Freedom of choice or cost efficiency? The implementation of a free-choice market system in community mental health services in Sweden
Andersson, Maria ; Eklund, Mona LU
; Sandlund, Mikael
and Markström, Urban
(2016)
In Scandinavian Journal of Disability Research
18(2).
p.129-141
- Abstract
- 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... (More)
- 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. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/d61c4dd0-66c7-47b2-9b5f-a6e62c2159e4
- author
- Andersson, Maria
; Eklund, Mona
LU
; Sandlund, Mikael
and Markström, Urban
- organization
- publishing date
- 2016-04-02
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Scandinavian Journal of Disability Research
- volume
- 18
- issue
- 2
- pages
- 129 - 141
- publisher
- Taylor & Francis
- external identifiers
-
- scopus:84958865988
- ISSN
- 1501-7419
- DOI
- 10.1080/15017419.2014.995220
- language
- English
- LU publication?
- yes
- id
- d61c4dd0-66c7-47b2-9b5f-a6e62c2159e4
- date added to LUP
- 2019-06-11 22:54:16
- date last changed
- 2022-04-26 01:30:02
@article{d61c4dd0-66c7-47b2-9b5f-a6e62c2159e4,
abstract = {{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.}},
author = {{Andersson, Maria and Eklund, Mona and Sandlund, Mikael and Markström, Urban}},
issn = {{1501-7419}},
language = {{eng}},
month = {{04}},
number = {{2}},
pages = {{129--141}},
publisher = {{Taylor & Francis}},
series = {{Scandinavian Journal of Disability Research}},
title = {{Freedom of choice or cost efficiency? The implementation of a free-choice market system in community mental health services in Sweden}},
url = {{http://dx.doi.org/10.1080/15017419.2014.995220}},
doi = {{10.1080/15017419.2014.995220}},
volume = {{18}},
year = {{2016}},
}