Särskilda boenden på särskilda marknader - om sambanden mellan konkurrens och kvalitet på marknaden för särskilda boenden.
Sammanfattning: A large share of Swedish elderly care is currently carried out by private providers. In 2019, 19% of the institutionalized residential care units (nursing homes) in Sweden were under private ownership. Regardless of the underlying motives for this privatization, one of the main aims is to create efficiency and quality improvement. Previously, the effects of privatization on the quality of Swedish institutionalized residential care have primarily been studied with respect to ownership types and quality. These studies have shown that public nursing homes tends to exhibit a higher structural quality and private nursing homes a higher processual quality. On the other hand, knowledge regarding the effects that different market conditions, such as the degree of competition, have on quality among Swedish nursing homes is absent. The purpose of this paper is to analyze the relationship between competition among institutionalized residential care providers and three different quality measures by analyzing panel data from 2016–2019. The results show that competition mostly shows no general correlation with measured quality. However, there is a correlation between high competition and a higher processual quality, in the form of a higher proportion of residents with a current implementation plan, among public nursing homes. For homes under private ownership, correlation exists between high competition and a higher structural quality in the form of a higher proportion of trained staff. These results support the hypothesis that the competitive situation may affect the quality of nursing homes, and that the response to competition differ with respect to ownership type.
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