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- Broms, Rasmus, 1984, et al.
(författare)
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Competition and service quality: Evidence from Swedish residential care homes
- 2020
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Ingår i: Governance. - : Wiley. - 0952-1895 .- 1468-0491. ; 33:3, s. 525-543
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Tidskriftsartikel (refereegranskat)abstract
- © 2019 Wiley Periodicals, Inc. 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.
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- Broms, Rasmus, 1984, et al.
(författare)
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COVID-19 Mortality and the Structural Characteristics of Long-Term Care Facilities: Evidence from Sweden
- 2024
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Ingår i: Public Performance and Management Review. - 1530-9576 .- 1557-9271. ; 47:2
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Tidskriftsartikel (refereegranskat)abstract
- As in many countries around the globe, older citizens in long-term care facilities (LTCFs) in Sweden were hit hard by the Coronavirus pandemic, but mortality varied greatly between different facilities. Current knowledge about the causes of this variation is limited. This article closes this gap by focusing on the link between the structural characteristics of LTCFs—ownership, size, and staffing—and the risk of dying from COVID-19 in Sweden during 2020. Having utilized both individual- and facility-level data, our results suggest that lower staff turnover, having a nurse employed at the facility, and smaller facility size are associated with an decreased risk of dying from COVID-19. Ownership type is not directly associated with COVID-19-related mortality, but public facilities have lower staff turnover and fewer personnel with additional employment than privately run facilities, while privately run LTCFs more often have a nurse employed at the facility.
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- Broms, Rasmus, 1984, et al.
(författare)
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Marketization and the Quality of Residential Elderly Care in Sweden
- 2018
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Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- 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 on service quality. Using residential elderly care 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 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 competition from private actors as in those that are not.
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- Broms, Rasmus, 1984, et al.
(författare)
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Political competition and public procurement outcomes
- 2019
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Ingår i: Comparative Political Studies. - : SAGE Publications. - 0010-4140 .- 1552-3829. ; 52:9
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Tidskriftsartikel (refereegranskat)abstract
- This article asks if low political competition is associated with more restricted public procurement processes. Using unique Swedish municipal data from 2009 to 2015, it demonstrates that when one party dominates local politics, noncompetitive outcomes from public procurement processes are more common. What is most striking is that the risk of receiving only one bid, on what is intended to be an open and competitive tender, considerably increases with long-standing one-party rule. The article contributes to a significant body of work on the detrimental effects of low political competition, and the results are particularly interesting from a comparative perspective because Sweden—an old democracy with a meritocratic bureaucracy, characterized by low levels of corruption and clientelism—is a highly unlikely case in which to find such tendencies.
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| 9. |
- Broms, Rasmus, 1984, et al.
(författare)
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Provider Ownership and Indicators of Service Quality: Evidence from Swedish Residential Care Homes
- 2024
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Ingår i: Journal of public administration research and theory. - : Oxford University Press (OUP). - 1053-1858 .- 1477-9803. ; 34:1, s. 150-163
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Tidskriftsartikel (refereegranskat)abstract
- The provision of public services by for-profit and non-profit organizations is widespread in OECD countries, but the jury is still out on whether outsourcing has improved service quality. This article seeks to nuance existing debate by bringing to the fore variation in service quality between different types of non-public providers. Building on theories of dimensional publicness and incomplete contracts, we argue that different forms of non-public ownership are associated with varying intensity of incentives for profit maximization, ultimately affecting service quality. Using residential elder care homes in Sweden as our universe of cases, we leverage novel panel data for 2,639 facilities from 2012 to 2019, capturing the ownership type of the care home operators, against a set of indicators pertaining to inputs, processes, and outcomes. The results suggest that non-public providers with high-powered incentives to make profit, such as those owned by private equity firms and publicly traded companies, perform worse on most of the selected indicators compared to private limited liability companies and nonprofits. Our findings that the intensity of quality-shading incentives is not the same for all non-public providers have important implications for government contracting and contract management.
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