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- Rauch, Dietmar, 1969, et al.
(författare)
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A refamilialized system? An analysis of recent developments of personal assistance in sweden
- 2018
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Ingår i: Social Inclusion. - : Cogitatio. - 2183-2803. ; 6:2, s. 56-65
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Tidskriftsartikel (refereegranskat)abstract
- The Swedish system of disability support is often praised for its comparably well-developed Personal Assistance (PA) scheme. PA is formally prescribed as a social right for disabled people with comprehensive support needs in the Act Concerning Support and Services to Persons with Certain Functional Impairments (LSS). In the decade following the introduction of LSS in 1994, the PA-scheme expanded steadily to accommodate the support needs of more and more disabled people. It is commonly believed that the expansion of PA has substantially boosted the agency of both disabled people and their relatives. This article critically discusses in what direction the Swedish system of disability support has moved in the past decade. Is the common image of a system moving towards an ever increasing defamilialization of disability support still accurate? Or are there signs of stagnation, or even reversal towards refamilialization? What are the possible consequences of the more recent developments for disabled people and their relatives in terms of agency and equality? These questions will be discussed with the help of an analysis of the regulatory framework of disability support, statistical data and findings from public reports.
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| 2. |
- Rauch, Dietmar, 1969-
(författare)
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Institutional fragmentation and social service variations : A Scandinavian comparison
- 2005
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The Scandinavian welfare states – Denmark, Norway, and Sweden – are usually assumed to constitute a coherent and unique social service model, characterized among other things by a high level of universalism. This thesis questions the existence of such a model. It presents cross-country data, which demonstrate that only Denmark complies with the image of the Scandinavian social service model, while Norway and Sweden deviate significantly. Norwegian childcare services and Swedish elderlycare services do not stand out as particularly universalistic in comparison with other Western European countries. Altogether it seems that the Scandinavian countries in terms of social service universalism form a less coherent group than often believed. The main aim of this thesis is to explain this lack of coherence among the Scandinavian social service systems and to understand variations between different service fields. Two main questions are raised: First, why do the Scandinavian countries display different levels of social service universalism? Second, why are there different developments in the Swedish welfare state as to the level of social service universalism between the two major social service fields of childcare and elderlycare? In order to answer these questions, an institutionalist approach is chosen, focusing on the impact of institutional fragmentation in the implementation process between the central government level on one hand and local governments and NGOs on the other. It is hypothesized that a low level of institutional fragmentation implying a concentration of policy-specific authority on the central state level is a positive precondition for the achievement of social service universalism, whereas a high level of institutional fragmentation providing municipalities and/or NGOs with veto points against universalistic social service policies instead has a detrimental impact on the prospects of social service universalism. Empirical data drawing on public documents and national statistics support this hypothesis: In those countries and in those social service fields where a strong concentration of implementative decision making exists, a stronger level of social service universalism has been accomplished than in those where the implementative decision making is heavily fragmented between the central government on one hand and municipalities and/or NGOs on the other. This finding tentatively indicates that the intra-Scandinavian variations of social service universalism across countries and across policy fields are indeed related to different levels of institutional fragmentation in the implementation process.
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