Partnership in implementing successful ageing in long-term care of older people: cross-national learning from England, the Netherlands and Taiwan

Partnership is one of the means whereby policy of long-term care of older people can be implemented. This paper based on a qualitative cross-national research (England, the Netherlands and Taiwan).  So far, according to the research published (Chen, 2007, 2008 and 2010), the bottom line of long-term care - the fulfilment of older people's basic needs - has been addressed in all three countries studied.  However, the needs of older people required to be addressed for better quality of life  - social inclusion, power and autonomy - have been met in the Netherlands, followed by Taiwan but less so in England.  Fragmented care was a matter of concern in England and Taiwan and to some degree, the Netherlands.  This suggests that partnership in the care system should be recognised as a vital component if good quality of long-term care is to be promoted.  Although partnership is not an entirely new phenomenon; there is as yet no widely accepted model in operation.  This paper outlines the approaches that each country has adopted and the difficulties that they were facing. 

Partnership in this study is used in the sense of "cooperation", to see whether relevant actors - at national, county and municipal level (a total of 143 participants interviewed) - were sharing the same goals, whether they communicated well with each other and whether they were working together with the service users.  To begin with, within each country there must be shared understandings and goals for partnership to work.  This paper first explores these goals at the policy level and then moves on to examine partnership horizontally (strategically and operationally) and vertically.  Through horizontal and vertical analysis, this paper identified how and whether partnership in each country studied can achieve better joint-working structures to fulfil the policy intention of providing a seamless long-term care service.

Full paper download: 2.2.2 Henglien Lisa Chen.pdf