Freedom of choice or cost efficiency? The implementation of a free-choice market system in community mental health services in Sweden
| Autor: | Maria Andersson, Mona Eklund, Mikael Sandlund, Urban Markström |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: | |
| Zdroj: | Scandinavian Journal of Disability Research, Vol 18, Iss 2, Pp 129-141 (2015) |
| Druh dokumentu: | article |
| ISSN: | 1501-7419 1745-3011 15017419 |
| DOI: | 10.1080/15017419.2014.995220 |
| Popis: | This case study investigates the implementation of a free-choice market system in community mental health services using the example of day centres for people with psychiatric disabilities. It was conducted in a major city that was about to implement a free-choice market system due to a new legislation that made it feasible. Eighteen semi-structured interviews were conducted. Agents situated in different parts of the organization were interviewed one year before and two years after the free-choice system was launched in 2010. Data showed a top–down political process. A majority of the intentions of the legislation advocated individual autonomy as the market system's main purpose; only one concerned organizational efficiency. Data reflected, however, that financial efficiency dominated the agents' experiences of the implemented system. The twofold market purpose was clearly reflected in the interviews. Front-line staff hoped for improvements mainly for the users, whereas managers mainly focused on the market as a resource allocator. |
| Databáze: | Directory of Open Access Journals |
| Externí odkaz: |
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