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Voice and choice for users and carers? Developments in patterns of care for older people in Australia, England and Finland
- Authors:
- YEANDLE Sue, KRÖGER Teppo, CASS Bettina
- Journal article citation:
- Journal of European Social Policy, 22(4), 2012, pp.432-445.
- Publisher:
- Sage
This article considers developments during the 1990s and 2000s, decades that saw considerable debate, innovation, experimentation and change in how services for older people were planned, developed, delivered and experienced in many states, including Australia, England and Finland. It identifies key trends in residential and community care for older people, investigating the extent of ‘de-institutionalisation’, ‘privatisation’ and ‘individualisation’. The concepts of collective and individual ‘voice’ and ‘choice’ are used to interrogate the roles of collective and individual actors, older people and carers, in influencing policy formulation. While these three processes have been pursued by policy-makers in each country, their implementation is illuminated by understanding how ‘voice’ and ‘choice’ have been operationalised – individually and collectively – in each context. In the reshaping of eldercare in the three states, the analysis identifies the greater influence of claims-making by family carers, in comparison with the collective and individual voices of older people as service users.