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Booming opportunities and looming challenges? Expansion strategies among finance-controlled providers in the field of Swedish eldercare
Mälardalen University, School of Business, Society and Engineering, Industrial Economics and Organisation. Department of Business Studies, Uppsala University, Uppsala, Sweden.
Department of Business Studies, Uppsala University, Uppsala, Sweden.
2025 (English)In: Journal of Social Policy, ISSN 0047-2794, E-ISSN 1469-7823Article in journal (Refereed) Published
Abstract [en]

The financialisation of eldercare has become an internationally widespread phenomenon with significant implications. Previous literature has shown how finance-controlled providers (FCPs) initially launch their eldercare services throughout urban areas, but we know little about the ways that these providers subsequently expand their services. Focusing on nursing homes in Swedish eldercare, our aim with this paper is to develop new knowledge about the expansion strategies guiding FCPs. Deploying a Bourdieusian field perspective to analyse rich document data from Sweden’s three largest FCPs, we found that they sensed ‘booming opportunities’ following demographic trends among older citizens and economic difficulties within municipalities. However, we also find that FCPs perceived ‘looming challenges’ deriving from labour shortages and profit debates in the public sector, indicating demographic trends and economic difficulties were tough to leverage as opportunities. FCPs attempted to overcome such challenges through expansion strategies centred on acquiring eldercare providers and – most notably – building nursing homes. Our findings advance the literature on eldercare financialisation by highlighting how FCPs, in devising expansion strategies, not only adopt financial tools but also incorporate field perceptions. These strategies are ultimately utilised by FCPs to expand their positions as policy actors throughout welfare states that have undergone market-inspired reforms.

Place, publisher, year, edition, pages
Cambridge University Press (CUP) , 2025.
National Category
Social Work
Identifiers
URN: urn:nbn:se:mdh:diva-72931DOI: 10.1017/S0047279425100974ISI: 001549486500001Scopus ID: 2-s2.0-105011409139OAI: oai:DiVA.org:mdh-72931DiVA, id: diva2:1986197
Available from: 2025-07-30 Created: 2025-07-30 Last updated: 2025-10-10Bibliographically approved

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CiteExportLink to record
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