Publications by Normacare members

Armstrong, P., Armstrong, H. & MacLeod, K.K. (2016). The Threats of Privatization to Security in Long-Term Residential Care, Ageing International 41:99–116. DOI: 10.1007/s12126-015-9228-0

Burau,V., Zechner, M., Dahl, H.M. & Ranci, C. (2016). The Political Construction of Elder Care Markets: Comparing Denmark, Finland and Italy, Social Policy & Administration, Early view DOI: 10.1111/spol.12198

Choiniere, J.A., Doupe, M., Goldmann, M., Harrington, C., Jacobsen, F.F., Lloyd, L.,  Rootham, M. & Szebehely, M. (2016). Mapping Nursing Home Inspections & Audits in Six Countries, Ageing International 41: 40-61. DOI: 10.1007/s12126-015-9230-6

Puthenparambil, J. M. & Kröger,T. (2016). Using Private Social Care Services in Finland: Free or Forced Choices for Older People? Journal of Social Service Research, 42(2), 167-179, DOI: 10.1080/01488376.2015.1137534

Harrington, H.,  Ross, L. & Kang, T. (2015). Hidden Owners, Hidden Profits, and Poor Nursing Home Care. A Case Study, International Journal of Health Services, Vol. 45(4) 779–800. DOI: 10.1177/0020731415594772.

Hoppania, Hanna-Kaisa & Vaittinen, Tiina (2015): ‘A household full of bodies: Neoliberalism, care and “the political”’, Global Society, 29(1), 70–88. DOI: 10.1080/13600826.2014.974515

Petersen, O. H., Houlberg, K. and Christensen, L. R. (2015). Contracting Out Local Services: A Tale of Technical and Social Services. Public Administration Review, 75: 560–570. DOI: 10.1111/puar.12367

Puthenparambil, J.M., Kröger, T. & Van Aerschot, L. (2015). Users of home-care services in a Nordic welfare state under marketisation: the rich, the poor and the sick. Health & Social Care in the Community. Early view DOI: 10.1111/hsc.12245

Vrangbæk, K., Petersen, O.H. and Hjelmar, U. (2015). Is Contracting Out Good or Bad for Employees? A Review of International Experience. Review of Public Personnel Administration March 2015 35: 3-23, first published on November 19, 2013. DOI:10.1177/0734371X13511087

Petersen, O. H. and Hjelmar, H. (2014). Marketization of welfare services in Scandinavia: A review of Swedish and Danish experiences. Scandinavian Journal of Public Administration, 17(4): 3-20. Open access.

2013 Report on marketisation i Nordic eldercare

Marketisation in Nordic eldercare: A research report on legislation, oversight, extent and consequences

The Nordic countries share a tradition of universal, tax-financed eldercare services, centred on public provision. Yet Nordic eldercare has not escaped the influence of the global wave of marketisation in recent years. Market-inspired measures, such as competitive tendering and user choice models, have been introduced in all Nordic countries, and in some countries, there has been an increase of private, for-profit provision of care services.

This report, researched and written by Normacare members, is the first effort to comprehensively document the process of marketisation in Sweden, Finland, Denmark and Norway. Our hope is that the report will provide both a foundation and an inspiration for further research on change in Nordic eldercare.

The report seeks to answer the following questions: What kinds of market reforms have been carried out in Nordic eldercare systems? What is the extent of privately provided services? How is the quality of marketised eldercare monitored? What has the impact of marketisation been on users of eldercare, on care workers and on eldercare systems? Are marketisation trends similar in the four countries, or are there major differences between them? The report also includes analyses of aspects of marketisation in Canada and the United States, where there is a longer history of markets in care. These contributions offer some perhaps salutary warnings for the Nordic countries about the risks of increasing competition and private provision in eldercare.

Editors: Gabrielle Meagher and Marta Szebehely

Download a copy of the report here, or email to purchase a printed copy (price 1OO SEK + moms; total 125 SEK))

Table of Contents

Chapter 1 Mapping marketisation: concepts and goals Anneli Anttonen and Gabrielle Meagher
Chapter 2 Marketising trends in Swedish eldercare: competition, choice and calls for stricter regulation Sara Erlandsson, Palle Storm, Anneli Stranz, Marta Szebehely and Gun-Britt Trydegård
Chapter 3 Marketisation of eldercare in Finland: legal frames, outsourcing practices and the rapid growth of for-profit services Olli Karsio and Anneli Anttonen
Chapter 4 Marketisation in eldercare in Denmark: free choice and the quest for quality and efficiency Tilde Marie Bertelsen and Tine Rostgaard
Chapter 5 Marketisation in Norwegian eldercare: preconditions, trends and resistance Mia Vabø, Karen Christensen, Frode Fadnes Jacobsen and Håkon Dalby Trætteberg
Chapter 6 The regulatory trap: Reflections on the vicious cycle ofregulation in Canadian residential care Albert Banerjee
Chapter 7 Regulating care: lessons from Canada Pat Armstrong
Chapter 8 Understanding the relationship of nursing home ownership and quality in the United States Charlene Harrington
Chapter 9 Four Nordic countries – four responses to the international trend of marketisation Marta Szebehely and Gabrielle Meagher