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  • 标题:Freedom of choice or cost efficiency? The implementation of a free-choice market system in community mental health services in Sweden
  • 本地全文:下载
  • 作者:Maria Andersson ; Mona Eklund ; Mikael Sandlund
  • 期刊名称:Scandinavian Journal of Disability Research
  • 电子版ISSN:1745-3011
  • 出版年度:2016
  • 卷号:18
  • 期号:2
  • 页码:129-141
  • DOI:10.1080/15017419.2014.995220
  • 摘要: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.
  • 关键词:community mental health ; free-choice market system ; implementation
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