New organizational concepts are of significant importance for homes for the elderly. Restructuring of the homes is necessary because of some fundamental weaknesses in the contemporary elderly care system as well as the shift of the level of aspiration which is expected by the formation of the so-called "new elderly". Main topics in the restructuring process are consumer orientation, core organizational competences, and core processes. The challenge for the management is not to copy "ideal" models but to develop and to implement new structures which fit into the special context of the homes.
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