Decentralization: The rise of the local welfare state

The decentralization trend in the social domain has materialized in many European countries (1). Although decentralization in general is met with some sympathy, it is also much debated (2). If decentralization is discussed, rather often implicitly is assumed that duties and responsibilities, e.g. if it comes to social and health care provisions, are best served … Read more

Make way for the district nurse

The driving force behind the return of the district nurse on the social and health agenda in The Netherlands is the Regional Care Association West-Brabant (RKWB). This is a voluntary care association with just over 100.000 members. To put this in perspective, some 300.000 people live in the region that is serviced by RKWB. Reintroduction … Read more

Social healthcare: fad or factual

In 1976 McKeown, at that time a professor of social healthcare at the University of Birmingham in England, launched an all out attack on the idea that the improvement of people‚Äôs health during the past century resulted from the progress of medical science. Even without any direct proof he stated that better food and improved … Read more