Creating Caring Institutions: Politics, Plurality, and Purpose

TLDR

The field debates how to identify institutions that provide good care, with some scholars suggesting modeling them after families or markets. The authors contend that by explicitly articulating background conditions of good family care, we can improve institutional care, which they define as focusing on purpose, power relations, and pluralistic tailoring to individual needs. They propose that institutional good care requires a focus on purpose, power relations, and pluralistic tailoring, and that institutions must provide political space to support these elements.

Abstract

How do we know which institutions provide good care? Some scholars argue that the best way to think about care institutions is to model them upon the family or the market. This paper argues, on the contrary, that when we make explicit some background conditions of good family care, we can apply what we know to better institutionalized caring. After considering elements of bad and good care, from an institutional perspective, the paper argues that good care in an institutional context has three central foci: the purpose of care, a recognition of power relations, and the need for pluralistic, particular tailoring of care to meet individuals’ needs. These elements further require political space within institutions to address such concerns.