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Privatization of social care delivery – how can contracts be specified?

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  • David Isaksson
  • Paula Blomqvist
  • Ulrika Winblad

Abstract

When contracting out services to private actors, public authorities must be able to ensure that the quality of services provided is satisfactory. Therefore, it is important to formulate precise quality requirements, thus making them possible to monitor. In the study, 1,005 quality requirements from public procurements of nursing homes were categorized, and their degree of monitorability assessed. The analysis showed that quality requirements related to ‘soft’ areas such as social activities typically were non-monitorable. The requirements were written in an imprecise, vague manner, thus making it difficult for the local governments to determine whether or not they were met.

Suggested Citation

  • David Isaksson & Paula Blomqvist & Ulrika Winblad, 2018. "Privatization of social care delivery – how can contracts be specified?," Public Management Review, Taylor & Francis Journals, vol. 20(11), pages 1643-1662, November.
    • Handle: RePEc:taf:rpxmxx:v:20:y:2018:i:11:p:1643-1662
    DOI: 10.1080/14719037.2017.1417465
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    Cited by:

    1. Bach-Mortensen, Anders Malthe & Barlow, Jane, 2021. "Outsourced austerity or improved services? A systematic review and thematic synthesis of the experiences of social care providers and commissioners in quasi-markets," Social Science & Medicine, Elsevier, vol. 276(C).

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