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Marketization and the Quality of Residential Elderly Care in Sweden

Working paper
Authors Rasmus Broms
Carl Dahlström
Marina Nistotskaya
Publisher University of Gothenburg
Place of publication Gothenburg
Publication year 2018
Published at Quality of Government Institute (QoG)
Department of Political Science
Language en
Keywords outsourcing, competition, service quality, elderly care,
Subject categories Public Administration Studies, Political Science (excluding Public Administration Studies and Globalization Studies)


Against a backdrop of increased levels of marketization of welfare services in OECD countries, this article aims to shed light on the separate effects of private ownership and competition on service quality. Using residential elderly care in Sweden as our case, we leverage unique panel data of ownership and competition against a set of indicators, pertaining to the structure, process and outcome dimensions of care quality. The main finding of our analyses is that competition does surprisingly little for quality: private entrepreneurs perform neither better nor worse under stiff competition and the quality of care is approximately the same in those nursing homes that are exposed to competition from private actors as in those that are not.

Page Manager: Webmaster|Last update: 9/11/2012

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