Ageing: Sustainable care in a customer choice model? Dilemmas and possibilities of small care enterprises

Project leader

Funding source

Forte - Swedish Research Council for Health, Working Life and Welfare

Project Details

Start date: 01/12/2014
End date: 30/11/2017
Funding: 3030000 SEK


The aim of this study is to investigate sustainable provision of care services in the context of the customer choice model. The choice model's popularity is increasing among Swedish municipalities. In this model, sustainable provision of quality care is threatened by several dilemmas. These dilemmas mostly relate to the control, organization and management of small care enterprises. Therefore, we focus on the dilemmas and possibilities of small care enterprises in the context of the choice model. Given the fact that the majority of the small care entrepreneurs are women, of whom some also are immigrants, the study puts the emphasis on exploring the conditions of women-owned small care enterprises. The study also explores how national and local key actors identify the possibilities and obstacles for small care enterprises to assure continuity and good care for older people. Theoretically, the study is inspired by policy-oriented feminist research on care, intersectional approaches to the study of organisation and management and discursive institutionalism. Gender and diversity are integrated and central perspectives within the study, both in its theoretical framework and its research design. Quantitative and qualitative methods are combined in a longitudinal case study of small care enterprises in Stockholm: 1) longitudinal prospective mapping of the total number of private providers; 2) interviews with owners and managers of small care enterprises, who we will prospectively follow; and 3) interviews with national and local stakeholders. Stockholm is chosen because the customer choice model has been in action for more than 10 years in the city. Thus, by focusing on Stockholm, we can study dilemmas and possibilities of small care enterprises in relation to how the choice model works in practice. To inform policy and assist implementation of the results, three workshops with national and local key participants of the study will be held at the end of the project.

Last updated on 2017-22-03 at 07:13