Improvements in life expectancy and welfare state: The opening of the market for Elderly Care services in Sweden
Independent thesis Advanced level (degree of Master (Two Years)), 20 credits / 30 HE creditsStudent thesis
A remarkable improvement in life expectancy, together with the collapse of the fertility rate, is a phenomenon that can have a huge impact on the welfare state provision. It can lead to retrenchment and/or opening the market to private companies. In this research, I focus on the elderly care provision in Sweden. My idea is to evaluate the effect of the reform that took place on 1992, regarding the elderly care system. Opening the market of the services for older people, may cause a decline in the standards of hardly contractible measures of quality. On the other hand, there might be incentives, driven by competition, that imply improvements on the quality of these services. Following Bergman et al (2014), a difference-in-difference-in-difference is applied, to measure the effect of opening the market on myocardial infarction mortality rates within 28 and 365 days and on the number of myocardial infarctions. The period analyzed is 1990-2009. The results suggest that, exception made for the within 28 days (whose regression gives not statistically significant coefficient estimates), opening the market has a detrimental effect on hardly contractible measures of quality, indicated by the infarction mortality rate within 365 days and the number of infarctions.
Place, publisher, year, edition, pages
elderly services, opening the market, contracting out, myocardial infarction, mortality rate
IdentifiersURN: urn:nbn:se:uu:diva-256369OAI: oai:DiVA.org:uu-256369DiVA: diva2:825113
Johansson, Per, Professor
Bengtsson, Niklas, Biträdande universitetslektor