Competition and service quality: Evidence from Swedish residential care homes

• 成果类型: Article
• 署名作者: Broms, Rasmus; Dahlstrom, Carl; Nistotskaya, Marina
• 署名单位: University of Gothenburg
• 刊物名称: GOVERNANCE-AN INTERNATIONAL JOURNAL OF POLICY ADMINISTRATION AND INSTITUTIONS
• ISSN/ISSBN: 0952-1895
• DOI: 10.1111/gove.12436
• 发表日期: 2020
• 关键词: NOT-FOR-PROFIT; of-care; nursing-homes; public-sector; privatization

摘要

Against a backdrop of increased levels of marketization of welfare services in OECD countries, this article aims to shed light on the separate effects of private ownership and competition for the market on service quality. Using residential elder care homes in Sweden as our case, we leverage unique panel data of ownership and competition against a set of indicators, pertaining to the structure, process, and outcome dimensions of care quality. The main finding of our analyses is that competition for the market does surprisingly little for quality: private entrepreneurs perform neither better nor worse under stiff competition and the quality of care is approximately the same in those nursing homes that are exposed to the market as in those that are not.