A1 Journal article (refereed), original research

Welfare state transition in the making: Focus on the niche-regime interaction in Finnish elderly care services

Open Access hybrid publication

Publication Details

Authors: Pekkarinen Satu, Melkas Helinä

Publisher: Elsevier

Publication year: 2018

Language: English

Related journal or series: Technological Forecasting and Social Change

Volume number: 145

Start page: 240

End page: 253

Number of pages: 14

ISSN: 0040-1625

eISSN: 1873-5509

JUFO level of this publication: 2

Digital Object Identifier (DOI): http://dx.doi.org/10.1016/j.techfore.2018.09.015

Permanent website address: https://www.sciencedirect.com/science/article/pii/S0040162518314409?via=ihub

Open Access: Open Access hybrid publication


The study tackles the socio-technical transition in Finland's elderly
care within the framework of the multi-level perspective of transitions,
with a specific focus on the confrontation between niche and regime
levels. Despite the recognised societal importance of rethinking the
welfare state and elderly care in it, the direction of change is not
straightforward. Even though the regime is experiencing destabilisation,
remarkable inertia, deriving from old trajectories, exists, in both
technological development and socio-institutional adaptation. Our
analysis is based on four case studies that represent different
development processes aiming at changes in the elderly care system. In
the analysis, we have identified several lock-ins that act as barriers
to the niche breakthrough and transition in elderly care according to
whether they are related to confrontation either between technologies,
between practices or between practices and technologies. Barriers were
identified in the form of technical incompatibilities and usability
problems, professional roles and responsibilities and a lack of training
and systemic thinking, for instance. Overcoming these confrontations
can be facilitated through learning different professional and work
cultures, smoothening organisational and sectoral borders as well as
facilitating users' adoption of technologies. The study contributes to
the research on transition dynamics and responds to the need to analyse
the complex process between niches and regimes.


Last updated on 2019-09-08 at 14:03