Improving the quality of life of the people served by providing home assistance, companionship, help with personal hygiene and medication management, achieves an intended outcome of increasing their well-being and autonomy, enabling them to live more fully and with more dignity.

This business model provides for people in vulnerable situations to have access to high quality services that may have previously been limited by economic, social or geographic barriers, which not only improves their well-being, but also decreases the social and economic gap.

This model has the potential to generate an unintended outcome of economic empowerment for people who can become care providers, especially important for women who could play key roles in this sector, thus contributing to gender equity and economic development.

The business model could perpetuate gender inequalities if not adequately addressed by assigning traditional caregiving roles predominantly to women, limiting their opportunities in other areas.

If the demand for services exceeds the availability of trained professionals, quality and time of care issues could arise, negatively affecting the experience of beneficiaries.

Uncontrolled expansion of care services could have a negative environmental impact if sustainable practices, such as responsible resource use and medical waste management, are not implemented.

Gender inequality and/or marginalization risk: Failure to take into account the specific needs of marginalized groups could result in the exclusion of these individuals.

If technology implementation is not done effectively, it could create an over-reliance on digital systems, excluding people who do not have access to or are unfamiliar with technology.

If care services are not effective enough to prevent long-term health problems, they could increase burdens on the public health system, affecting both patients and medical staff.

If care services do not meet expected quality standards, beneficiaries could experience a decrease in their quality of life and well-being, which would contradict the purpose of the model.

If service delivery is not carried out in a sustainable manner, such as inadequate generation of medical waste, it could have a negative impact on the environment and public health.

Gender inequality and/or marginalization risk:If the business model fails to achieve its goal of providing accessible services for all, it could increase existing inequities.

Transform healthcare by providing personalized and accessible services, contributing to gender equality and reducing marginalization.

National Multi-Year Public Sector Plan 2021-2024: redesigns the planning process since the main objective of public policies should be to improve the quality of life of the people (15).

National Plan for Gender Equality and Equity (PLANEG III) 2020-2030: This document responds to the main problems and needs of women in the Dominican Republic, identified as a sign of social inequality and as part of the inescapable commitments subscribed by the state (16).

Building a National Care Policy with the actors of the territory: The Dominican State intends to promote the Communities of Care as a pilot exercise for the implementation of a National Care Policy, starting with a strategy (8).

Financial incentives: Access to Financing: Multiple banks offer loans at market rates for business projects.

National Development Strategy (END): This Law contains the formulation of the long-term vision of the Nation, the Axes, Objectives and Strategic Lines of Action, a set of indicators and goals that the country intends to achieve in the time horizon of application of the Strategy (17).

General Health Law 42-01: regulates all actions that allow the State to make effective the right to health of the population, recognized in the constitution (18).

Law No. 5-13, on Disability and its Decree No. 363-16 which establishes the Regulations for the Application of the Law. It protects and guarantees equal rights and equal opportunities to all persons with disabilities and regulates non-profit legal entities (19).

Law 352-98 of 1998 that creates the National Council of the Aging Person (CONAPE), entity responsible for designing national policies in favor of the elderly (20).

Health care companies such as Servi enfermera, United Telemedicine Network, North Coast Elder Care.

Ministry of Health, Ministry of Labor, Ministry of Women, Ministry of Economy, Planning and Development, CONAPE, CONADIS.

International organizations such as WHO and UNDP that provide guidance and accompaniment to the government for the design and implementation of public policies.

Charities and NGOs working in the care of older adults such as: Caritas Internationalis, FUNDAMA, Sociedad San Vicente de Paúl, Fundación Ventanas de Amor.