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2019

Sammendrag

A grand societal challenge arises from an ageing population. Central governments respond by issuing an innovation imperative targeted at local municipalities as a major instrument to form a sustainable welfare sector policy. The presentation studies policies relating to one particular form of care innovation in the field of dementia care, in particular day care services provided by farmers – Farm Based Dementia Care – FBDC. The intention is to explore potential barriers to increased use of FBDC and the relevance of the current policy mix. Barriers are derived from innovation theory, theory of transaction costs, regulation and societal transformation. Observations from municipalities applying FBDC are used to understand the relevance of potential barriers. Relevant barriers are compared with the diversity of policies aiming to impact dementia care directly or indirectly, e.g. through general innovativeness at municipal level. Empirical observations are based on in-depth, semi-structured interviews with seven municipalities, complemented by contributions at workshops and previous analysis. When compared with the panel of policy measures and initiatives taken in order to make elderly care match future challenges from shifting demographics, we may identify strengths and weaknesses of policy aimed to manage the grand challenges arising from an ageing population.