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Kan inte du välja åt mig? En studie kring kundvalssystemets effekter för biståndshandläggarna

Andréasson, Peter LU (2013) SOPA63 20131
School of Social Work
Abstract
Author: Peter Andréasson
Title: Can’t you choose for me? – A study on the effects of consumer choice within elder-care on the home-care organizers [translated title]
Supervisor: Peter Andersson

The aim of this essay was to study the way home care organizers (HCO) see their role with regards to the situation that arises when an elderly person is put to the choice of which home care provider they want to use. I have interviewed four HCOs for this study, and through qualitative interviews the HCOs have told me of their perception with regards to the choice of home care provider. I have presented a theoretical framework to describe the mechanics behind the consumer choice model with regards to both the social and the economic aspect. I... (More)
Author: Peter Andréasson
Title: Can’t you choose for me? – A study on the effects of consumer choice within elder-care on the home-care organizers [translated title]
Supervisor: Peter Andersson

The aim of this essay was to study the way home care organizers (HCO) see their role with regards to the situation that arises when an elderly person is put to the choice of which home care provider they want to use. I have interviewed four HCOs for this study, and through qualitative interviews the HCOs have told me of their perception with regards to the choice of home care provider. I have presented a theoretical framework to describe the mechanics behind the consumer choice model with regards to both the social and the economic aspect. I also use Goffman’s dramaturgy theory to describe the conflict inherent in the neutrality principle regarding the choice of home care provider. The past two decades has seen Sweden embrace New Public Management, an approach to governance that encourages competition. Through a separation of the decision making and service provider, a purchaser-provider system has been implemented. The municipalities now have the option to allow private companies to compete with the municipal service provider. Thus, the elderly have a choice to make: which home care provider do I want? This is a decision that is made when the elderly is in a weakened state, often in the hospital. The decision needs to be quick to facilitate a speedy return to the elderly’s home. The person who administrates the customer choice is the HCO. The HCO is also the person who assesses the needs of the elderly. My results show that the HCOs have guidelines to remain neutral so the competition is not affected. The HCOs in the study speak of moral dilemmas where they sometimes feel a wrong choice has been made, but they are not allowed to suggest what they think is the right choice. The results of this study paint a picture of a complex situation with few clear guide lines, minimizing the need to constantly assess whether the HCO has crossed the neutrality boundary or not. (Less)
Please use this url to cite or link to this publication:
author
Andréasson, Peter LU
supervisor
organization
course
SOPA63 20131
year
type
M2 - Bachelor Degree
subject
keywords
home care organizer, customer choice, social welfare, competition, elder care, neutrality
language
Swedish
id
3865229
date added to LUP
2013-06-20 12:02:15
date last changed
2013-06-20 12:02:15
@misc{3865229,
  abstract     = {Author: Peter Andréasson
Title: Can’t you choose for me? – A study on the effects of consumer choice within elder-care on the home-care organizers [translated title]
Supervisor: Peter Andersson

The aim of this essay was to study the way home care organizers (HCO) see their role with regards to the situation that arises when an elderly person is put to the choice of which home care provider they want to use. I have interviewed four HCOs for this study, and through qualitative interviews the HCOs have told me of their perception with regards to the choice of home care provider. I have presented a theoretical framework to describe the mechanics behind the consumer choice model with regards to both the social and the economic aspect. I also use Goffman’s dramaturgy theory to describe the conflict inherent in the neutrality principle regarding the choice of home care provider. The past two decades has seen Sweden embrace New Public Management, an approach to governance that encourages competition. Through a separation of the decision making and service provider, a purchaser-provider system has been implemented. The municipalities now have the option to allow private companies to compete with the municipal service provider. Thus, the elderly have a choice to make: which home care provider do I want? This is a decision that is made when the elderly is in a weakened state, often in the hospital. The decision needs to be quick to facilitate a speedy return to the elderly’s home. The person who administrates the customer choice is the HCO. The HCO is also the person who assesses the needs of the elderly. My results show that the HCOs have guidelines to remain neutral so the competition is not affected. The HCOs in the study speak of moral dilemmas where they sometimes feel a wrong choice has been made, but they are not allowed to suggest what they think is the right choice. The results of this study paint a picture of a complex situation with few clear guide lines, minimizing the need to constantly assess whether the HCO has crossed the neutrality boundary or not.},
  author       = {Andréasson, Peter},
  keyword      = {home care organizer,customer choice,social welfare,competition,elder care,neutrality},
  language     = {swe},
  note         = {Student Paper},
  title        = {Kan inte du välja åt mig? En studie kring kundvalssystemets effekter för biståndshandläggarna},
  year         = {2013},
}