Governance: an Essential Lever for Innovating Home
Care services for the Elderly Through Co-Production.
First Insights from the Evaluation of Three Years of
Experimentation in Friuli Venezia Giulia
The paper presents a reflection on the role of governance in innovating
home care services for elderly people, drawing upon the first insights of
a qualitative evaluation research on the experimentation of an innovative
model of home care service promoted by the Friuli Venezia Giulia Region to
contrast the institutionalization of non-autonomous elderly people based
on co-production and the personal budget. The results have highlighted the
decisive function exerted by the governance system existing at the micro level
in inducing the path dependence effects and the crucial role of the intermediate
level of the governance system to prevent these effects from having distorting
consequences. Moreover, what has emerged is the importance for governance
to assume a participative configuration in order to balance adequately the
necessity to guarantee equity with the strict adherence to the local context
that characterizes social innovation as well as co-production.governance, coproduction,
social innovation elderly, home care.
