September 26, 2025

Habitat

A citizen-centered, dignified approach to elder care

A large wooden staircase with integrated seating forms a meeting place in the central atrium where people can gather and interact with each other, enabling spontaneous, impromptu activities and social encounters. Image credit:  © Adam Mørk

In Denmark, responsibility for elderly care—including housing, nursing homes, home care, and social support—is fully delegated to each of the country’s 98 municipalities. The goal is a citizen-centered, dignified approach where older adults receive tailored, coordinated support to stay independent as long as possible, with services integrated into local communities.

Copengagen's De Gamles By (“the City of the Elderly”) demonstrates this approach by providing not only nursing homes but also community facilities, health centers, daycares, and gardens—all coordinated by the city's municipal social services. Residents are evaluated individually, and care is matched to their needs, ranging from independent living with occasional support to 24-hour assistance. These services are designed to foster wellbeing, encourage social activity, and allow for intergenerational and neighborhood connections.  

This article spotlights the complex's newest facility, Centre for Health. Designed by Dorte Mandrup, an architect who is noted for her human-centered architecture, this innovative health centre features daylight, natural materials, and greenery to support mental health and patient recovery. The facility was commissioned by the city to meet the growing demand for the rehabilitation and treatment of people with lifestyle diseases like type-2 diabetes and heart conditions.

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