Activating citizens in Dutch care reforms: Framing new co-production roles and competences for citizens and professionals

Abstract

This study explores the growing interest of governments in co-production and self-organisation by examining the framing of roles and responsibilities of citizens and professionals in care reforms. As in many other western countries, the Dutch welfare state is subject to major reforms, shifting responsibilities back towards society. A qualitative content analysis of policy letters of the Dutch national government shows that newer roles (citizen-as-co-producers) do not substitute traditional roles (citizen-as-clients), but constitute a new layer resulting in an expansion and diversification of roles for regular providers. Activating, supporting and partnering with citizens are framed as new competences of professionals.