Hi
Paul wrote...
> Does anyone know of any research looking at the short and long term
effects
> on an organisation providing services for disabled people which moves from
> guaranteed funding to having to compete for funding?. In particular is
there
> any evidence that the core values that motivated the organisation to
provide
> the service are abandoned or compromised?
There has been quite a lot of work done on the impact of marketisation, and
'quasi markets' on voluntary sector or 'not for profit' organisations
(especially in UK and USA). At the risk of self-promotion, you might want to
look at Chapter 5 of...
Priestley, M. (1999) Disability Politics and Community Care, Jessica
Kingsley
This includes quite a few references to published studies that deal with
such exciting topics as... monopoly/monopsony, 'mission drift' and
'institutional isopmorphism'. :-(
More simply, there is some evidence that in a quasi-market for social care,
there is a tendency for providers to become more and more like one another.
There is a particular danger for organisations with a strong sense of
mission, who may experience a dilution or distortion of their activities
towards more market-oriented goals.
My own thoughts would be that while the market has sometimes favoured claims
to 'independent living' (in terms of individualised, self-managed direct
payment schemes) it has also tended to undermine organisational attempts to
pursue more collective, social model responses to disabling barriers. My
concern would be that aggregate market pressures, over time, will pull
providers towards more individual and fragmented 'services', and away from
more holistic, social responses. But I'd be happy to be proved wrong... :-)
Best Wishes
Mark Priestley
Centre for Disability Studies
University of Leeds
LEEDS
LS2 9JT
UK
tel: +44 113 233 4417
fax: +44 113 233 4415
e-mail: [log in to unmask]
http://www.leeds.ac.uk/disability-studies
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