کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
952884 927550 2011 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Privatization of social services: Quality differences in Swedish elderly care
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی سیاست های بهداشت و سلامت عمومی
پیش نمایش صفحه اول مقاله
Privatization of social services: Quality differences in Swedish elderly care
چکیده انگلیسی

One of the major policy trends in recent decades has been the privatization of social services. This trend has also reached Sweden, a welfare state with health care and social service sectors that previously had almost no private providers. One of the most affected areas is elderly care, i.e. home-help services and residential care provided to citizens older than 65 years, where the proportion of private providers increased from 1% in 1990 to 16% in 2010. The ongoing privatization in Sweden and many other countries has raised important questions regarding the consequences of this policy transformation. In this paper, we present a cross-sectional study comparing the quality of services in private and public elderly care. Using statistics from 2007 displaying a variety of quality dimensions covering over 99% of all elderly care residents in Sweden, we were able to show that privatization is indeed associated with significant quality differences. Structural quality factors such as the number of employees per resident was significantly smaller (−9%) in private elderly care. On the other hand, the proportion of residents participating in the formulation of their care plan (+7%), the proportion of elderly with a reasonable duration between evening meal and breakfast (+15%), and the proportion of elderly offered different food alternatives (+26%) were significantly in favour of private contractors. Our conclusion is that private care providers seem to emphasize service aspects rather than structural prerequisites for good care.

Research highlights
► This article presents a quality comparison between public and private residential elderly care in Sweden covering the vast majority of all residents in 2007.
► There are significant quality differences between private and public elderly care providers.
► The staff density is lower in private care while service minded quality is higher in private care.
► Private care providers seem to emphasize service aspects rather than structural prerequisites for good care.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Social Science & Medicine - Volume 72, Issue 4, February 2011, Pages 560–567
نویسندگان
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