economic monitoring for care farming in the netherlands

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    Economic Monitor for Care-Farming in The Netherlands

    Bart Doorneweert ([email protected])

    Gabe Venema ([email protected])

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    Care farming in The Netherlands

    Background:

    Care farming is evolving through 3 clear phases:

    Individual initiative Network formation

    Market oriented provision of healthcare services

    Currently there is a boom in healthcare farmsstart-ups

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    Growth trajectory

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    Opportunities and Constraints

    Opportunities:

    Sector with a positive status in society and withgovernment (high-quality healthcare service)

    Part-privatization of healthcare expenditure

    Constraints:

    Limited collective coordinating initiatives in the sector

    Lack of a formal system of information exchange thatsupplements networks

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    Focus information exchange

    Market orientation requires a basis of structuredinformation exchange

    Sector needs to give face to an importantquestion:

    What benefits flow from a Euro spent on a care-farm?

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    Focus information exchange

    Multi-stakeholder interest in this question:

    Government/society

    Insurance agencies

    Clients The entrepreneur

    Consultants

    Research

    Banks, etc

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    Focus information exchange

    Care-farming core information comprises of:

    Quality of healthcare services

    Business economics of care farming Ideal format for exchange is a monitor:

    It contains a framework of analysis for the sector

    It allows periodic comparison to track developments and evaluateperformance of the sector

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    Monitor design

    We asked four leadingquestions for designing amonitor:1) what do we consider a

    carefarm? And why?

    2) what economic issuesshould the monitor cover?

    3) which indicators can portraydevelopments in theseissues

    4) what is the most effective

    way for gathering theinformation to fill in theindicators?

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    Question 1 answered

    In essence a farm where the owners income is

    contingent on the results of boththe farmingactivity and healthcare services.

    ie. we exclude amateur-farmers and hugeinstitutionalized care-farming systems

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    Question 2 answered

    The balance between the size and weight offarming activity and that of the health-careactivity, and the transformation over time.

    Which production factors are employed in carefarmingand how are they most effectively employed? ie. whatkind and how much labor/investment is required; whatincome will it generate?

    Are there gains from specialization to providingservices to defined market segments?

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    Question 3 answered Basic information splitting farming/healthcare for:

    turnover

    utilized labor

    value of assets

    Economic performance indicators on /client(type)or /firm basis:

    Central: Turnover Costs = Income

    Turnover/(client or firm), labor/(client or firm),investment/(client or firm), etc

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    Question 4 answered

    Available information:

    The Dutch Support Centre database holds qualitativecharacteristics of (all) care farms- basis for sample.

    Farming structure characteristics of all farms availablethrough farm-census

    Apply common definition of care farm and filter out the non-carefarms.

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    Thank you very much for yourattention!

    Wageningen UR