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Development of a Swedish community mental health service market
Umeå University, Faculty of Social Sciences, Department of Social Work.ORCID iD: 0000-0001-9836-6446
Umeå University, Faculty of Social Sciences, Department of Social Work.ORCID iD: 0000-0002-6330-5640
2019 (English)In: Nordic Social Work Research, ISSN 2156-857X, E-ISSN 2156-8588, no 1, p. 72-84Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to examine changes in an organizational field over time when implementing a freedom of choice model. Main focus was on the range and characteristics of providers and services. Our findings suggest that the expected effects of the reform in terms of variety of providers and services within the organizational field did not materialise due to a lack of market competition. Providers complemented each other rather than competed with each other, and the logics of care, choice, and advocacy challenged each other within the quasi-market. All informants described financial conditions in the market as extremely strained. Strong personal commitment characterized providers entering and exiting the market. A gap was found between policy goals and experiences among stakeholders, and efficiency was found to be the policy goal achieved most often in practice. This raises the questions of how the Swedish community mental health service market will develop in the future and what the implications are for the participants.

Place, publisher, year, edition, pages
Routledge, 2019. no 1, p. 72-84
Keywords [en]
mental health, social policy, choice model
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:umu:diva-150580DOI: 10.1080/2156857X.2018.1491011OAI: oai:DiVA.org:umu-150580DiVA, id: diva2:1238302
Available from: 2018-08-13 Created: 2018-08-13 Last updated: 2019-02-27Bibliographically approved

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