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Marketisation policies in different contexts: Consequences for home‐care workers in Germany,Japan and Sweden
Authors:Hildegard Theobald  Marta Szebehely  Yayoi Saito  Nobu Ishiguro
Institution:1. Department I, Gerontology, University of Vechta, Germany;2. Department of Social Work, Stockholm University, Sweden;3. Graduate School of Human Sciences, Osaka University, Japan;4. Graduate School of Language and Culture, Osaka University, Japan
Abstract:Market‐oriented restructurings of long‐term care policies contribute significantly to the aggravation of care workers’ situations. This article focuses on the effects of broader long‐term care policy developments on market‐oriented reforms. Germany, Japan and Sweden are three countries that have introduced market‐oriented reforms into home‐based care provision embedded in distinct long‐term care policy developments. Conceptually, this article draws on comparative research on care to define the institutional dimensions of long‐term care policies. Empirically, the research is based on policy analyses, as well as on national statistics and a comparative research project on home‐care workers in the aforementioned countries. The findings reveal the mediating impact of the extension and decline of long‐term public care support and the corresponding development of the care infrastructure on both the restructuring of care work and the assessments of the care workers themselves.
Keywords:care‐giving for older people  privatisation  contracting  accountability  workforce  workplace issues in human service organisations  social policy  social welfare policy  quantitative research  Germany  Sweden  Japan
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