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- W2186865718 abstract "the current reality of population ageing has heightened concerns about the fiscal sustainability of social protection systems, including long-term care for dependent older people. how to deliver social services in the most efficient manner possible has thus come to occupy centre stage in the minds of policy-makers. Against this backdrop a set of economic theories which gained prominence in the 1980s and came to be known as New Public Management (NPM) were taken on board in several areas of public services, including long-term care. With efficiency as its core objective, it stipulated the introduction of increased competition, con-tractualisation and performance measurement. In parallel, a strong con-sumerism discourse advocated for users of long-term care services to be empowered to make their own choices, which reinforced the calls for the introduction of user choice. By this wave of marketisation of long-term care, the provision of services for frail older people has come to rely on increasingly diversified provider markets including for-profit, non-profit and public providers in most European countries. At the same time, the high complexity of long-term care and the difficulty of defining clearly measurable outcomes have posed particular challenges to policy-makers to steer and regulate quasi-markets in this sector by means of competi-tive tendering and contracts.this policy Brief is the second part of a trilogy dedicated to the reliance on markets for the delivery of long-term care, or in other words to the ‘make or buy’ decision in long-term care." @default.
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- W2186865718 date "2014-01-01" @default.
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- W2186865718 title "To Make or to Buy Long-term Care II: Lessons from Quasi- markets in Europe" @default.
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