Individual funding schemes are increasingly implemented to organize public welfare services and can be considered as a prime example of the marketization of social care. Clients receive a budget and can “shop” on the welfare market. Current knowledge about the impact of individual funding schemes on choice opportunities for people with an intellectual disability is inconclusive. We conducted a vignette experiment in the context of the Flemish (Belgian) individual funding scheme for people with a disability, using 610 close relatives of people with an intellectual disability as subjects. The respondents were presented with hypothetical situations in which they had to express their intention to change current care provision into care via personal assistance. We find that dissatisfaction with services and having a supportive network increases the intention to change care. Professional support from the incumbent provider does not have a significant impact. We conclude that the promise of choice, as assumed with marketized public services, is likely to be fulfilled only under particular conditions. This entails risks in terms of equal opportunities for clients receiving public services in the context of welfare markets.

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福利护理市场的选择与机遇：个人资助政策背景下的决策实验评估

个人资助计划越来越多地用于组织公益服务，可以被视为社会关怀市场化的一个典型例子。客户收到预算并可以在福利市场上“购物”。目前关于个人资助计划对智障人士选择机会的影响的知识尚无定论。我们在佛兰芒（比利时）残疾人个人资助计划的背景下进行了一项小插图实验，使用 610 名智障人士的近亲作为受试者。受访者面临假设情况，在这些情况下，他们必须表达他们打算将当前的护理提供转变为通过个人协助的护理。我们发现对服务的不满和拥有支持网络会增加改变护理的意愿。现有提供商的专业支持不会产生重大影响。我们得出的结论是，市场化公共服务所假设的选择承诺可能只有在特定条件下才能实现。在福利市场的背景下，这会带来接受公共服务的客户机会均等方面的风险。