Fixing the system? The experience of service users of the quasi-market in disability services in Australia

Spall, Pamela, McDonald, Catherine and Zetlin, Diane (2005) Fixing the system? The experience of service users of the quasi-market in disability services in Australia. Health & Social Care In The Community, 13 1: 56-63. doi:10.1111/j.1365-2524.2005.00529.x


Author Spall, Pamela
McDonald, Catherine
Zetlin, Diane
Title Fixing the system? The experience of service users of the quasi-market in disability services in Australia
Journal name Health & Social Care In The Community   Check publisher's open access policy
ISSN 0966-0410
Publication date 2005-01
Sub-type Article (original research)
DOI 10.1111/j.1365-2524.2005.00529.x
Volume 13
Issue 1
Start page 56
End page 63
Total pages 8
Place of publication Oxford
Publisher Blackwell
Collection year 2005
Language eng
Subject C1
370201 Clinical Social Work Practice
750305 Ability and disability
1117 Public Health and Health Services
Abstract A qualitative study involving semi-structured interviews with 31 people with disabilities and 32 carers in the state of Queensland, Australia, found that their experience of supportive service delivery had not improved despite reforms of the service delivery system driven by a version of the quasi-market model. Instead of delivering increased consumer choice and improved efficiency in service delivery, service users experienced inadequate service supply, service cutbacks, and an increased emphasis on cost subsidisation and assessment processes. Additionally, few consumers felt that individualised funding arrangements had personally delivered the benefits which the quasi-market model and associated policy paradigm had indicated that they should receive. For many consumers, the notion of consumer 'choice' around service provision was fictitious and they felt that any efficiency gains were at the agency level, largely at the consumers' cost. It is concluded that there appears to be no particular benefit to service users of quasi-market reforms, particularly in policy contexts where service delivery systems are historically under-funded.
Keyword Carers
Disability
Quasi-markets
Service Users
Public, Environmental & Occupational Health
Social Work
Care
Choice
Q-Index Code C1

 
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Created: Wed, 15 Aug 2007, 07:45:13 EST