Chapter by Erik Lakomaa in Managing Digital Transformation edited by Per Andersson, Staffan Movin, Magnus Mähring, Robin Teigland, and Karl Wennberg: “Parallel to the formal private or public (health) care organisations in Europe, a number of community-driven care projects have emerged. They may supplement the formal organisations by reducing costs or provide care to groups that, for some reason, do not have access to the formal sector. Drawing upon the Ostromian theory of commons and on previous theory and research on open software development (which share some of the characteristics of “open care”), I use historical cases of community-driven care to examine the prospects for such projects to help remedy the cost crisis in the care sector. I explore under which institutional settings “open care” is likely to emerge and when open care projects have potential to scale. It is found that open care is more likely to emerge and prosper when it builds upon existing organisational structures: where the participants do not need to create new hierarchies or governance structures, and where they share common values…(More)”.