澳大利亚的护理体系正经历从公共及慈善模式向私营市场模式的转变。1新南威尔士州政府于2016年出售了该州家庭护理服务机构，这家成立于1943年的公共机构因此易主。1政府通过代金券制度将资金分散给多个提供商，导致营利性护理机构数量大幅增长。1在长期日托中心领域，营利性机构的份额从2016年的62%上升至2026年的72%，其中95%的新增中心均为营利性。1
然而这一市场化转向伴随着显著的服务质量问题。1营利性提供商在质量评级不足和法律违规方面的比例相对高于公共及非营利机构。1澳大利亚儿童保育领域暴露出灾难性失败，促使澳大利亚政府和州政府在2025年推出了一系列安全干预措施予以应对。1为缓解儿童保育服务短缺问题，澳大利亚建筑早期教育基金于2024年设立。1政治与社会科学家Mark Considine将这种模式描述为"好的与坏的混合体"，指出其倾向于形成"低平均模型"。1
Australia's care system has undergone a significant shift from public and charitable provision toward privatized market models, with governments distributing funding through voucher schemes to multiple providers.1 This market-driven transformation has accelerated the growth of for-profit operators, yet evidence suggests the transition has created quality inconsistencies, service gaps, and regulatory vulnerabilities across childcare, aged care, and disability support sectors.1
The privatization trend intensified when the New South Wales government sold its state-run home care agency in 2016—a public institution that had operated since 1943.1 The expansion of for-profit long-term childcare centers has been particularly pronounced, with their market share rising from 62 percent in 2016 to a projected 72 percent by 2026, with 95 percent of newly opened centers operating on a for-profit basis.1 For-profit providers account for a disproportionately high share of quality rating downgrades and regulatory breaches compared to public and nonprofit alternatives.1 In response to critical failures within the childcare sector, Australian federal and state governments launched a package of safety interventions in 2025.1 Additionally, the Australian Construction Early Education Fund was established in 2024 to address childcare deserts in underserved areas.1
Political and social scientist Mark Considine has characterized this hybrid approach as a "mixed model," one that tends toward a "low-average format."1 The shift reflects a broader tension between expanding market access and maintaining consistent service standards across Australia's care infrastructure.
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