ABSTRACT

In 2009, Sweden launched a freedom-of-choice reform that gave municipalities the option to introduce standardized quasi-markets in social services. The reform was initially popular to adopt in home care until the share of adopting municipalities leveled out just above 50 percent. In recent years, the trend has reversed, and several municipalities have abolished their choice system. Compared with municipalities with choice systems, the abolishing municipalities are more rural with fewer inhabitants. A fixed-effects regression suggests that decreases in the market share of private providers, political shifts towards the left, and increasing costs are related to the abolition of choice systems.

摘要

2009 年，瑞典启动了一项自由选择改革，让市政当局可以选择在社会服务领域引入标准化的准市场。这项改革最初在家庭护理中广受欢迎，直到采用市政当局的比例稳定在 50% 以上。近年来，这种趋势发生了逆转，一些直辖市取消了他们的选择制度。与有选择系统的直辖市相比，取消的直辖市更偏向农村，居民更少。固定效应回归表明，私人供应商的市场份额减少、政治向左转移以及成本增加与取消选择系统有关。