What do private providers of home care want? An analytical framework

Mercille, Julien; Lolich, Luciana

doi:10.1080/09581596.2024.2315977

Critical Public Health

2024

DOI: 10.1080/09581596.2024.2315977

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What do private providers of home care want? An analytical framework

Julien Mercille,

Luciana Lolich

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2024

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Cited by 2 publications

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Private equity involvement in primary care: the case of Ireland

Mercille

2024

HEPL

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Private equity (PE) firms play an increasingly important role in healthcare. Yet, existing research remains uneven, mostly focused on the United States and on certain sectors such as nursing homes. Some geographical areas and health specialties remain under-explored. This brief paper outlines a research agenda focusing on three key issues: (1) PE's significance and (2) business strategies in healthcare, and (3) PE's impacts on health and healthcare. The paper uses primary care in Ireland as an example. The proposed research agenda should improve our understanding of the nature of PE in healthcare and serve as a basis for policy-makers to explore appropriate and effective regulation of PE to reduce its negative impacts if and when they exist.

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Private equity involvement in primary care: the case of Ireland

Mercille

2024

HEPL

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European long‐term care marketisation: A political economy framework

Mercille

2024

Soc Policy Adm

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The study of European long‐term care (LTC) marketisation is dominated by institutional and ideational perspectives. In contrast, political economic theoretical frameworks have received little attention. This is paradoxical, because marketisation is an inherently political economic phenomenon. The financialisation of LTC systems, the growth of private for‐profit providers and the rise in cross‐national investments are proceeding apace, yet, they have been neglected by conventional approaches. This paper presents a political economy theoretical framework to study LTC marketisation. In contrast to conventional perspectives, it locates the drivers of marketisation within (neoliberal) capitalism; conceives of the state as significantly aligned with the interests of the business sector; interprets ideology as often originating in the material interests of the latter; examines ‘power struggles’ between, in particular, private providers on one hand and the public/non‐profit sector and care workers on the other hand. These power struggles take place in LTC financing, privatisation, regulation, financialisation and labour flexibility. In those struggles, private providers assert their power (structural, institutional and instrumental) to shape marketisation; however, they can encounter resistance. The framework also examines the outcomes of marketisation and is illustrated empirically by reference to Irish LTC.

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What do private providers of home care want? An analytical framework

Cited by 2 publications

References 30 publications

Private equity involvement in primary care: the case of Ireland

Private equity involvement in primary care: the case of Ireland

European long‐term care marketisation: A political economy framework

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