socio ‐ technical design as objective 106
5.4 Results 110
5.5 Change strategy 116
5.6 The employees’ perception 120
5.7 Summary 134
6. Case study of Maas & Waal 137
6.1 Introduction 139
6.2 Point of departure 142
6.3 A socio ‐ technical design as objective 145
6.4 Results 149
6.5 Change strategy 154
6.6 The employees’ perception 159
6.7 Summary 173
7. Comparative analysis 175
7.1 Results of the change: differences and similarities 177
7.2 Towards an explanation 182
7.3 Summary 185
8. The impact of the external world 187
8.1 The public character of home care 190
8.2 Provider organisations in a ‘double hold’ 192
8.3 How to get out of the ‘double hold’? 199
9. Epilogue 203
9.1 Conclusions 205
9.2 Considerations and limitations 208
References 215
Appendices 231
A: NOVA ‐ WEBA survey 233
B: NOVA ‐ WEBA questionnaire adapted for use in the KZ case 237
C: Cover letter of the NOVA ‐ WEBA survey in the Klein Zwitserland case 248
D: Organogram of Maas & Waal overall 249
E: NOVA ‐ WEBA questionnaire adapted for use in the Maas & Waal case 250
F: Cover letter of the NOVA ‐ WEBA survey in the Maas & Waal case 261
Valorisation 263
Nederlandse samenvatting 269
Dankwoord 279
Curriculum Vitae 285
