Governance and ownership of citizen driven forms of integrated care

Abstract

Background: In the Netherlands the complexity of the governance of health care organisations, especially in long-term care, will increase. This is related to a large health care reforms and transitions which are currently implemented. In 2015 all relevant health and social care legislation will change. The aim is to strengthen care in the community and care by the community. This implies a larger focus on the responsibilities of citizens. Moreover, the aim is to reduce public expenses. These transformations of the system require increased multi-sector collaboration and governance by municipalities, health care insurers, health and social care organisations, professionals, service users and citizens. Therefore, the roles and responsibilities of the multiple stakeholders in integrated care settings change. This raises new challenges and questions for practice and research in integrated care. Two of these challenges and questions will be addressed: the role of citizens in integrated care)