The end of a trend: retraction of choice in Swedish elderly care

Henrik Jordahl, Lovisa Persson

Research output: Contribution to journalArticlepeer-review

8 Citations (Scopus)
34 Downloads (Pure)


In 2009, Sweden launched a freedom-of-choice reform that gave municipalities the option to introduce standardized quasi-markets in social services. The reform was initially popular to adopt in home care until the share of adopting municipalities leveled out just above 50 percent. In recent years, the trend has reversed, and several municipalities have abolished their choice system. Compared with municipalities with choice systems, the abolishing municipalities are more rural with fewer inhabitants. A fixed-effects regression suggests that decreases in the market share of private providers, political shifts towards the left, and increasing costs are related to the abolition of choice systems.

Original languageEnglish
Pages (from-to)189-200
Number of pages11
JournalJournal of Economic Policy Reform
Issue number2
Publication statusPublished - 2021

Swedish Standard Keywords

  • Economics and Business (502)


  • Home care
  • privatization
  • quasi-market
  • re-municipalization
  • user choice


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