"Over the last decade, fundamental changes have occurred in Denmark with regard to welfare structures. These changes have taken place in the sectors of social care and health where decision-making structures have been reformed to become more consumer-oriented. This article examines elderly-care services specifically in order to explore how changes in decision making have altered structures of inclusion. The analysis is based on systems theory, which allows an exploration of how each of three decision-making systems has particular conditions for participation and inclusion. The article argues that inclusion has assumed a hybrid form."

Support: Digital