Abstract

This paper summarizes the arguments and counterarguments within the scientific discussion on the issue of inter-sectoral and inter-organizational cooperation in long-term care service policy-making, organizing and delivery with a specific focus on NGO role in it. The main purpose of the research is to explore the current situation, with a specific focus on NGO role in it, and look into some drivers of stakeholder cooperation in LTC organising and delivery and to compare them across public and private LTC providers and NGOs. Systematization of the literary sources and approaches indicates that NGOs’ role in stakeholder cooperation is unique due to the nature of their non-profit philosophy. The relevance of this scientific problem decision is that inter-organisational LTC cooperation with and by tertiary sector organisations has to date received very modest research attention, and is inconclusive and fragmented. This leads to not meeting growing needs for LTC services and increasing public costs. Investigation of the topic first offers empirical evidence on stakeholder cooperation in LTC policy development, organising and delivery across multiple stakeholder groups in three sectors – public, private and NGOs. In addition, it pays specific attention to NGOs role and engagement in LTC and identifies stronger and weaker areas of cooperation with other stakeholders. The paper also identifies several cooperation drivers and measures them in LTC field. The study builds on the findings of a survey of key LTC stakeholders in Lithuania (n=215). Results show that current NGO engagement in cooperation is lower in comparison to public and private LTC service providers and their cooperation is mainly limited to the sphere of LTC service delivery at an individual level, and family members, social workers and other NGOs make key stakeholder groups they cooperate with. The research empirically confirms that NGOs are outliers in cooperation in long-term care policy development, organising and delivery across multiple stakeholder groups. The results of the research can be useful for all the stakeholders in LTC policy field and service provision.

Keywords: inter-organisational cooperation, long-term care, NGO, stakeholder.

JEL Classification: L31.

Cite as: Ramonienė, L. (2023). NGOS and stakeholder cooperation in long term care organizing and delivery: an equal player or an outlier?. SocioEconomic Challenges, 7(1), 31-43. https://doi.org/10.21272/sec.7(1).31-43.2023

This work is licensed under a Creative Commons Attribution 4.0 International License

References

1. Abendstern, M., Hughes, J., Jasper, R., Sutcliffe, C., & Challis, D. (2018). Care co‐ordination for older people in the third sector: scoping the evidence. Health & social care in the community, 26(3), 314-329. [CrossRef].
2. Bach-Mortensen, A. M., & Montgomery, P. (2018). What are the barriers and facilitators for third sector organisations (non-profits) to evaluate their services? A systematic review. Systematic reviews, 7(1), 13. [CrossRef].
3. Baines, S., Wilson, R., Hardill, I., & Martin, M. (2008). ‘They just don’t understand us!’Learning and reflection from commissioning relationships in the mixed economy of care. NCVO paper. [Link].
4. Barney JB (2018) Why resource-based theory’s model of profit appropriation must incorporate a stakeholder perspective. Strategic Management Journal 39(13): 3305–3325. [CrossRef].
5. Bettinazzi ELM and Feldman ER (2021) Stakeholder orientation and divestiture activity. Academy of Management Journal 64(4): 1078–1096.  [CrossRef].
6. Bharati, P., Zhang, W., & Chaudhury, A. (2015). Better knowledge with social media? Exploring the roles of social capital and organizational knowledge management. Journal of knowledge management, 19(3), 456-475. [CrossRef].
7. Bridoux F and Stoelhorst JW (2016) Stakeholder relationships and social welfare: A behavioral theory of contributions to joint value creation. Academy of Management Review 41(2): 229–251. [CrossRef].
8. Bridoux F and Stoelhorst JW (2022) Stakeholder governance: Solving the collective action problems in joint value creation. Academy of Management Review 47(2): 214–236. [CrossRef].
9. Brooks, H., Liebman, L., & Schelling, C. (1984). Public private partnership: New opportunities for meeting social needs. [CrossRef].
10. Bundy J, Vogel RM and Zachary MA (2018) Organization–stakeholder fit: A dynamic theory of cooperation, compromise, and conflict between an organization and its stakeholders. Strategic Management Journal 39(2): 476–501. [CrossRef].
11. Cabral S, Mahoney JT, McGahan AM, et al. (2019) Value creation and value appropriation in public and nonprofit organizations. Strategic Management Journal 40(4): 465–475. [CrossRef].
12. Cameron, A., Lart, R., Bostock, L., & Coomber, C. (2014). Factors that promote and hinder joint and integrated working between health and social care services: a review of research literature. Health & social care in the community, 22(3), 225-233. [CrossRef].
13. Cameron, A., Macdonald, G., Turner, W., & Lloyd, L. (2007). The challenges of joint working: lessons from the Supporting People Health Pilot evaluation. International journal of integrated care, 7(4). [CrossRef].
14. Clarkson, P., Brand, C., Hughes, J., & Challis, D. (2011). Integrating assessments of older people: examining evidence and impact from a randomised controlled trial. Age and ageing, 40(3), 388-391. [CrossRef].
15. Cots, E. G. (2011). Stakeholder social capital: a new approach to stakeholder theory. Business ethics: a European review, 20(4), 328-341. [CrossRef].
16. Cunningham, I., & James, P. (2009). The outsourcing of social care in Britain: what does it mean for voluntary sector workers? Work, employment and society, 23(2), 363-375. [CrossRef].
17. Dickinson, A. (2006). Implementing the single assessment process: opportunities and challenges. Journal of interprofessional care, 20(4), 365-379. [CrossRef].
18. Dickinson, H., Allen, K., Alcock, P., Macmillan, R., & Glasby, J. (2012). The role of the third sector in delivering social care. [Link].
19. Dickinson, H., & Glasby, J. (2010). ‘Why Partnership Working Doesn’t Work’ Pitfalls, problems and possibilities in English health and social care. Public management review, 12(6), 811-828. [CrossRef].
20. Dickinson, H., & Neal, C. (2011). Single point of access to third sector services: the Conwy collaborative approach. Journal of integrated care, 19(2), 37-48. [CrossRef].
21. Dowling, B., Powell, M., & Glendinning, C. (2004). Conceptualising successful partnerships. Health & social care in the community, 12(4), 309-317. [CrossRef].
22. Drennan, V., Iliffe, S., Haworth, D., Tai, S. S., Lenihan, P., & Deave, T. (2005). The feasibility and acceptability of a specialist health and social care team for the promotion of health and independence in ‘at risk’older adults. Health & social care in the community, 13(2), 136-144. [CrossRef].
23. Ekman, M., & Huzzard, T. (2007). Developmental magic? Two takes on a dialogue conference. The journal of organizational change management, 20(1), 8–25. [CrossRef].
24. Fosler, R. S., & Berger, R. A. (1982). Public-private partnership in American cities: Seven case studies. Lexington Books. [Link].
25. Freeman, T., & Peck, E. (2006). Evaluating partnerships: a case study of integrated specialist mental health services. Health & social care in the community, 14(5), 408-417. [CrossRef].
26. Gibb, C. E., Morrow, M., Clarke, C. L., Cook, G., Gertig, P., & Ramprogus, V. (2002). Transdisciplinary working: evaluating the development of health and social care provision in mental health. Journal of mental health, 11(3), 339-350. [CrossRef].
27. Glasby, J., Martin, G., & Regen, E. (2008). Older people and the relationship between hospital services and intermediate care: results from a national evaluation. Journal of interprofessional care, 22(6), 639-649. [CrossRef].
28. Glendinning, C. (2002). Partnerships between health and social services: developing a framework for evaluation. Policy & Politics, 30(1), 115-127. [CrossRef].
29. Googins, B. K., & Rochlin, S. A. (2000). Creating the partnership society: Understanding the rhetoric and reality of cross‐sectoral partnerships. Business and society review, 105(1), 127-144.  [CrossRef].
30. Gray, B. (1985). Conditions facilitating interorganizational collaboration. Human relations, 38(10), 911-936. [CrossRef].
31. Gray, B. (1989). Collaborating: Finding Common Ground for Multiparty Problems. San Francisco, CA: Jossy-Bass. [CrossRef].
32. Greening, D. W., & Gray, B. (1994). Testing a model of organizational response to social and political issues. Academy of Management Journal, 37(3), 467-498. [CrossRef].
33. Halliday, J., Asthana, S. N., & Richardson, S. (2004). Evaluating partnership: the role of formal assessment tools. Evaluation, 10(3), 285-303. [CrossRef].
34. Hoad, P. (2002). Drawing the line: the boundaries of volunteering in the community care of older people. Health & Social Care in the Community, 10(4), 239-246. [CrossRef].
35. Holtom, M. (2001). The partnership imperative: joint working between social services and health. Journal of Management in Medicine, 15(6), 430-445. [CrossRef].
36. Hubbard, G., & Themessl-Huber, M. (2005). Professional perceptions of joint working in primary care and social care services for older people in Scotland. Journal of Interprofessional Care, 19(4), 371-385. [CrossRef].
37. Hudson, B. (2002). Interprofessionality in health and social care: the Achilles’ heel of partnership? Journal of Interprofessional Care, 16(1), 7-17. [CrossRef].
38. Hudson, B. (2007). Pessimism and optimism in inter-professional working: The Sedgefield Integrated Team. Journal of Interprofessional Care, 21(1), 3-15. [CrossRef].
39. Jones TM, Harrison JS and Felps W (2018) How applying instrumental stakeholder theory can provide sustainable competitive advantage. Academy of Management Review 43(3): 371–391. [CrossRef].
40. Hula, R. C., & Jackson-Elmoore, C. (2001). Governing nonprofits and local political processes. Urban Affairs Review, 36(3), 324-358. [CrossRef].
41. Källmén, H., Hed, A., & Elgán, T. H. (2017). Collaboration between community social services and healthcare institutions: The use of a collaborative individual plan. Nordic Studies on Alcohol and Drugs, 34(2), 119-130. [CrossRef].
42. Kingdon, J. W., & Thurber, J. A. (1984). Agendas, alternatives, and public policies (Vol. 45, pp. 165-169). Boston: Little, Brown. [CrossRef].
43. Klein PG, Mahoney JT, McGahan AM, et al. (2012) Who is in charge? A property rights perspective on stakeholder governance. Strategic Organization 10(3): 304–315. [CrossRef].
44. Lange D, Bundy J and Park E (2022) The social nature of stakeholder utility. Academy of Management Review 47(1): 9–30. [Link].
45. Luo J and Kaul A (2019) Private action in public interest: The comparative governance of social issues. Strategic Management Journal 40(4): 476–502. [CrossRef].
46. Lovrich Jr, N. P. (1999). Policy partnering between the public and the not-for-profit private sectors: A key policy lever or a dire warning of difficulty ahead?. American Behavioral Scientist, 43(1), 177-191. [CrossRef].
47. Loxley, A. (1997). Collaboration in health and welfare: Working with difference. Jessica Kingsley Publishers. [Link].
48. McCormack, B., Mitchell, E. A., Cook, G., Reed, J., & Childs, S. (2008). Older persons’ experiences of whole systems: the impact of health and social care organizational structures. Journal of nursing management, 16(2), 105-114. [CrossRef].
49. McGahan AM (2020) Where does an organization’s responsibility end? Identifying the boundaries on stakeholder claims. Academy of Management Discoveries 6(1): 8–11. [CrossRef].
50. McLeod, E., Bywaters, P., Tanner, D., & Hirsch, M. (2006). For the sake of their health: Older service users’ requirements for social care to facilitate access to social networks following hospital discharge. British Journal of Social Work, 38(1), 73-90. [CrossRef].
51. Miller, R. (2013). Third sector organisations: unique or simply other qualified providers? Journal of Public Mental Health, 12(2), 103-113. [CrossRef].
52. Peck, David Towell, Pauline Gulliver, E. (2001). The meanings of culture in health and social care: a case study of the combined trust in Somerset. Journal of Interprofessional Care, 15(4), 319-327.  [CrossRef].
53. Pritchard, P., Pritchard, P. M., & Hughes, J. (1995). Shared care: the future imperative?. Royal Society of Medicine Press. [Link].
54. Regen, E., Martin, G., Glasby, J., Hewitt, G., Nancarrow, S., & Parker, H. (2008). Challenges, benefits and weaknesses of intermediate care: results from five UK case study sites. Health & social care in the community, 16(6), 629-637. [CrossRef].
55. Rothera, I., Jones, R., Harwood, R., Avery, A. J., Fisher, K., James, V., . . . Waite, J. (2008). An evaluation of a specialist multiagency home support service for older people with dementia using qualitative methods. International journal of geriatric psychiatry: a journal of the psychiatry of late life and allied sciences, 23(1), 65-72. [CrossRef].
56. Rutter, D., Tyrer, P., Emmanuel, J., Weaver, T., Byford, S., Hallam, A., … & Ferguson, B. (2004). Internal vs. external care management in severe mental illness: randomized controlled trial and qualitative study. Journal of mental health, 13(5), 453-466. [CrossRef].
57. Scragg, T. (2006). An evaluation of integrated team management. Journal of integrated care, 14(3), 39-48. [CrossRef].
58. Stewart, A., Petch, A., & Curtice, L. (2003). Moving towards integrated working in health and social care in Scotland: from maze to matrix. Journal of interprofessional care, 17(4), 335-350. [CrossRef].
59. Sundström, M., Petersson, P., Rämgård, M., Varland, L., & Blomqvist, K. (2018). Health and social care planning in collaboration in older persons’ homes: the perspectives of older persons, family members and professionals. Scandinavian journal of caring sciences, 32(1), 147-156. [CrossRef].
60. Stewart, M. (2001). Towards a global definition of patient centred care: the patient should be the judge of patient centred care. Bmj, 322(7284), 444-445. [CrossRef].
61. Thornton, P. (1991). Subject to contract? Volunteers as providers of community care for elderly people and their supporters. Journal of aging studies, 5(2), 181-194. [CrossRef].
62. Tingvold, L., & Olsvold, N. (2018). Not just “sweet old ladies”–Challenges in voluntary work in the municipal long-term care services. Nordic journal of social research, 9(1), 31-47. [CrossRef].
63. Qian C, Crilly D, Wang K, et al. (2021) Why do banks favor employee-friendly firms? A stakeholder-screening perspective. Organization Science 32(3): 605–624. [CrossRef].
64. Walzer, N., & Jacobs, B. D. (Eds.). (1998). Public-private partnerships for local economic development. Greenwood Publishing Group. [Link].
65. Weaver, C., & Dennert, M. (1987). Economic development and the public-private partnership: Introduction to the symposium. Journal of the American planning association, 53(4), 430-437.  [CrossRef].
66. Westeren, K. I. (2000). p. In P. V. Schaeffer & S. Loveridge (Eds.), Small Town and Rural Economic Development: A Case Studies Approach (pp. 227-236). Westport, CT: Praeger. [Link].
67. Westley, F., & Vredenburg, H. (1997). Interorganizational collaboration and the preservation of global biodiversity. Organization science, 8(4), 381-403. [CrossRef].
68. Wootliff, J., & Deri, C. (2001). NGOs: The new super brands. Corporate reputation review, 4, 157-164. [CrossRef].
69. Zollo M, Minoja M and Coda V (2018) Toward an integrated theory of strategy. Strategic Management Journal 39(6): 1753–1778. [CrossRef].