a Department of Social Sciences and Philosophy , University of Jyvaskyla , Jyvaskyla , Finland.
J Aging Soc Policy. 2018 Oct-Dec;30(5):440-457. doi: 10.1080/08959420.2018.1465800. Epub 2018 May 22.
The early 1990s economic setback brought significant reforms favoring the outsourcing of care in Finnish municipalities. Here, outsourcing refers to the practice of municipalities employing private organizations through different means (e.g., open tendering) to deliver public care services. In this context, this study examines the growth in the outsourcing of service housing and home-help services in 311 municipalities from 2001 to 2015 and investigates the municipal factors associated with outsourcing using four dimensions: care needs, population size, economic situation, and political ideology of the municipality. The findings reveal a steep increase in the outsourcing of home-help and service housing. Care needs of older people are the most influential factor for outsourcing, particularly for service housing. Overall, the findings show a growing trend in private care provision in Finnish municipalities.
20 世纪 90 年代初的经济衰退带来了重大改革，有利于芬兰市政府将护理工作外包出去。在这里，外包是指市政府通过不同的方式（例如公开招标）雇佣私营组织来提供公共护理服务。在这种情况下，本研究考察了 2001 年至 2015 年 311 个市政府中服务住房和家庭援助服务外包的增长情况，并使用四个维度（护理需求、人口规模、经济状况和市政府的政治意识形态）调查了与外包相关的市政府因素。研究结果显示，家庭援助和服务住房的外包急剧增加。老年人的护理需求是影响最大的外包因素，特别是对服务住房而言。总的来说，研究结果表明，在芬兰市政府中，私人护理服务的提供呈现出增长趋势。
