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Freedom of choice or cost efficiency? The implementation of a free-choice market system in community mental health services in Sweden
Engelsk titel: Freedom of choice or cost efficiency? The implementation of a free-choice market system in community mental health services in Sweden Läs online Författare: Andersson, Maria ; Eklund, Mona ; Sandlund, Mikael ; Markström, Urban Språk: Eng Antal referenser: 37 Dokumenttyp: Artikel UI-nummer: 16053831

Tidskrift

Scandinavian Journal of Disability Research 2016;18(2)129-41 ISSN 1501-7419 E-ISSN 1745-3011 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

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.