Eldercare in Sweden
An Overview
DOI:
https://doi.org/10.18172/redsye.6169Keywords:
older people, long-term care, Sweden, Nordic universal care regime, marketizationAbstract
This article provides an overview of the policies and practices related to help and support for older dependent people in Sweden. The Swedish model of eldercare is situated within the Nordic universal care regime and the key features of this welfare regime are outlined. The article provides a historical background and describes the development of universal care services as well as current policies and the characteristics of the organization and provision of eldercare services. Three trends, retrenchment, re-familiarization and privatization of care (through the tax deduction for household services) are described and analysed in terms of the challenges they pose for universalism. The article also examines more specifically the dilemmas and consequences related to the marketization of eldercare services within the current so called “customer choice model” in Sweden. Finally, the article describes the conditions of care work for older people, particularly in home care services, and highlights that a revaluation of care work is still a pending issue in the supposedly “women friendly” welfare state of Sweden
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References
ANTTONEN, A., “Universalism and social policy: a Nordic-feminist revaluation”, Nordic Journal of Women’s Studies, Vol. 10, num. 2, 2002, pp. 71-80.
ANTTONEN, A., HÄIKIÖ, L. & STEFÁNSSON, K. (eds) Welfare State, Universalism and Diversity, Edward Elgar, Cheltenham, 2012.
ANTTONEN, A. and SIPILÄ, J., “European social care services: is it possible to identify models?”, Journal of European Social Policy, Vol. 6, num. 2, 1996, pp. 87-100.
BLOMQVIST, P., “The choice revolution: Privatization of Swedish welfare services in the 1990s”, Social Policy and Administration, Vol. 38, num. 2, 2004, pp. 139-155.
BRODIN, H., Does Anybody Care? Public and Private Responsibilities in Swedish Eldercare 1940-2000, PhD dissertation, Department of Economic History, Umeå University, 2005.
BRODIN, H. & ANDERSSON, L.F. (2017) Hushållstjänster för äldre. En kartläggning och analys av samspelet mellan RUT-avdraget och den framväxande marknaden av hushållstjänster [Household services for older people. A mapping and analysis of the interaction between the RUT-deduction and the growing market for household services], Arena Idé, Stockholm, 2017.
BRAITHWAITE, J., MAKKAI. T. & BRAITHWAITE, V.A. Regulating aged care: Ritualism and the new pyramid, Edward Elgar, Cheltenham, 2007.
BRODIN, H. & PETERSON, E., ”Omsorgsföretagande i med eller motvind? Genusperspektiv på småföretagande i hemtjänsten i Stockholm” [Care companies in tail wind or headwind? Gender perspectives on entrerpeneurship in home care in Stockholm], in SZEBEHELY, M. & JÖNSSON, H. (eds) Äldreomsorger i Sverige, ett tema med variationer [Eldercare in Sweden, a theme with variations], Gleerups, Malmö, 2018.
ERLANDSSON, S., STORM, P., STRANZ, A., SZEBEHELY, M. & TRYDEGÅRD, G.B., “Marketising trends in Swedish eldercare: competition, choice and calls for stricter regulation”, in MEAGHER, G. & SZEBEHELY, M. (eds), Marketisation in Nordic eldercare: a research report on legislation, oversight, extent and consequences, Department of Social Work, Stockholm University, 2013, pp. 23-83.
ESPING-ANDERSEN, G., Social foundations of post-industrial economies, Oxford University Press, Oxford, 1999.
HERNES, H., Welfare state and woman power. Essays in state feminism. Norwegian University Press, Oslo, 1987.
MEAGHER, G. & SZEBEHELY, M., “Private financing of eldercare in Sweden: Arguments for and against”, Institute for Futures Studies, Stockholm, Working Paper 1, 2010.
MEAGHER, G. & SZEBEHELY, M. (2013) “Long-Term Care in Sweden: Trends, Actors, and Consequences”, in RANCI, C. & PAVOLINI, E. (eds) Reforms in Long-Term Care Policies in Europe. Investigating institutional change and social impacts, Springer, New York, 2013, pp. 55-78.
NBHW, Lägesrapport 2010 [Status report 2010], Socialstyrelsen, Stockholm, 2010.
KANTOLA, J. & DAHL, H.M., “Gender and the state: From differences between to differences within”, International Feminist Journal of Politics, Vol. 7, num. 1, 2005, pp. 49-70.
PETERSON, E., Beyond the ‘women-friendly’ welfare state: Framing gender inequality as a policy problem in Spanish and Swedish politics of care, PhD dissertation, University Complutense of Madrid, Madrid, 2011.
RODRIGUES, R., HUBER, M. & LAMURA, G., Facts and figures on healthy ageing and long-term care, European Centre for Social Welfare Policy and Research, Vienna, 2012.
ROSTGAARD, T. & SZEBEHELY, M., “Changing policies, changing patterns of care: Danish and Swedish home care at the cross roads”, European Journal of Ageing, Vol. 9, 2012, pp. 101-109.
SIPILÄ, J., Social Care Services. The key to the Scandinavian Welfare Model, Aldershot, Avebury, 1997.
SOCIALSTYRELSEN, Statistik om äldre och personer med funktionsnedsättning efter regiform 2016, 2017. http://www.socialstyrelsen.se/publikationer2017/2017-2-13.
SOU 2008:15, LOV att välja - lag om valfrihetssystem [Act of Free Choice Systems].
STRANZ, A., Omsorgsarbetets vardag och villkor i Sverige och Danmark. Ett feministiskt kritiskt perspektiv [Everyday organization and conditions of care work in Sweden and Denmark], PhD dissertation, Department of Social Work. Stockholm University, Stockholm, 2013.
SZEBEHELY, M., Vardagens organisering. Om vårdbiträden och gamla i hemtjänsten [The organization of everyday life. On care assistants and older people in home care], Arkiv förlag, Lund, 1995.
SZEBEHELY, M., Hemhjälp i Norden - Illustrationer och reflektioner [Home care in the Nordic countries - Illustrations and reflektions], Studentlitteratur, Lund, 2003.
SZEBEHELY, M. & TRYDEGÅRD, G.B., “Home care in Sweden: A universal model in transition”, Health and Social Care in the Community, Vol. 20, num. 3, 2011, pp. 300-309.
SZEBEHELY, M., “Care as employment and welfare provision - Child care and elder care in Sweden at the dawn of the 21st century”, in DAHL, H.M. & RASK ERIKSEN, T. (eds) Dilemmas of care in the Nordic welfare state: Continuity and change. Aldershot, Ashgate, 2005, pp. 80-100.
SZEBEHELY, M. & JÖNSSON, H., Äldreomsorger i Sverige, ett tema med variationer [Eldercare in Sweden, a theme with variations], Gleerups, Malmö, 2018.
SZEBEHELY, M., STRANZ, A., & STRANDELL, R., Vem ska arbeta i framtidens äldreomsorg? [Who will work in eldercare in the future?], Research Report 2017:1, Department of Social Work, Stockholm University, Stockholm, 2017.
SZEBEHELY, M. & ULMANEN, P., Åtstramningens pris. Hur påverkas de medelålders barnen av äldreomsorgens minskning? [The cost of austerity. How are middle-aged sons and daughters effected by the retrenchment in eldercare?] Kommunal, Stockholm, 2012.
TRYDEGÅRD, G.B., “Care work in changing welfare states: Nordic care workers’ experiences”, European Journal of Ageing, Vol. 9, 2012, pp. 119-129.
ULMANEN, P., “Working Daughters: A Blind Spot in Swedish Eldercare Policy”, Social Politics, Vol. 20, num. 1, 2013, pp. 65-87.
ULMANEN, P, Omsorgens pris i åtstramningstid. Anhörigomsorg för äldre ur ett könsperspektiv [The cost of care in times of auterity. Family care from a gender perspective], Phd. Dissertation, Department of Social Work, Stockholm University, Stockholm, 2015.
ULMANEN, P. & SZEBEHELY, M., “From the state to the family or to the market? Consequences of reduced residential eldercare in Sweden”, International Journal of Social Welfare, Vol. 24, num. 1, 2015, pp. 81-92.
VABØ, M. & SZEBEHELY, M. “A caring state for all older people?”, in Anttonen, A., Häikiö, L. & Stefánsson, K. (eds) Welfare State, Universalism and Diversity, Edward Elgar, Cheltenham, 2012, pp. 121-143.
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