Freedom of choice or cost efficiency?: the implementation of a free-choice market system in community mental health services in Sweden
2016 (English)In: Scandinavian Journal of Disability Research, ISSN 1501-7419, E-ISSN 1745-3011, Vol. 18, no 2, 129-141 p.Article in journal (Refereed) Published
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.
Place, publisher, year, edition, pages
2016. Vol. 18, no 2, 129-141 p.
community mental health, free-choice market system, implementation
IdentifiersURN: urn:nbn:se:umu:diva-95156DOI: 10.1080/15017419.2014.995220ISI: 000377393000004OAI: oai:DiVA.org:umu-95156DiVA: diva2:757659
ProjectsDaglig sysselsättning för personer med psykisk funktionsnedsättnintg. En studie om verksamhetsområdets karaktär och om reformers påverkan.
FunderForte, Swedish Research Council for Health, Working Life and Welfare, 2010-0142