RESUMO
BACKGROUND: As most older people in Germany wish to remain in their homes even in the case of increasing need for support, new forms of care are emerging in many locations. The aim of these new forms of care is to promote the stability of home-based care arrangements, which is also the aim of the so-called overall care concept of the municipal nursing home provider in Krefeld. The idea is that users of this concept are able to obtain a cross-sectoral broad spectrum of services which are tailored to their care needs. OBJECTIVE: This article presents to what extent users (people in need of help and/or care and their family carers) experience the contribution of the overall care concept over time as stabilizing with respect to the home-based care arrangement. MATERIAL AND METHODS: For this purpose, 24 interviews with 10 people in need of care and/or their family carers were analyzed by means of qualitative content and by cross-case longitudinal analyses. RESULTS: Some users experienced the contribution of the overall care concept as stabilizing, some experienced it ambivalently and occasionally users experienced a negative development trend. CONCLUSION: Concepts can have a stabilizing effect if they continuously correspond to the individual ideas and needs of the person in need of care and family carer(s). In order to do so, communicative negotiation processes between the provider and the care dyads could be a promising approach.
