Search results for "yksityiset palvelut"

Rationalising public support for private early childhood education and care: the case of Finland

2019

In Finland, early childhood education and care (ECEC) is traditionally publicly provided. However, private ECEC provision has increased during the past decade, largely as a result of financial support from the public sector. Drawing on qualitative interviews with municipal decision-makers, this article identifies three frames within which publicly subsidised private ECEC provision and marketisation are rationalised: the pragmatic frame, the government frame and the choice frame. The results show that even though market logics and tendencies seem to have gained a strong foothold in local policies, there is a keen interest in universalism and maintaining public control over local ECEC provisi…

Selectivity of clientele in Finnish private early childhood education and care

2021

In accordance with the Nordic welfare model, the Finnish early childhood education and care (ECEC) system has traditionally been based on public provision and the idea of universalism. However, over the last twenty years the ECEC system has undergone market-oriented reforms. As a result, the share of private for-profit ECEC provision has grown significantly. By applying impression management theory, this qualitative research examines how representatives of private ECEC providers describe the selection and selectivity of their clientele and how they aim at managing the impression they convey through their descriptions. The study shows how three different mechanisms of selectivity are produce…

Subsidizing private childcare in a universal regime

2023

AbstractAll families in Finland have the freedom to choose between subsidized home care, universal public childcare, and private childcare. We study the impact of the introduction of private childcare subsidies in Finland. Private childcare subsidies have causal effects on take-up but no impact on home care or employment among women with small children. Instead, private services seem to crowd out public childcare. Private services have a socioeconomic gradient by mother’s education that steepens when the subsidy increases. Families’ preferences between home care, public childcare, and private childcare do not explain the result.

Choice models in nordic long-term care : care managers' experiences of privilege and disadvantage among older adults

2022

AbstractConsumer choice models have been introduced in eldercare services in several Western welfare societies. Choice models in eldercare emphasise the importance of individuals’ abilities to make informed choices and therefore entail a risk for increased inequalities among older adults with care needs. In the Nordic countries, such inequality risks are in stark contrast to universal policy ambitions of equal access to care services. Care managers, who are responsible for needs assessment for eldercare services, have a central role in implementing policies and, thus, have first-hand experience of their impact on older adults’ access to care. The aim of this study was to explore care manage…

Users of home-care services in a Nordic welfare state under marketisation: the rich, the poor and the sick

2017

Stricter access to public services, outsourcing of municipal services and increasing allocation of public funding for the purchase of private services have resulted in a marketisation wave in Finland. In this context of a Nordic welfare state undergoing marketisation, this paper aims to examine the use of Finnish care services among older people and find out who are using these new kinds of private services. How wide is their use and do the users of private care services differ from those who are using public services? How usual is it to mix both public and private care services? The questionnaire survey data set used here was gathered in 2010 among the population aged 75 and over in the ci…

Johan on markkinat! : varhaiskasvatuspalveluiden järjestäminen muutoksessa

2018

Yksityisesti tuotetun varhaiskasvatuksen osuus kasvaa. Kasvu on ollut julkisesti tuettua eli poliittisen prosessin tulos. Yksityisen toiminnan, perheiden valinnan mahdollisuuksien ja palveluntuottajien kilpailun lisääntymissä on kyse varhaiskasvatuksen markkinoistumisesta. Viime kädessä varhaiskasvatuksesta päätetään kuntatasolla. Tutkimuksessamme olemme tarkastelleet, millaisia merkityksiä kuntapäättäjät markkinoistumiskehitykseen liittävät. nonPeerReviewed

Using Private Social Care Services in Finland : Free or Forced Choices for Older People?

2016

Use of private social care services among older people is increasing in Finland. This study aims to understand why older people choose private care in a comprehensive tax-subsidized social care system and examines whether people choose private service as a free choice or a forced choice as well as what factors contribute toward making these choices. Data for this study (N = 1,436) were gathered in 2010 from people aged 75 and above living independently at home in two Finnish cities: Tampere and Jyväskylä. Data were analyzed with several quantitative tests: chi-squared tests, multinomial regression analysis, and qualitative content analysis (for the open-ended responses from the survey quest…

Public vs private universities in Nigeria: Market dynamics perspective

2020

Due to the scarcity of literature on developing countries of Africa, there is a need for a conceptual paper on the market dynamics perspective of the Nigerian public and private universities. The price signal influences the two-tier universities’ growth. This signal has a different impact on its stakeholders. This study intends to examine the market dynamics of public and private universities in Nigeria. It aims to ascertain how price signal affects the Nigerian public and private universities market and the distinct factors that differentiate the public from private universities in the Nigerian context. The study conducted a literature review to identify the external and internal influence…

”Päiväkoti kaikille” : puhetta yksityisten päiväkotien asiakaskunnan valikoitumisesta

2021

Private health insurance in the universal public healthcare system: The role of healthcare provision in Finland

2023

Voluntary private health insurance (VPHI) has gained popularity in universal public healthcare systems. We studied how the local provision of healthcare services correlated with VPHI take-up in Finland. Nationwide register data from a Finnish insurance company was aggregated to the local level and augmented with high-quality data on public and private primary care providers’ geographical closeness and fees. We found that the sociodemographic characteristics explained the VPHI take-up more than public or private healthcare provision. The VPHI take-up was negatively associated with distance to the nearest private clinic, while the associations with distance to public health stations were stat…