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Centre for Policy on Ageing | |
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Users of home-care services in a Nordic welfare state under marketisation
— the rich, the poor and the sick | | Author(s) | Jiby Mathew Puthenparambil, Teppo Kroger, Line Van Aerschot |
| Journal title | Health and Social Care in the Community, vol 25, no 1, January 2017 |
| Publisher | Wiley Blackwell, January 2017 |
| Pages | pp 54-64 |
| Source | wileyonlinelibrary.com/journal/spol |
| Keywords | Home care services ; Usage [services] ; Social Services Departments ; Commercial care ; Private enterprise ; Economic status [elderly] ; Quantitative studies ; Finland. |
| Annotation | Stricter access to public services, outsourcing of municipal services and increasing allocation of public funding for the purchase of private services have resulted in a marketisation wave in Finland. In this context of a Nordic welfare state undergoing marketisation, this paper aims to examine the use of Finnish care services among older people and to find out who are using these new kinds of private services. How wide is their use and do the users of private care services differ from those who are using public services? How usual is it to mix both public and private care services? The questionnaire survey data set used here was gathered in 2010 from 1436 of the population aged 75 and over in the cities of Jyväskylä and Tampere. The methods of analysis used include cross-tabulation, chi-square tests and multinomial logistic regression. The findings showed that among the 681 respondents who used care services, 50% used only public services, 24% utilised solely private services, and the remaining 26% used both kinds of services. Users of solely private services had significantly higher income and education as well as better health than those using public services only. The users of public services had the lowest education and income levels and usually lived in rented housing. The third group, those mixing both public and private services, reported poorer health than others. The results increase concerns about the development towards a two-tier service system, jeopardising universalistic Nordic principles, and also suggest that older people with the highest needs do not receive adequate services without complementing their public provisions with private services. (RH). |
| Accession Number | CPA-170106238 A |
| Classmark | NH: QLD: PF: PI: W4D: F:W: 3DQ: 76L |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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