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Joint Finance: An analysis of the reasons for its limited success

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Joint Finance has produced some beneficial results but its successes have been limited due to: (a) the tight financial climate; and (b) professional and trade union resistance. To overcome the perverse financial incentives, tighter central control of funding has been advocated; and to overcome professional resistance modified training and improved teamwork have been suggested. This paper contends that these solutions are inadequate because they are based on a mistaken understanding of the source of professional power. One scheme, service credits, has been proposed which would make inroads into the problem by diminishing the extent of the state monopoly in the provision of residential care. Some weaknesses of this proposal are identified. Finally, the paper argues that professional power results, not only from state monopolies, but also from the legal privileges the professions have been granted.
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Document Type: Research Article

Publication date: April 1, 1986

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