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dc.contributor.authorErlandsson, Sara
dc.contributor.authorBrodin, Helene
dc.contributor.authorGraff, Lea
dc.contributor.authorKarsio, Olli
dc.date.accessioned2022-05-18T05:08:19Z
dc.date.available2022-05-18T05:08:19Z
dc.date.issued2022
dc.identifier.citationErlandsson, S., Brodin, H., Graff, L., & Karsio, O. (2022). Choice models in nordic long-term care : care managers' experiences of privilege and disadvantage among older adults. <i>European Journal of Ageing</i>, <i>19</i>(2), 211-220. <a href="https://doi.org/10.1007/s10433-022-00697-z" target="_blank">https://doi.org/10.1007/s10433-022-00697-z</a>
dc.identifier.otherCONVID_144278003
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/81118
dc.description.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 managers’ experiences of how user choice affects older adults’ access to care services in three Nordic cities: Copenhagen, Tampere, and Stockholm. These cities were purposely selected as forerunners in marketisation, with different ways of implementing choice models. Semi-structured interviews with care managers were conducted in Copenhagen, Tampere, and Stockholm and analysed thematically. The findings indicate there are difficulties related to older adults’ ability to access information needed to make informed choices, as well as limitations in choice related to available services and personal finances. Further, care managers find that older adults’ abilities to overcome these difficulties are shaped by their health, education, language skills, and assistance from relatives. In order to reduce the risk of choice models increasing the gap between older adults with different resources and capabilities, there is a need to develop accessible information, as well as models for professional guidance.en
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.publisherSpringer
dc.relation.ispartofseriesEuropean Journal of Ageing
dc.rightsCC BY 4.0
dc.subject.otherNordic welfare state
dc.subject.othereldercare
dc.subject.othermarketisation
dc.subject.othercare managers
dc.subject.otheruser choice
dc.subject.othersocial inequality
dc.titleChoice models in nordic long-term care : care managers' experiences of privilege and disadvantage among older adults
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202205182753
dc.contributor.laitosYhteiskuntatieteiden ja filosofian laitosfi
dc.contributor.laitosDepartment of Social Sciences and Philosophyen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.description.reviewstatuspeerReviewed
dc.format.pagerange211-220
dc.relation.issn1613-9372
dc.relation.numberinseries2
dc.relation.volume19
dc.type.versionpublishedVersion
dc.rights.copyright© The Author(s) 2022
dc.rights.accesslevelopenAccessfi
dc.subject.ysovanhustenhuolto
dc.subject.ysovalinnanvapaus
dc.subject.ysojulkiset palvelut
dc.subject.ysohyvinvointivaltio
dc.subject.ysoyksityiset palvelut
dc.subject.ysovanhuspalvelut
dc.subject.ysoeriarvoisuus
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p12787
jyx.subject.urihttp://www.yso.fi/onto/yso/p20324
jyx.subject.urihttp://www.yso.fi/onto/yso/p1285
jyx.subject.urihttp://www.yso.fi/onto/yso/p6930
jyx.subject.urihttp://www.yso.fi/onto/yso/p7513
jyx.subject.urihttp://www.yso.fi/onto/yso/p25147
jyx.subject.urihttp://www.yso.fi/onto/yso/p3478
dc.rights.urlhttps://creativecommons.org/licenses/by/4.0/
dc.relation.doi10.1007/s10433-022-00697-z
jyx.fundinginformationOpen access funding provided by Stockholm University. This study was carried out as a part of the Social Inequalities in Ageing (SIA) project, which was funded by NordForsk (74637).


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