

Thirdly, a multilevel approach is necessary to study the MLM in the care sector since the degree of commodification differs by level. However, insofar as professionals in for-profit homes are primarily responsive to residents’ wishes, the market logic also prevails. Secondly, for-profit nursing homes pursue a different professional logic from the traditional, non-profit sector – one which is inspired by the logic of care and which contrasts with bureaucratic logic. The environment and conditions of for-profit nursing homes are especially commodified.

care environment, personal relationships, management) and every aspect of the relationship should be considered because the four logics are reconciled differently for each aspect. Firstly, there are many aspects of the care relationship (e.g. Resultsįour main insights emerge from our empirical study. Secondly, we follow an empirical ethics approach we used three for-profit nursing homes as case studies and conducted qualitative interviews with various stakeholders.

Firstly, we construct a theoretical framework from existing literature this theoretical framework differentiates four logics: the market, bureaucracy, professionalism, and care. The contribution of this study is twofold. This question relates to the debate on the Moral Limits of Markets (MLM) and commodification of care. The ethical question that arises from the growth of for-profit care is whether the market logic can be reconciled with the provision of healthcare. In the Netherlands, the for-profit sector has gained a substantial share of nursing home care within just a few years.
