Marketization, procurement, staff, caring services, disability


The Swedish caring services have transformed from a public ­operated to a market inspired contract system. This pilot case study of a group home explores what the shifts of contractor entail for staff concerning work regulation, work content and job satisfaction, personal development, relationships with colleagues, and consequences for service users. Procurement documents were studied and interviews performed with four experienced staff members. Results show that manager turnover, administrative changes, and terms of employment contracts increased conflicts and staff vulnerability. Staff responses are discussed in terms of exit, voice and loyalty.

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