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Contracting out welfare services: how are private contractors held accountable?
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Government.ORCID iD: 0000-0001-6714-6854
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research.ORCID iD: 0000-0002-3921-5522
2022 (English)In: Public Management Review, ISSN 1471-9037, E-ISSN 1471-9045, Vol. 24, no 2, p. 233-254Article in journal (Refereed) Epub ahead of print
Abstract [en]

A challenge for governments contracting out public services is holding accountable contractors who fail to meet agreed-upon standards. In social services, contract monitoring is complicated by the fact that contracts tend to be incomplete and performance hard to assess. In this study, we examine how local governments in Sweden hold private contractors accountable in nursing home care. The main finding is that a mixture of accountability mechanisms was used, but that social accountability was seen as most effective. Marketaccountability measures like contract termination and financial sanctions could not be applied as local governments lacked the capacity to enforce them

Place, publisher, year, edition, pages
Taylor & Francis, 2022. Vol. 24, no 2, p. 233-254
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
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URN: urn:nbn:se:uu:diva-431000DOI: 10.1080/14719037.2020.1817530ISI: 000573142200001OAI: oai:DiVA.org:uu-431000DiVA, id: diva2:1517064
Available from: 2021-01-13 Created: 2021-01-13 Last updated: 2023-07-21Bibliographically approved

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Blomqvist, PaulaWinblad, Ulrika

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CiteExportLink to record
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Citation style
  • apa
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