Freedom of choice or cost efficiency? The implementation of a free-choice market system in community mental health services in Sweden
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 legislat...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Stockholm University Press
2015-01-01
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| Series: | Scandinavian Journal of Disability Research |
| Subjects: | |
| Online Access: | https://www.sjdr.se/articles/317 |
| _version_ | 1797714412517195776 |
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| author | Maria Andersson Mona Eklund Mikael Sandlund Urban Markström |
| author_facet | Maria Andersson Mona Eklund Mikael Sandlund Urban Markström |
| author_sort | Maria Andersson |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-12T07:51:30Z |
| format | Article |
| id | doaj.art-2c0d3b16435d4c3799c9f3dbc7985fd8 |
| institution | Directory Open Access Journal |
| issn | 1501-7419 1745-3011 |
| language | English |
| last_indexed | 2024-03-12T07:51:30Z |
| publishDate | 2015-01-01 |
| publisher | Stockholm University Press |
| record_format | Article |
| series | Scandinavian Journal of Disability Research |
| spelling | doaj.art-2c0d3b16435d4c3799c9f3dbc7985fd82023-09-02T20:30:49ZengStockholm University PressScandinavian Journal of Disability Research1501-74191745-30112015-01-0118212914110.1080/15017419.2014.995220247Freedom of choice or cost efficiency? The implementation of a free-choice market system in community mental health services in SwedenMaria Andersson0Mona Eklund1Mikael Sandlund2Urban Markström3Department of Social Work, Umeå University, 901 87 Umeå, SwedenDepartment of Health Sciences, Division of Occupational Therapy and Gerontology, Lund University, Box 117, 221 00 Lund, SwedenDepartment of Clinical Science/Psychiatry, Umeå University, 901 87 Umeå, SwedenDepartment of Social Work, Umeå University, 901 87 Umeå, SwedenThis 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.https://www.sjdr.se/articles/317community mental healthfree-choice market systemimplementation |
| spellingShingle | Maria Andersson Mona Eklund Mikael Sandlund Urban Markström Freedom of choice or cost efficiency? The implementation of a free-choice market system in community mental health services in Sweden Scandinavian Journal of Disability Research community mental health free-choice market system implementation |
| title | Freedom of choice or cost efficiency? The implementation of a free-choice market system in community mental health services in Sweden |
| title_full | Freedom of choice or cost efficiency? The implementation of a free-choice market system in community mental health services in Sweden |
| title_fullStr | Freedom of choice or cost efficiency? The implementation of a free-choice market system in community mental health services in Sweden |
| title_full_unstemmed | Freedom of choice or cost efficiency? The implementation of a free-choice market system in community mental health services in Sweden |
| title_short | Freedom of choice or cost efficiency? The implementation of a free-choice market system in community mental health services in Sweden |
| title_sort | freedom of choice or cost efficiency the implementation of a free choice market system in community mental health services in sweden |
| topic | community mental health free-choice market system implementation |
| url | https://www.sjdr.se/articles/317 |
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