After a general introduction and situating of the institutional context of the social care, we will examine three types of processes that dominate the institutional context of social care, e.g. the macro-, meso and micro-processes. From each of these we will discuss some ‘ capita Selecta ’ .
With relation to the macro-processes, subjects that attend to the matter of the relation government – social care will be investigated: market versus government (and the position of social care in this); economical development and the position of competition; international developments, inter alia European (for example the intent of ‘ public interest ’ and ‘ globalising economy ’ ), political and policy developments,..
The meso-processes relate to the relation between government and social care, for example : welfare policy, especially at Flemish and the local level (and the interdependence between various levels); the intent of ‘ social securities ’ ; autonomy and the limits on the autonomy; instruments of government policy and regulation in general and social care in particular; labour relations; conflict regulation (e.g. right of petition and quality policy); environmental performance and durability; the role of socio-economical fundamental rights.
Thirdly, the micro-processes regarding the relationship between consumer / citizen and social care will be investigated; amongst others, they include: the rights of patients and consumers; individual and collective forms of participation and joint decision making; internal quality care and control systems; integrity and professionalism of the involved branches.
In conclusion the opportunities and restrictions of social care from the institutional context will be looked at. At this point the connection will be established to the organisation and the essential search request to social care in general (see the approach of Piessens : “ the grammar of the social care ” )