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Choice and Competition in the Welfare State: Home Care as the Ideal Quasi-market
Södertörn University, Huddinge, Sweden.
Research Institute of Industrial Economics (IFN), stockholm, Sweden.ORCID-id: 0000-0001-8857-6116
Umeå School of Business, Economics and Statistics (USBE), Umeå University, Umeå, Sweden.
2018 (engelsk)Rapport (Annet (populærvitenskap, debatt, mm))
Abstract [en]

We study a reform by which a standardized model of choice and competition was introduced in tax-financed home care in a majority of Swedish municipalities. The market for home care is of particular interest since it is close to the ideal quasi-market. For identification, we exploit the different timing of reform implementation across municipalities. We find that the introduction of free choice and free entry in home care increased perceived quality by about one quarter of a standard deviation without affecting costs. Since satisfaction is unrelated to the private market share, the underlying mechanism seems to be new choice opportunities rather than competition or an advantage of private providers.

sted, utgiver, år, opplag, sider
Stockholm: Research Institute of Industrial Economics (IFN) , 2018. , s. 21
Serie
IFN Working Paper ; 1213
Emneord [en]
Choice, competition, privatization, elderly care, new public management
HSV kategori
Identifikatorer
URN: urn:nbn:se:oru:diva-76497OAI: oai:DiVA.org:oru-76497DiVA, id: diva2:1352228
Forskningsfinansiär
The Jan Wallander and Tom Hedelius Foundation
Merknad

JEL Codes: H42, H75, I11, L33

Tilgjengelig fra: 2019-09-18 Laget: 2019-09-18 Sist oppdatert: 2019-09-18bibliografisk kontrollert

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Choice and Competition in the Welfare State: Home Care as the Ideal Quasi-market(363 kB)102 nedlastinger
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