VENI: Arbitrary or tailored care at the kitchen table? An ethnography of situated judgements in public encounters
Funder: Netherlands Organization for Scientific Research (NWO), VENI grant
The policy metaphor of the ‘kitchen table’ symbolizes a paradigm shift in resource allocation in changing welfare regimes: from impartial bureaucratic procedures that treat like cases alike to participatory encounters that enable ‘customized’ arrangements. Yet, this shift has generated much discussion. Patient organizations argue that the allocation of care has become ‘arbitrary’ due to increasing differences between and within municipalities. A sharp rise in lawsuits filed by citizens against municipalities is another matter of concern.
This project is a timely response to calls by scholars and practitioners to investigate and improve the quality of local allocative decision-making in care. To date, research has focused on the role of frontline workers from a bureaucratic perspective (street-level bureaucracy). This project develops an interactional approach called “Situated Judgements in Public Encounters” that provides insights into a) how citizens and frontline workers in interaction make situated judgements about needs, responsibilities and the allocation of public and private resources, and b) which strategies contribute to fair allocative decision-making.
I will conduct a multi-sited ethnography of public encounters in a large, medium and small municipality to gain an in-depth understanding of public welfare encounters and the distribution of public health resources between and within different municipalities. The analysis will contribute to a training module on value judgements for frontline workers and a municipal decision-making framework for allocation of care.
ESHPM: Lieke Oldenhof
Collaborating knowledge institutes and societal partners: Council for Public Health and Society (RVS), Netherlands Institute for Social Research (SCP), National Knowledge Institute in the Social Domain (Movisie), various Dutch municipalities