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To make or to buy long-term care? Part III: quality assurance to avoid market-failure
- Authors:
- LEICHSENRING Kai, WINKELMANN Juliane, RODRIGUES Ricardo
- Publisher:
- European Centre for Social Welfare Policy and Research
- Publication year:
- 2014
- Pagination:
- 14
- Place of publication:
- Vienna
Policy briefing looking at the reliance of markets for the delivery of long-term care, or the 'make or buy' decision. The briefing looks at current trends and challenges in defining and assessing quality in long-term care and its impact on outcomes for users and the organisation of care markets. It then draws on the experience of a number of European countries, highlighting existing practices of quality assurance in long-term care delivery. This Policy Brief is the final part of a trilogy dedicated to the reliance on markets for the delivery of long-term care (Edited publisher abstract)
To make or to buy long-term care? Part I: learning from theory
- Authors:
- RODRIGUES Ricardo, LEICHSENRING Kai, WINKELMANN Juliane
- Publisher:
- European Centre for Social Welfare Policy and Research
- Publication year:
- 2014
- Pagination:
- 12
- Place of publication:
- Vienna
This policy brief reviews some of the theoretical insights offered by economic theory (e.g. transaction costs) and other fields of social sciences (e.g. psychology, disability rights) regarding the make or buy decision as applied to long-term care. The theories reviewed here provide guidelines to policy-makers about how best to use market mechanisms to deliver long-term care, but also on the limits of the use of markets in the context of care for older people. While the decision whether to make or buy long-term care is arguably best answered empirically, considering insights from different strands of theory could help prevent adverse outcomes when setting up care markets. This policy brief is a first part of a trilogy dedicated to the reliance on markets for the delivery of long-term care. (Edited publisher abstract)
To make or to buy long-term care? Part II: lessons from quasi-markets in Europe
- Authors:
- RODRIGUES Ricardo, LEICHSENRING Kai, WINKELMANN Juliane
- Publisher:
- European Centre for Social Welfare Policy and Research
- Publication year:
- 2014
- Pagination:
- 14
- Place of publication:
- Vienna
This policy brief reviews underlying political arguments and evidence on the experiences of four selected countries in the introduction of quasi-markets in the provision of long-term care services. By tracking countries’ individual pathways, the paper shows how choice and competition were regulated by means of contracts, competitive tendering and purchaser-provider split in certain care sectors. The brief thus provides lessons for policy-makers on the impact of the ‘make or buy’ decision on outcomes for users, on quality of care, and on the organisation of care markets and reveals lessons on benefits and unresolved tensions of mixed care economies. This brief is the second part of a trilogy dedicated to the reliance on markets for the delivery of long-term care. (Edited publisher abstract)
The 'make or buy' decision in long-term care: lessons for policy: final project report
- Authors:
- RODRIGUES Ricardo, LEICHSENRING Kai, WINKELMANN Juliane
- Publisher:
- European Centre for Social Welfare Policy and Research
- Publication year:
- 2014
- Pagination:
- 113
- Place of publication:
- Vienna
Sets out a framework for analysing the decision to make or to buy long-term care services, i.e. whether to deliver long-term care services through public providers or contract them out to public and non-public providers. The report reviews existing literature on the theoretical underpinnings of the make or buy decision and how it applies to the specificities of long-term care. It analyses the implementation of quasi-markets in four European countries that represent different long-term care systems: England, Denmark, Germany and the Netherlands. It also critically reviews six quality assessment and quality management systems in Europe and the issues surrounding the definition and assessment of quality in long-term care. The paper concludes with a set of recommendations and lessons learned from the theoretical considerations and empirical research to aid the further discussion. (Edited publisher abstract)