Users of home-care services in a Nordic welfare state under marketisation: the rich, the poor and the sick
| Autor: | Teppo Kröger, Lina Van Aerschot, Jiby Mathew Puthenparambil |
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| Rok vydání: | 2015 |
| Předmět: |
Male
Financing Government Economic growth private services Sociology and Political Science vanhukset hoivapalvelut Choice Behavior older people public services 0302 clinical medicine Universal Health Insurance Surveys and Questionnaires 050602 political science & public administration 030212 general & internal medicine Finland Aged 80 and over education.field_of_study Health Policy 05 social sciences Public sector 1. No poverty Questionnaire care services Welfare state Home Care Services hoitopalvelut 0506 political science Income Female Private Sector julkiset palvelut Population Context (language use) Outsourcing 03 medical and health sciences Suomi Humans education Poverty service use Service system Public Sector business.industry Public Health Environmental and Occupational Health ta5142 yksityiset palvelut Municipal services Business Social Sciences (miscellaneous) |
| Zdroj: | Health & Social Care in the Community. 25:54-64 |
| ISSN: | 0966-0410 |
| DOI: | 10.1111/hsc.12245 |
| Popis: | Stricter access to public services, outsourcing of municipal services and increasing allocation of public funding for the purchase of private services have resulted in a marketisation wave in Finland. In this context of a Nordic welfare state undergoing marketisation, this paper aims to examine the use of Finnish care services among older people and find out who are using these new kinds of private services. How wide is their use and do the users of private care services differ from those who are using public services? How usual is it to mix both public and private care services? The questionnaire survey data set used here was gathered in 2010 among the population aged 75 and over in the cities of Jyväskylä and Tampere (N = 1436). The methods of analysis used include cross‐tabulation, chi‐square tests and multinomial logistic regression. The findings showed that among those respondents who used care services (n = 681), 50% used only public services, 24% utilised solely private services and the remaining 26% used both kinds of services. Users of solely private services had significantly higher income and education as well as better health than those using public services only. The users of public services had the lowest education and income levels and usually lived in rented housing. The third group, those mixing both public and private services, reported poorer health than others. The results increase concerns about the development towards a two‐tier service system, jeopardising universalistic Nordic principles, and also suggest that older people with the highest needs do not receive adequate services without complementing their public provisions with private services. peerReviewed |
| Databáze: | OpenAIRE |
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