Crecimiento y consecuencias de la mercantilización de los cuidados de larga duración

• David Palomera ^[1] ; Margarita León ^[1]
  1. [1] Universitat Autònoma de Barcelona

     Universitat Autònoma de Barcelona

     Barcelona, España

     
• Localización: Zerbitzuan: Gizarte zerbitzuetarako aldizkaria = Revista de servicios sociales, ISSN 1134-7147, Nº. 85, 2025, págs. 7-19
• Idioma: español
• Enlaces
  • Texto completo (pdf)
• Resumen
  • español

    Este artículo examina cómo la expansión de los mercados en los sistemas de cuidados de larga duración de Europa occidental ha transformado la provisión y la gestión de cuidados formales.

    Se hace especial hincapié en los principales conflictos surgidos a raíz de la introducción de lógicas de cuasimercado y de la nueva gestión pública. Asimismo, a través del estudio del sector residencial de cuidados de larga duración en diversos regímenes del bienestar, se analiza hasta qué punto la penetración y efectos de los cuasimercados se ve mediado por dinámicas de mercado específicas y distintos contextos de economía política, incluidas las relaciones de poder entre los agentes implicados y entre estos y el Estado. Dadas las crecientes tendencias de concentración, el texto plantea la cuestión esencial de cómo conciliar los intereses de actores de mercado cada vez más poderosos con la responsabilidad del Estado de universalizar un cuidado social de calidad

  • euskara

    Artikulu honek Europa mendebaldeko iraupen luzeko zaintza-sistemetan merkatuen hedapenak zainketa formalen hornidura eta kudeaketa nola eraldatu dituen aztertzen du. Garrantzi berezia ematen zaie kuasimerkatzearen logikak eta kudeaketa publiko berria sartzearen ondorioz sortutako gatazka nagusiei. Era berean, ongizate- erregimen desberdinetako iraupen luzeko zainketen bizitegi-sektorearen azterketaren bitartez, zer neurritaraino eragiten duten merkatu- dinamika espezifikoek eta ekonomia politikoko testuinguru desberdinek aztertzen da; tartean dauden eragileen arteko eta horien eta Estatuaren arteko botere-harremanek barne. Kontzentrazio- joera gero eta handiagoak direla eta, testuak funtsezko galdera bat planteatzen du: nola uztartu gero eta boteretsuagoak diren merkatu-eragileen interesak eta Estatuak kalitatezko gizarte-zaintza unibertsalizatzeko duen erantzukizuna

• Referencias bibliográficas
  • AMIRKHANYAN, A. (2007): “The smart-seller challenge: exploring the determinants of privatizing public nursing homes”, Journal of Public Administration...
  • AMIRKHANYAN, A. (2008): “Privatizing public nursing homes: examining the effects on quality and access”, Public Administration Review, vol....
  • ANDERSON, R. A.; ISSEL, L. M. y MCDANIEL, R. JR. (2003): “Nursing homes as complex adaptive systems: relationship between management practice...
  • BEL, G. y FAGEDA, X. (2008): “Reforming the local public sector: economics and politics in privatization of water and solid waste”, Journal...
  • BESLEY, T. y GHATAK, M. (2003): “Incentives, choice, and accountability in the provision of public services”, Oxford Review of Economic Policy,...
  • BLAKELEY, G. y QUILTER-PINNER, H. (2019): Who cares? Financialisation in social care, Londres, Institute for Public Policy Research.
  • BRADLEY, S. y TAYLOR, J. (2002): “The effect of the quasimarket on the efficiency-equity trade-off in the secondary school sector”, Bulletin...
  • BRENNAN, D.; CASS, B.; HIMMELWEIT, S. y SZEBEHELY, M. (2012): “The marketisation of care: rationales and consequences in nordic and liberal...
  • BURNS, D. et al. (2016): Where does the money go? Financialised chains and the crisis in residential care, serie CRESC Public Interest Report,...
  • CARE QUALITY COMMISSION (2017): The state of adult social care services 2014 to 2017, Londres, Care Quality Commission.
  • CBRE (2017): Pflegeimmobilien Report 2016/2017: Deutschlands Pflegeheime im weltweiten Fokus, Frankfurt, CBRE.
  • CHOI, J.; FLYNN, L. y AIKEN, L. H. (2012): “Nursing practice environment and registered nurses’ job satisfaction in nursing homes”, The Gerontologist,...
  • CHOINIÈRE, J. A. et al. (2016): “Mapping nursing home inspections & audits in six countries”, Ageing International, vol. 41, pp. 40-61.
  • COMONDORE, V. R. et al. (2009): “Quality of care in for-profit and not-for-profit nursing homes: systematic review and meta-analysis”, BMJ,...
  • CUSHMAN & WAKEFIELD (2019): European nursing homes report. Spring 2019, Puteaux, Cushman & Wakefield Francia.
  • DALY, M. (2020): “COVID-19 and care homes in england: what happened and why?”, Social Policy and Administration, vol. 54, n.o 7, pp. 985-998,...
  • DOMBERGER, S. y JENSEN, P. (1997): “Contracting out by the public sector: theory, evidence, prospects”, Oxford Review of Economic Policy,...
  • EIKA, K. H. (2006): The difficult quality: essays on human services with limited consumer sovereignty [tesis doctoral], Universidad de Oslo.
  • EIKÅS, M. y SELLE, P. (2002): “A contract culture even in Scandinavia”, en ASCOLI, U. y RANCI, C. (eds.), Dilemmas of the welfare mix, Boston,...
  • ESPING-ANDERSEN, G. (1990): The three worlds of welfare capitalism, Cambridge, Cambridge University Press.
  • EUROFOUND (2017): Care homes for older Europeans: public, for-profit and non-profit providers, Luxemburgo, Oficina de Publicaciones de la...
  • GINGRICH, J. R. (2011): Making markets in the welfare state: the politics of varying market reforms, Cambridge, Cambridge University Press,...
  • GLENDINNING, C. (2013): “Long term care reform in England: a long and unfinished story”, en RANCI, C. y PAVOLINI, E. (eds.), Reforms in long-term...
  • HARRINGTON, C.; JACOBSEN, F. F.; PANOS, J.; POLLOCK, A.; SUTARIA, S. y SZEBEHELY, M. (2017): “Marketization in long-term care: a cross-country...
  • HART, O. (1995): Firms, contracts, and financial structure, Nueva York, Oxford University Press.
  • INNES, A. (2017): Experts, trust and populism [vídeo], European Institute at the London School of Economics, .
  • ISAKSSON, D.; BLOMQVIST, P. y WINBLAD, U. (2015): “Free establishment of primary health care providers: effects on geographical equity”, BMC...
  • KRACHLER, N. y GREER, I. (2015): “When does marketisation lead to privatization? Profit making in English health services after the 2012 Health...
  • KRUSE, F. M.; LIGTENBERG, W. M. R.; OERLEMANS, A. J. M.; GROENEWOUD, S. y JEURISSEN, P. P. T. (2020): “How the logics of the market, bureaucracy,...
  • LE GRAND, J. (1991): “Quasi-markets and social policy”, Economic Journal, vol. 101, n.o 408, pp. 1256-1267, .
  • LEÓN, M.; RANCI, C. y ROSTGAARD, T. (2014): “Pressures towards and within universalism: conceptualising change in care policy and discourse”,...
  • LUNDDAHL, L. (2002): “Sweden: Decentralisation, deregulation, quasi-markets and then what?”, Journal of Education Policy, vol. 17, n.o 6,...
  • MAZZUCATO, M. (2011): “The entrepreneurial state”, Soundings, n.o 49, pp. 131-142, .
  • MAZZUCATO, M. (2015): Building the entrepreneurial state: a new framework for envisioning and evaluating a mission-oriented public sector,...
  • MEAGHER, G. y SZEBEHELY, M. (2013): Marketisation in Nordic eldercare: a research report on legislation, oversight, extent and consequences,...
  • MIRAFTAB, F. (2004): “Public-private partnerships: the Trojan horse of neoliberal development?”, Journal of Planning Education and Research,...
  • NORTH, D. C. (1984): “Transaction costs, institutions, and economic history”, Zeitschrift für die Gesamte Staatswissenschaft / Journal of...
  • PALOMERA, D. (2020): “Los problemas de las residencias”, Agenda Pública, 01-04-2020, .
  • PETERSEN, O. H.; HJELMAR, U. y VRANGBÆK, K. (2017): “Is contracting out of public services still the great panacea? A systematic review of...
  • PWC (2020): Real Estate Market Overview: Italy 2019, s. l., PwC, .
  • RANCI, C. y PAVOLINI, E. (2013): “Institutional change in long-term care: actors, mechanisms and impacts”, en RANCI, C. y PAVOLINI, E. (eds.),...
  • RICO, M. (2020): “Los dueños de las residencias Vitalia se esconden tras una trama societaria que pasa por Holanda, Luxemburgo y Jersey”,...
  • RODRIQUEZ, J. (2014): Labors of Love: Nursing Homes and the Structures of Care Work, Nueva York, NYU Press.
  • ROSTGAARD, T. (2014): “Nordic care and care work in the public service model of Denmark: ideational factors of change”, en LEÓN, M. (ed.),...
  • ROSTGAARD, T. y SZEBEHELY, M. (2012): “Changing policies, changing patterns of care: Danish and Swedish home care at the crossroads”, European...
  • RUGGIE, J. G. (2018): “Multinationals as global institution: power, authority and relative autonomy”, Regulation & Governance, vol. 12,...
  • SCLAR, E. D. (2001): You don’t always get what you pay for: the economics of privatization, Ithaca, Cornell University Press.
  • UNIÓN EUROPEA (2024): “Directiva 2014/24/UE del Parlamento Europeo y del Consejo, de 26 de febrero de 2014, sobre contratación pública y por...
  • ULSPERGER, J. S. y KNOTTNERUS, J. D. (2008): “The social dynamics of elder care: rituals of bureaucracy and physical neglect in nursing homes”,...
  • VAN HOOREN, F. (2014): “Migrant care work in Europe: variety and institutional determinants”, en LEÓN, M. (ed.), The transformation of care...
  • VRANGBÆK, K.; PETERSEN, O. H. y HJELMAR, U. (2015): “Is contracting out good or bad for employees? A review of international experience”,...
  • WENDSCHE, J.; HACKER, W.; WEGGE, J. y RUDOLF, M. (2016): “High job demands and low job control increase nurses’ professional leaving intentions:...
  • WINBLAD, U.; BLOMQVIST, P. y KARLSSON, A. (2017): “Do public nursing home care providers deliver higher quality than private providers? Evidence...