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Privatization and quality: evidence from elderly care in Sweden
Södertörns Högskola.
Uppsala University.
Umeå universitet, Samhällsvetenskapliga fakulteten, Handelshögskolan vid Umeå universitet, Nationalekonomi.ORCID-id: 0000-0001-6094-9099
Stockholm School of Economics.
2016 (engelsk)Inngår i: Journal of Health Economics, ISSN 0167-6296, E-ISSN 1879-1646, Vol. 49, s. 109-119Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Non-contractible quality dimensions are at risk of degradation when the provision of public services is privatized. However, privatization may increase quality by fostering performance-improving innovation, particularly if combined with increased competition. We assemble a large data set on elderly care services in Sweden between 1990 and 2009 and estimate how opening to private provision affected mortality rates – an important and not easily contractible quality dimension – using a difference-in-difference-in-difference approach. The results indicate that privatization and the associated increase in competition significantly improved non-contractible quality as measured by mortality rates. 

sted, utgiver, år, opplag, sider
2016. Vol. 49, s. 109-119
Emneord [en]
competition, incomplete contracts, limited enforcement, mortality, quality, outsourcing, nursing homes, performance measurement, privatization, procurement, public services
Emneord [sv]
Äldreomsorg, kvalitet, upphandling, privat vård, mortalitet, kontrakt, konkurrens, särskilt boende
HSV kategori
Forskningsprogram
nationalekonomi
Identifikatorer
URN: urn:nbn:se:umu:diva-128710DOI: 10.1016/j.jhealeco.2016.06.010ISI: 000384869400009OAI: oai:DiVA.org:umu-128710DiVA, id: diva2:1055709
Forskningsfinansiär
Swedish Research CouncilSwedish Competition AuthorityTilgjengelig fra: 2016-12-13 Laget: 2016-12-13 Sist oppdatert: 2018-06-09bibliografisk kontrollert

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