一种趋势的终结:瑞典老年人护理选择的缩减

IF 3.3 3区经济学 Q1 DEVELOPMENT STUDIES

Journal of Economic Policy Reform Pub Date : 2020-07-01 DOI:10.1080/17487870.2020.1746660

Henrik Jordahl, L. Persson

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引用次数: 7

摘要

摘要2009年，瑞典启动了一项选择自由改革，让市政当局可以选择在社会服务中引入标准化的准市场。这项改革最初在家庭护理中很受欢迎，直到采用市政护理的比例稳定在50%以上。近年来，这一趋势发生了逆转，一些城市已经废除了他们的选择制度。与实行选择制的市镇相比，废除的市镇更多地是农村地区，居民更少。固定效应回归表明，私人供应商市场份额的下降、政治向左翼的转变和成本的增加与选择制度的废除有关。

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The end of a trend: retraction of choice in Swedish elderly care

ABSTRACT In 2009, Sweden launched a freedom-of-choice reform that gave municipalities the option to introduce standardized quasi-markets in social services. The reform was initially popular to adopt in home care until the share of adopting municipalities leveled out just above 50 percent. In recent years, the trend has reversed, and several municipalities have abolished their choice system. Compared with municipalities with choice systems, the abolishing municipalities are more rural with fewer inhabitants. A fixed-effects regression suggests that decreases in the market share of private providers, political shifts towards the left, and increasing costs are related to the abolition of choice systems.

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来源期刊

Journal of Economic Policy Reform Multiple-

CiteScore

6.60

自引率

0.00%

发文量

期刊介绍： The Journal of Economic Policy Reform focuses on the analysis of economic policy reform. The journal draws upon what lessons can be learned from the successes and failures of countries undertaking reforms and how existing theories can be developed to shed light on positive as well as normative aspects of the reform process. The Journal of Economic Policy Reform encourages work from economists and political economy analysts on policies to promote growth and reduce poverty, intellectual property rights, aid versus trade, debt and debt relief, taxation and social security systems, surveys of key reform issues, as well as on corruption, democracy, emerging markets and the role of multilateral institutions.