Hur kan staten kvalitetsgranska privata utförare inom vård, skola och omsorg?
Tidsperiod: 2011-01-01 till 2014-12-31
Projektledare: Ulrika Winblad, Ulrika Winblad Spångberg
Medarbetare: Caroline Waks, Paula Blomqvist, Maria Blomgren
Budget: 5 028 000 SEK
The starting point of the project is the partial privatization of Swedish public services, also in the welfare sector. The entrance of private actors into the welfare sector represents a significant development in Swedish politics and creates new demands on steering on part public authorities. Previous research has demonstrated that, in order for societies to reap the benefits of privatization, public authorities must carefully supervise the performance of private actors. In the absence of such supervision, or monitoring, there is a significant risk that costs will rise, rather than decrease, quality will be undermined, rather than improved and there will be an unwanted selection of the most profitable users (the brightest pupils, the healthiest patients, etc). The reason is the strong economic incentives created by the competition for public contracts, particularly if providers are (like in the Swedish case) primarily for-profit firms. In the project we investigate with the help of a distinct analytical model, how Swedish public authorities supervise private service providers in the social area today and whether it can be said that there exist sufficient political and legal preconditions for effective monitoring. Research methods used include document analysis, interviews and a web-based survey to Swedish municipalities and county councils. The areas studied are health care, primary education, child care, elder care and substance abuse treatment.