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A governmental analysis
Ciara O’Dwyer

This chapter seeks to analyse the reform process initiated in 2005, examining the policy tools used to improve care provision and their impact on older people. It examines the impact of recent budgetary constraints on the long-term care sector, as a result of the recession in Ireland's free market economy. The chapter also examines how older people are conceptualised and analyses the relationships between the state and other stakeholders in the design and implementation of long-term care reform policies between 2005 and 2015. It is guided by a governmentality perspective, critically analysing the changing power relations within the long-term care sector in Ireland. Drawing on the particular conceptualisation of power, Michel Foucault developed the concept of governmentality, or 'the art of government'. Foucault's work on governmentality has been used by many other scholars as a framework for analysing power relations in society.

in Reframing health and health policy in Ireland