The main objective of the coordinated project is to analyse the strategy of deinstitutionalisation of long-term care, in the context of a model in transition, facing demographic challenges and pursuing social inclusion. It aims to study the factors that contribute to its progress, as well as those that limit or difficult. To this end, it focuses first on the recognition and redistribution of care work and needs, and secondly on agency and governance with respect to territorial actors in terms of integrated management. It is an oriented research project within Cluster 2: Culture, creativity and inclusive society and aims to address problems identified in the strategic line Demographic challenge and social cohesion within the field of intervention Dependence and accessibility.
The strategy of de-institutionalization is present in a variety of projects that recognise the deficits in the current model and share the objective of overhauling the provision of care in order to achieve greater democratisation and social cohesion. The Spanish autonomous communities of Catalonia and the Basque Country have an especially rich experience with public-community initiatives. Projects have encompassed traditional services (residential homes or Home Care Services, among others) or through new services and approaches to social and health integration. Each SP of the coordinated proposal will study the experiences of one of the territories: SP1 will focus on Catalonia and SP2 on the Basque Country. Given their local and situated nature, their analysis requires a precise and unique approach in each context, which can only be achieved by dividing the work into two SPs. The research teams of both SPs have previously carried out evaluations of these experiences, raising a set of questions.
In order to address these questions and objectives, a mixed methodological strategy of complementarity is used, with the sequential use of diferent techniques for data production and quantitative and qualitative analysis, which allows: developing a triple analytical approach (macro, meso and micro) to address the territorial, social and ethnographic level of the object of study; and, obtaining quantitative data that contribute to decision-making in the design of the qualitative fieldwork. The methodological strategy is common to both SPs, in order to guarantee the comparability of the data produced and, at the same time, to have the capacity to adapt to the specific nature of case studies. The quantitative strategy will be oriented towards the territorial characterisation of the provision, reception and management of long-term care, both in terms of the services and resources that form part of the supply and the needs and groups that are the protagonists of the demand. In addition, it will allow mapping the set of public-community initiatives in both territories. The qualitative part will be oriented towards the social and ethnographic level, in order to capture the social relations that are articulated in the institutional, work, family and community spheres, as well as the daily dynamics in the provision, reception and management of care. Finally, a comparative analysis between both territories is foreseen through empirical data produced.
Start date: 01/09/2025
End date: 31/08/2028
Funding: Ministerio de Ciencia e Innovación
Reference: PID2024-157266OB-C21
Principal investigator: Sara Moreno Colom
Team: Mireia Roca (UB), Elena MartÃnez Tola (UPV/EHU), Clara Llorens Serrano (Fundación 1º Mayo), Julia Marine Chrétien (URV), Blanca Valdivia, Raul Velasco
