“…Some studies indicate modest efficiency gains (Perri6, 2003;Struyven & Steurs, 2005) but the dominant pattern that emerges in the literature is an absence of progress and service models that have difficulties in living up to the preconditions for a well-functioning market and meeting the political expectations (Bredgaard & Larsen, 2008;Finn, 2009;Jolley et al, 2014;Perri6, 2003;Spall, McDonald, & Zetlin, 2005;Struyven & Steurs, 2005). Experiences among users of free choice market systems can even be strikingly negative in terms of perceived inadequate service supply and service cutbacks (Spall et al, 2005).…”