Modernising Management Processes in Elderly Care

A1 Journal article (refereed)

Internal Authors/Editors

Publication Details

List of Authors: Jean C. Mutiganda, Giuseppe Grossi, Lars G. Hassel
Publication year: 2017
Journal: Statsvetenskaplig Tidskrift
Volume number: 119
Issue number: 1
Start page: 71
End page: 89


This study investigates the process of modernising the management of elderly care
services by using competitive contract tendering, referred to as CCT, for the first
time in Finland. The conceptual approach is based on the framework of circuits of
power. Data, based on document analysis, interviews, meetings observation and
continuous interactions with key informants in their organisational settings, are
from intensive field research conducted in a Finnish city from 2008 to 2013. Find-
ings show that the process of introducing CCT to modernise management of public
elderly care exposed that political decision makers and public managers lack pro-
fessional skills to limit procurement risks in designing and implementing the CCT
process. As a result, the total costs of using CCT to outsource aged care services
became much higher than expected. A contribution is to show the ways in which
modernisation of public services by using free market mechanisms, such as CCT, is
a field of inter-organisational circuits of power whose outcome cannot be assumed
to save costs to the community when political decision makers and public manag-
ers are incompetent and unable to think and act as business minded actors.

Last updated on 2019-19-08 at 05:44