Search results for ‘Subject term:"older people"’ Sort:
Results 1 - 9 of 9
The marketisation of care: rationales and consequences in Nordic and liberal care regimes
- Authors:
- BRENNAN Deborah, et al
- Journal article citation:
- Journal of European Social Policy, 22(4), 2012, pp.377-391.
- Publisher:
- Sage
The use of markets and market mechanisms to deliver care is one of the most significant and contentious ways in which welfare states have been transformed. This article examines debates and policies concerning the marketisation of eldercare and childcare in Sweden, England and Australia. It shows how market discourses and practices intersect with, reinforce or challenge traditions and existing policies and examines whether care markets deliver user empowerment and greater efficiency. Markets for eldercare and childcare have developed in uneven and context specific ways with varying consequences. Both politics and policy history help to shape market outcomes.
Marketisation of Nordic eldercare: is the model still universal?
- Author:
- MOBERG Linda
- Journal article citation:
- Journal of Social Policy, 46(3), 2017, pp.603-621.
- Publisher:
- Cambridge University Press
- Place of publication:
- Cambridge
The objective of this article is to analyse whether the increased reliance on marketisation in the provision of social care challenges the universality of eldercare in Sweden, Denmark, Finland and Norway. The study focuses on national reforms for contracting out and user choice of provider, analysing their consequences for four universalistic dimensions: (i) equal inclusion, (ii) public funding, (iii) public provision and (iv) comprehensive usage. The findings suggest that, although need-based inclusion and public funding remain key principles in all four countries, there is an increased reliance on private provision in Sweden, Denmark and Finland. In addition, the introduction of topping-up services challenges the dimension of comprehensive usage by enabling users with economic resources to turn to the private market to increase the comprehensiveness and quality of their care. (Publisher abstract)
Analysis of the UK long term care market
- Author:
- FROST AND SULLIVAN
- Publisher:
- Technology Strategy Board
- Publication year:
- 2013
- Pagination:
- 38
- Place of publication:
- Swindon
Examines the economic research in the current care market and makes some analyses and extrapolations of future market potential. The report looks at the public and private long term care provision in the UK and makes some comparisons with global markets. It argues that the residential sector will continue to see higher growth compared to the non-residential sector. The total residential market will see a compound annual growth rate of 4.3 per cent between 2030 and 2040, with the private sector growing faster than the public sector. The report also examines how demand factors impact on the market, focusing in particular on changing demographics, the source of funding and expenditure, the consumer trends and the role of technology, and provides a brief outline of the current political and regulatory context. (Edited publisher abstract)
From plan to market: a comparison of health and old age care policies in the UK and Sweden
- Authors:
- FOTAKI Marianna, BOYD Alan
- Journal article citation:
- Public Money and Management, 25(4), August 2005, pp.237-243.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article reviews changes in the organization, delivery and financing of health care and old age services in the UK and Sweden over the past 25 years. User autonomy has become a more important policy objective than equity of access or equality of opportunity, with a greater reliance on market mechanisms for delivering services. The public and politicians seem to be prepared to accept that competition, choice and decentralization may result in a widening of regional and geographical inequalities, and the erosion of the universal character of the welfare state. These developments reflect broader normative shifts in both societies, and are likely to continue and become more widespread in the future, as they will be strongly influenced by demographic and social factors, fiscal constraints and the policies of supernational bodies such as the European Union.
From the state to the family or to the market? Consequences of reduced residential eldercare in Sweden
- Authors:
- ULMANEN Petra, SZEBEHELY Marta
- Journal article citation:
- International Journal of Social Welfare, 24(1), 2015, pp.81-92.
- Publisher:
- Wiley
This article analyses the changing roles of the state, family and market in providing care for older people in Sweden, in relation to Scandinavian welfare ideals of universalism and de-familisation. The analysis was based on non-institutionalised individuals 65 years and older who reported needing help with at least one household task (laundry, cleaning, grocery shopping or cooking. A total of 847 individuals in 2002–2003 and 958 individuals in 2009–2010 aged 65–99 years were were included in the study, and asked from whom they received help. The change between 2002–2003 and 2009–2010 in the use of the three sources of help (homecare services, non-cohabiting family/friends, privately purchased services/other help were analysed. Since 2000 every fourth residential care bed has disappeared and the increase in homecare services has not compensated for the decline. Instead family care (defined here as help from adult children and other non-cohabiting family or friends) has increased in all social groups: help by daughters mainly among older people with shorter education and help by sons among those highly educated. Use of privately purchased services has also increased but continues to play a marginal role. Family care remains more common among older people with less education whereas privately purchased services are more common among those with higher education. This dualisation of care challenges universalism, and working-class daughters continue to be most affected by eldercare cutbacks. (Edited publisher abstract)
Sweden and the United States: is the challenge of an aging society leading to a convergence of policy?
- Author:
- PARKER Marti G.
- Journal article citation:
- Journal of Aging and Social Policy, 12(1), 2000, pp.73-90.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
The ageing of the population is one of many forces behind a current reconstruction of welfare benefits in both Sweden and the United States. While both countries represent ideological polarities regarding social policy, they are struggling to meet their welfare goals with limited resources, and both are adopting similar strategies, for example, decentralisation, targeting, and an increased emphasis on privatisation and evaluation. Summarises some of the differences between Sweden and the United States and describes some of the forces at work that are lessening the differences between the two countries in strategies and policy regarding care services for elderly people.
Private markets in health and welfare: an international perspective
- Editor:
- JOHNSON Norman
- Publisher:
- Berg
- Publication year:
- 1995
- Pagination:
- 263p.,tables,bibliogs.
- Place of publication:
- Oxford
Collection of papers examining the growing role of private markets in the provision and finance of health and social welfare services in the UK, Canada, France, Italy, Sweden, the United States, Hungary, Poland and Slovenia. Considers whether the principal beneficiaries have been the state, the consumers, or the commercial providers. Includes papers on domiciliary and residential services, housing, and a range of health services.
Measuring the threat of competition: services for the elderly in the city of Stockholm
- Author:
- ALMQVIST Roland
- Journal article citation:
- Local Government Studies, 25(1), Spring 1999, pp.1-16.
- Publisher:
- Routledge
Sets out a method for the purpose of isolation effects of the competition threat. The case investigated is care of the elderly in the city of Stockholm, which introduced competitive tendering for 1993 budget years. Three approaches - based on three simple quantitative models - have been presented for the purpose. Describes the different models and identifies the degree of threat competition has in relationship to them.
Social policy and the labour market
- Editors:
- DE JONG Philip R., MARMOR Theodore R.
- Publisher:
- Ashgate
- Publication year:
- 1997
- Pagination:
- 733p.,bibliogs.
- Place of publication:
- Aldershot
Joins micro-economic analysis of social insurance and welfare systems with broader political descriptions of social policy. Gives a sense of the fundamental problem of finding a social welfare system that fits specific economic and cultural conditions. Includes papers on: the Nordic welfare model and the European Union; convergence and divergence in the evolution of the welfare state; private provision of social security; the case for equivalent taxation of social security benefits in the European Union; an international analysis of retirement and economic development; disability and rehabilitation; unemployment insurance; social assistance in comparative perspective; lone mothers, policy and employment in twenty countries; Swedish single parents and social security; social security in Poland in a period of transition; social security reform in the Czech Republic; social security for disabled people in South Africa; China's social security in the context of the national distribution system; and integratability of social welfare systems for a unified Korea.