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Measuring the outcomes of long-term care

Forder, Julien E., Caiels, James (2011) Measuring the outcomes of long-term care. Social Science and Medicine, 73 (12). pp. 1766-1774. ISSN 0277-9536. (doi:10.1016/j.socscimed.2011.09.023) (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided) (KAR id:32424)

The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided. (Contact us about this Publication)
Official URL
http://dx.doi.org/10.1016/j.socscimed.2011.09.023

Abstract

How should we measure the value of long-term (social) care? This paper describes a care-related quality of life instrument (ASCOT) and considers aspects of its validity. In particular the aim is to assess whether ASCOT is better suited to measuring the impact of long-term care services than the EQ5D health-related quality of life measure. Long-term care services tend to be more concerned with addressing the day-to-day consequences of long-term conditions. As such, a quality of life measure should not be overly focused on the potential impact of services on personal ability and should instead consider how services directly help people to function in everyday life. Construct validity was judged by assessing the degree to which measured quality of life improvement was consistent with the theorised positive correlation between quality of life and the use of home care services. In a 2008/9 sample of people using care services in England, we found that the impact of service use was significant when measured by ASCOT, but not significant when using EQ5D. The results support our hypothesis that ASCOT has greater construct validity in this case.

Item Type: Article
DOI/Identification number: 10.1016/j.socscimed.2011.09.023
Uncontrolled keywords: UK; Long-term care; Social care; Outcome measurement; Quality of life; Validity; Home care; Day care; Capability and functioning
Subjects: H Social Sciences
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Personal Social Services Research Unit
Depositing User: Jane Dennett
Date Deposited: 13 Dec 2012 15:14 UTC
Last Modified: 06 Feb 2020 04:07 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/32424 (The current URI for this page, for reference purposes)
Forder, Julien E.: https://orcid.org/0000-0001-7793-4328
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