Why the Discretion Mix Matters: Understanding the Transformation of Long-term Care Services

Autor: Young Jun Choi PhD, Hyejin Choi PhD
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Inquiry: The Journal of Health Care Organization, Provision, and Financing, Vol 56 (2019)
Druh dokumentu: article
ISSN: 0046-9580
1945-7243
00469580
DOI: 10.1177/0046958019871821
Popis: This study aims to extend the concept of discretion , ie, a certain degree of freedom in crucial decisions left to specific actors, to understand and examine the transformation of social care services in the era of aging and austerity. Although previous studies have reviewed and analyzed changes in care provision, they have been less concerned with who has the authority to make care decisions in the implementation process. We propose a new theoretical concept, the discretion mix , to understand the realignment of social care services beyond simply tracking institutional changes. Using a case study approach, this research investigates how the discretion mix of the Korean long-term care system has changed and the consequences of these changes; in addition, it discusses why the discretion mix can be a useful concept for analyzing the changing landscape of social care services.
Databáze: Directory of Open Access Journals