Premium
ECONOMIC DISCOURSE AND THE MARKET: THE CASE OF COMMUNITY CARE
Author(s) -
LUNT NEIL,
MANNION RUSSELL,
SMITH PETER
Publication year - 1996
Publication title -
public administration
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.313
H-Index - 93
eISSN - 1467-9299
pISSN - 0033-3298
DOI - 10.1111/j.1467-9299.1996.tb00876.x
Subject(s) - statutory law , variety (cybernetics) , relevance (law) , government (linguistics) , public economics , transaction cost , public administration , perspective (graphical) , health care , economics , public relations , sociology , economic growth , political science , finance , law , linguistics , philosophy , artificial intelligence , computer science
The UK government has introduced fundamental reforms into the provision of social care. The‘community care’programme, which was fully implemented in 1993, requires local authorities to assess the needs of potential users, to design an individual package of care that reflects those needs, and to purchase the package from a range of statutory, voluntary and private providers. Thus the new arrangement introduced a‘quasi‐market’in community care, along the lines of those already operating in other areas of the UK public sector, such as health and education. Hitherto, much analysis of the functioning of such markets has been conducted within a neo‐classical economic framework. This article examines the relevance to the complex new community care market of three alternative theoretical perspectives: the transaction costs literature, the Austrian school and the new economic sociology. It is concluded that, although neoclassical economic discourse has been influential in shaping policy, no single perspective can capture all the issues relevant to analysing the market in community care. Therefore, in evaluating the reforms, an eclectic theoretical approach will be required which draws upon a variety of economic discourses.