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Local variability in long-term care services: local autonomy, exogenous influences and policy spillovers

Fernández, José-Luis, Forder, Julien E. (2015) Local variability in long-term care services: local autonomy, exogenous influences and policy spillovers. Health Economics, 24 (S1). pp. 146-157. ISSN 1057-9230. E-ISSN 1099-1050. (doi:10.1002/hec.3151) (KAR id:48010)

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http://dx.doi.org/10.1002/hec.3151

Abstract

In many countries, public responsibility over the funding and provision of long-term care services is held at the local level. In such systems, long-term care provision is often characterised by significant local variability. Using a panel dataset of local authorities over the period 2002–2012, the paper investigates the underlying causes of variation in gross social care expenditure for older people in England. The analysis distinguishes between factors outside the direct control of policy makers, local preferences and local policy spillovers. The results indicate that local demand and supply factors, and to a much lesser extent local political preferences and spatial policy spillovers, explain a large majority of the observed variation in expenditure.

Item Type: Article
DOI/Identification number: 10.1002/hec.3151
Uncontrolled keywords: long-term care;spatial;variability;spillovers
Subjects: H Social Sciences > H Social Sciences (General)
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Personal Social Services Research Unit
Depositing User: Jane Dennett
Date Deposited: 20 Apr 2015 10:57 UTC
Last Modified: 14 Feb 2020 10:28 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/48010 (The current URI for this page, for reference purposes)
Forder, Julien E.: https://orcid.org/0000-0001-7793-4328
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