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Transforming Regions of Care From Geographical Place Into Governance Object

Bibliographic Data

ID6327765
AuthorsOemar Van Der Woerd (0000-0002-1160-8164, Erasmus University Rotterdam, The Netherlands), J J Schuurmans (0000-0002-4494-2425, Erasmus University Rotterdam, The Netherlands), Iris Wallenburg (0000-0002-3132-4628, Erasmus University Rotterdam, The Netherlands), Wilma Van Der Scheer (0000-0002-7910-5838, Erasmus University Rotterdam, The Netherlands), Roland Bal (0000-0001-7202-5053, Erasmus University Rotterdam, The Netherlands)
Year2025
Volume53
Issue3
Pages484-505
Publication date2025-07-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenuePolicy & Politics (JOURNAL)
Journal identifiersISSN: 0305-5736 • E-ISSN: 1470-8442
PublisherBristol University Press (PUBLISHER • GB)
DOI10.1332/03055736y2024d000000030
OpenAlexW4391942547
LanguageEN
Citations received6
References cited43

This article analyses how regional actors and national authorities shape and transform ‘the region’ from a geographical place into an object of governance for organising and delivering older person care. Drawing on an extensive ethnographic research project in the Netherlands, our findings show that these actors in interaction constitute the region through three practices: consistently creating urgency to foreground regional problems and solutions; renegotiating regulatory policies to facilitate regional care provision; and reconstructing care infrastructures to materialise regional care provision. Actors use and obtain power from co-existing and interacting institutional arrangements to develop new regional care arrangements. This evokes new interdependencies that reconfigure existing governance arrangements. Studying governance objects in-the-making reveals the required iterations, reconsiderations, and adjustments as processes within a given (ambiguous) institutional context, and which lead to institutional change. As regional organisation policies are increasingly scrutinised, this article provides an interesting and important contribution to this field

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