We show how policy discourses construct consumer choice, performance measurement and quality standards as key technologies in the marketisation of disability services and aged care in Australia. The emergence of performance outcome measurement and increased consumer access to these through diverse consumer facing and interactive platforms enables the state to “govern at a distance” through the management and shaping of outcome indicators rather than delivery of services. The state does this by creating market competition and establishing outcomes which reflect the construction people using services as informed and rational consumers rather than citizens. This construction and operationalisation frame marketisation as a rational solution to broken systems, assume choice is unproblematic and ignore diverse capacities to access and use information, resource differentials and contextual variables such as market maturity and service availability. The benign marketisation of human services thus discriminates against those who are already marginalised and disadvantaged unless equity strategies are clearly in place.

中文翻译：

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消费者选择的话语结构、绩效衡量以及澳大利亚残疾服务和老年护理的市场化

我们展示了政策话语如何将消费者选择、绩效衡量和质量标准构建为澳大利亚残疾服务和老年护理市场化的关键技术。绩效成果衡量的出现以及消费者通过多样化的面向消费者和互动平台获得这些成果的机会增加，使国家能够通过成果指标的管理和塑造而不是提供服务来“远程治理”。国家通过创造市场竞争和建立结果来做到这一点，这些结果反映了建筑人员作为知情和理性的消费者而不是公民使用服务。这种构建和运作框架将市场化作为对破碎系统的合理解决方案，假设选择是没有问题的，并且忽略了访问和使用信息的不同能力，资源差异和背景变量，例如市场成熟度和服务可用性。因此，除非公平战略明确到位，否则人类服务的良性市场化会歧视那些已经被边缘化和处于不利地位的人。