Abstract
It is expected that demand-based care provision better fits the needs of individual clients and will therefore be more adequate. Therefore, demand-based care has been embraced by governments and care organisations in search of solutions to ensure enough adequate care for needy people in the future. The use of segmentations and segments has been proven in social marketing to provide ‘tailor made’ services for specific subgroups while costs are kept as low as possible. For elderly people two elements are prominent: long-term care and loneliness. Accordingly, the central research question in this paper is: What segments of elderly people can be distinguished with respect to long-term care and loneliness? The long-term care segmentation is based on quantitative data stemming from a survey of 2,423 people aged 55 years and over and revealed the following five segments: vital, future-oriented vital, lonely coping, cognitive-restricted coping and needy. The loneliness segmentation is based on qualitative data gathered during focus group meetings with nine professionals who work daily with elderly people. Four segments have been formulated: dependent, grumbler, hermit, and perishing joy of life. Both types of segmentation can be easily recognised in practice. Cooperation between science and practice appears to be worthwhile as it yields knowledge that is grounded in both practice and science.
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References
Baljé, S., Henzing, M., Krajenbrink, H., Lammerts, B., & Middeldorp, J. (2003). Vragender wijs. Vraagsturing in de praktijk. The Hague, the Netherlands: Ministerie van Economische Zaken.
Barelds, A., Lissenberg, M., & Luijkx, K. (2010). Systematische ontwikkeling van interventiestrategieën gericht op eenzaamheid onder ouderen. Een samenwerkings-project van WIJ, de Twern en Tranzo. Tilburg, the Netherlands: Tranzo, Tilburg University.
De Blok, C., Luijkx, K.G., Meijboom, B., & Schols, J. (2010). Modular Care and Service packages for independently living elderly. International Journal of Operations and Production Management, 30(1), 75-97.
De Blok, C., Meijboom, B., Luijkx, K.G., & Schols, J. (2009). Demand-based provision of housing, welfare and care services to elderly clients: from policy to daily practice through Operations Management. Health Care Analysis, 17(1), 64-84.
De Jong Gierveld, J. (1998). Intergenerational relationships and solidarity within the family. In: K. Matthijs (ed.) The Family: Contemporary perspectives and challenges 3 (pp. 31-49). Leuven, Belgium: Leuven University Press.
De Jong Gierveld, J., & Van Tilburg, T.G. (1989). The partner as source of social support in problem and non-problem situations. In: M. Hojat and R. Crandell. Loneliness: Theory, research and applications (pp. 191-200). London, UK: Sage.
De Jong Gierveld, J., & Van Tilburg, T.G. (1993). Manual of the Loneliness Scale. Amsterdam, the Netherlands: Department of Social Research Methodology, Vrije Universiteit Amsterdam.
De Jong Gierveld, J., & Van Tilburg, T.G. (1995). Social relationships, integration and loneliness. In: C.P.M. Knipscheer, J. De Jong Gierveld, T.G. Van Tilburg, & P.A. Dykstra (eds.). Living Arrangements and Social Networks of Older Adults (pp. 155-172). Amsterdam, the Netherlands: VU University Press.
De Rooij, A.H.P.M., Luijkx, K.G., Schaafsma, J., Declercq, A.G., Emmerink, P.M.J., & Schols, J.M.G.A. (2012a). Quality of life of residents with dementia in traditional versus small-scale long-term care settings: A quasi-experimental study. International Journal of Nursing Studies, 49, 931-940.
De Rooij, A.H.P.M., Luijkx, K.G., Schaafsma, J., Declercq, A.G., Emmerink, P.M.J., & Schols, J.M.G.A. (2012b). Functional status, behaviour and social interaction of residents with dementia living in small-scale and traditional long-term care settings in the Netherlands and Belgium. Journal of Alzheimer’s Disease & Parkinsonism, 2(3), 106.
Fees, B.S., Martin, P., & Poon, W.P. (1999). A model of loneliness in older adults. Journal of Gerontology, 54B(4), 231-239.
Fokkema, C.M., & Van Tilburg, T.G. (2005). Eenzaam en dan? De (on)mogelijkheden van interventies bij ouderen. The Hague, the Netherlands: NIDI.
Gobbens, R.J.J., Van Assen, M.A.L.M., Luijkx, K.G., & Schols, J.M.G.A. (2012). The predictive validity of the Tilburg frailty indicator: disability, health care utilization, and quality of life in a population at risk. The Gerontologist, 52(5), 619-631.
Gobbens, R.J.J., Van Assen, M.A.L.M., Luijkx, K.G., Wijnen-Sponselee, M.Th., & Schols, J.M.G.A. (2010). The Tilburg frailty indicator: psychometric properties. Journal of the American Medical Directors Association, 11(5), 344-355.
Heinrich, L.M., & Gullone, E. (2005). The clinical significance of loneliness: a literature review. Clinical Psychology Review, 26, 695-718.
Keek, T., & Klink, X. (2005). Beslissende invloed voor de burger. Advies aan het kabinet van de werkgroep vraagsturing bij (semi-)publieke diensten (in Dutch). The Hague, the Netherlands: Ministry of Economic Affairs.
Kotler, P., Roberto, N., & Lee, N. (2002). Social marketing: improving the quality of life. Thousand Oaks, CA, USA: Sage.
Lagasse, L. (2004). Sociale markening: instrument voor duurzame gedragsverandering bij grote groepen. Antwerpen, Belgium: De Boeck.
Luijkx, K.G. (2001). Zorg; wie doet er wat aan. Een studie naar zorgarrangementen van ouderen. Wageningen, the Netherlands: Wageningen University.
Luijkx, K.G., De Blok, C., Van den Akker, P., & Meijboom, B. (2004). Zorgarrangementen in de ouderenzorg. Vraagsturing in zorg en welzijn in Tilburg. Tilburg, the Netherlands: Tranzo/IVA.
Luijkx, K.G., & Pardoel, K. (2005). Ouderensegmenten. Behoeften wonen, welzijn en zorg in de wijk (in Dutch). Tilburg, the Netherlands: IVA.
Sorkin, D., Rook, K.S., & Lu, J.L. (2002). Loneliness, lack of emotional support, lack of companionship, and the likelihood of having a heart condition in an elderly sample. Annals of Behavioral Medicine, 24(4), 290-298.
Theeke, L.A. (2010). Sociodemographic and health-related risks for loneliness and outcome. differences by loneliness status in a sample of older U.S. adults. Research in Gerontology Nursing, 3(2), 113-125.
Tronto, J.C. (1993). Moral Boundaries. A political argument for an ethic of care. London, UK: Routledge.
Wenger, G.C. (1984). The Supportive Network. Coping with old age. London, UK: George Allen & Unwin.
Wilson, R.S., Krueger, K.R., Arnold, S.E., Schneider, J.A., Kelly, J.F., Barnes, L.L., Tang, Y., & Bennett, D.A. (2007). Loneliness and risk of Alzheimer disease. Archives of General Psychiatry, 64, 234-240.
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Luijkx, K. (2013). Segments in long-term care and loneliness enabling tailor-made services to elderly people. In: Butijn, C., van Ophem, J., Casimir, G. (eds) The arena of everyday life. Mansholt Publication Series, vol 12. Wageningen Academic Publishers, Wageningen. https://doi.org/10.3920/978-90-8686-775-2_9
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DOI: https://doi.org/10.3920/978-90-8686-775-2_9
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