Chapter 10: How marketisation is changing the Nordic model of care for older people
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The last thirty years have witnessed a significant change in the ethos and organisation of public services. There has been a profound market shift in the provision of publicly funded services in different types of welfare states. This chapter looks at the avenues and mechanisms through which in the Nordic countries an increasing proportion of publicly funded care services for older people is being removed from the entirely public sphere of state and municipal provision and is increasingly shifted to private for-profit providers. There are clear signs of intensified marketisation developments, most particularly in Finland and Sweden. Marketisation refers to the growing presence of private for-profit providers and the increasing influence of market ideas, logics and mechanisms within public service delivery. In this chapter the concept of ‘marketisation from within’ is used to characterise the marketisation shift typical of the Nordic countries, as the state and municipalities are important actors in the marketisation process by regulating and financing services that are outsourced to for-profit providers through competitive bids and customer choice models.

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