welfare mix welfare pluralism care regime cash-for-care Ireland long-term care older people non-profit private
Doyle, Martha and Timonen, Virpi, Breaking the Mould: New Trajectories in the Domiciliary Care of Older People in Ireland, International Journal of Social Welfare, 17, 2008, p324 - 332
International Journal of Social Welfare; 17;
This article reviews the development of domiciliary care
services for older people in Ireland over the last decade. It
reveals three central developments, namely (i) the first steps,
in the Irish context, towards a quasi-market; (ii) the introduction
of cash-for-care and the subsequent notable segmentation of
care tasks among three provider groups; and (iii) a rapidly
increasing reliance on for-profit private home care providers.
The authors conclude that while the Irish social care regime
is still anchored in important ways in the primacy of informal
(family) care and the subsidiarity principle, it has broken
path-dependency by evolving towards an increasingly complex
mix of public, not-for-profit and for-profit provision and financing.
The most policy-relevant aspect of this new constellation
is the lack of a regulatory framework that would enable the
State to monitor the multiple and diverse providers with the
view to ensuring the quality of home care services.
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