The Commodification of Care: a Critical Exploration of the Marketing Mix for Domiciliary Care at the End-of-Life

Lolich, Luciana

doi:10.22375/dbsbr.v1.5

Cited by 4 publications

(4 citation statements)

References 33 publications

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“…It is difficult to see how this can be achieved in a market-based system with its in-built tension between quality and cost. If the only feasible means of increasing the profitability of care work is by making the work more routinised and intensifying its pace, this presents inevitable risks for its quality, effectiveness and humanity (Lolich, 2017).…”

Section: Discussionmentioning

confidence: 99%

‘When it comes to carers, you've got to be grateful that you've got a carer coming’: older people's narratives of self-funding social care in England

Tanner

Ray²,

Ward³

2022

Ageing and Society

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The number of older self-funders in England is growing in the context of tight eligibility criteria and fixed financial thresholds to access statutory adult social care. Older people who self-fund their social care fall largely under the radar of statutory services and of research. Our study aimed to listen closely to the stories that older people tell about finding, managing and paying for their care. We interviewed 65 older people living in the community who were funding all or some of their social care. This paper focuses on narrative analysis of selected transcripts from these interviews. It sheds light on how older people represent their experiences of self-funding and what underpins these constructions. A key finding is that the disjunctions within older people's accounts between the care they want and the care they receive reflect wider political and structural tensions in the funding and delivery of care. Older self-funders temper their expectations in light of their experience of shortfalls in the system. This enables them to adjust to the deficiencies but obscures and perpetuates poor care. The discussion considers the findings in relation to: the fundamental incompatability of body labour and commodified care; the shared precarity of older people and care workers; and the individualisation of risks that makes older people and their carers responsible for making a failing care system ‘work’. Our analysis adds to the case for major reform of adult social care, including a revaluing of the status and employment conditions of front-line care workers.

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Section: Discussionmentioning

confidence: 99%

‘When it comes to carers, you've got to be grateful that you've got a carer coming’: older people's narratives of self-funding social care in England

Tanner

Ray²,

Ward³

2022

Ageing and Society

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“…Audit was seen to distract from the provision of good care, and Furness (2009) touches on the stress RMs find in the process. The RM like many other professionals in a highly regulated environment is confronted with wanting to care yet striving to provide it where market forces and competition dominate (Lolich, 2017), emphasised with CQC reports being made public. The desire to provide individualised and localised care rather than lead using an external set of macro-level generic standards may consciously or otherwise detract from leadership and create stress.…”

Section: Contextmentioning

confidence: 99%

Adult social care managers speak out: Exploring leadership development

McCray

Temple

McGregor

2021

Int J Training Development

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As part of a 2-year research project, 79 interviews were undertaken with adult social care (ASC) registered managers (RMs) in England. The study aimed to identify the factors that influence the leadership practice and priorities of RMs in their role in ASC at two points, before and after a leadership development programme (LDP). A critical framework of Bourdieu is used to explore and analyse how the RM's disposition plays out as they lead in the ASC sector. A narrative inquiry methodology was applied. Results found that a lack of funding and increasing regulation has added emotional stress to the RM leadership role and their motivation to lead. In order to cope, addressing the localised leadership development needs of the RMs was central and emotional wellness key. There is the potential for the ASC home to become a social arena for conflict between differing agency power relationships. By experiencing their preferred LDP, the RMs had gained insights into their position as a leader in ASC and how, by their own actions, they could both influence and shape it.

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“…In Ireland, as in many other countries, commercial home care provision remains under‐researched notwithstanding a few studies that have addressed certain aspects of it within the context of social care marketization (Cullen, 2019; Lolich, 2017, 2019; Mulkeen, 2016; Timonen & Doyle, 2008; Timonen, Doyle, & O'Dwyer, 2012). The only study that focused directly on private providers was conducted before the significant expansion of the commercial sector over the last decade (Doyle, 2006).…”

Section: The Growth Of Private Domiciliary Care Providers In Europementioning

confidence: 99%

The growth of private home care providers in Europe: The case of Ireland

Mercille

O'Neill

2020

Soc Policy Adm

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Private for‐profit home care providers have grown unevenly in Europe and through varied processes. Yet, more research focusing directly on private providers is needed to identify and explain European patterns in their growth and in their modes of operation. This paper examines the case of Ireland, where private providers have grown significantly in recent years and transformed the national landscape of domiciliary care. First, it is shown that the amount of public funding received by private providers increased from €3 million in 2006 to €176 million in 2019, in contrast to amounts allocated to non‐profit and public providers that have increased only slightly. Second, those trends are explained through policy analysis and by drawing on in‐depth semi‐structured interviews (n = 12) with private home care providers and government officials who have been central to the privatization of care. The paper gives a direct voice to key figures in private home care, and through a critical reading of interview materials, argues that the neoliberal nature of the Irish state has driven the growth of private provision, in particular, through policies of competitive tendering and fiscalization. Providers' own lobbying activities have also played a role, albeit a secondary one. Ireland has traditionally followed a laissez‐faire, family‐based system comparable to Southern European countries. Its experience is thus directly relevant to that region, but further research should also compare and contrast the development of private providers operating in other European long‐term care regimes.

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The Commodification of Care: a Critical Exploration of the Marketing Mix for Domiciliary Care at the End-of-Life

Abstract: Abstract

Cited by 4 publications

References 33 publications

‘When it comes to carers, you've got to be grateful that you've got a carer coming’: older people's narratives of self-funding social care in England

‘When it comes to carers, you've got to be grateful that you've got a carer coming’: older people's narratives of self-funding social care in England

Adult social care managers speak out: Exploring leadership development

The growth of private home care providers in Europe: The case of Ireland

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