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Measuring the productivity of residential long-term care in England: methods for quality adjustment and regional comparison

Yang, Wei, Forder, Julien E., Nizalova, Olena (2016) Measuring the productivity of residential long-term care in England: methods for quality adjustment and regional comparison. European Journal of Health Economics, 18 (5). pp. 635-647. ISSN 1618-7598. (doi:10.1007/s10198-016-0816-z) (KAR id:57225)

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http://dx.doi.org/10.1007/s10198-016-0816-z

Abstract

Productivity trend information is valuable in developing policy and for understanding changes in the ‘value for money’ of the care system. In this paper, we consider approaches to measuring productivity of adult social care (ASC), and particularly care home services. Productivity growth in the public sector is traditionally measured by comparing change in total output to change in total inputs, but has not accounted for changes in service quality and need. In this study, we propose a method to estimate ‘quality adjusted’ output based on indicators of the Adult Social Care Outcomes Toolkit (ASCOT), using data collected in the annual adult social care survey (ASCS). When combined with expenditure and activity data for 2010 to 2012, we found that this approach was feasible to implement with current data and that it altered the productivity results compared with non-adjusted productivity metrics. Overall, quality-adjusted productivity grew in most regions between 2010 and 2011 and remained unchanged for most regions from 2011 to 2012.

Item Type: Article
DOI/Identification number: 10.1007/s10198-016-0816-z
Projects: Projects 25827 not found.
Uncontrolled keywords: Regional productivity; Care home; England
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
Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Centre for Health Services Studies
Depositing User: Olena Nizalova
Date Deposited: 12 Sep 2016 12:03 UTC
Last Modified: 25 Oct 2019 07:25 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/57225 (The current URI for this page, for reference purposes)
Forder, Julien E.: https://orcid.org/0000-0001-7793-4328
Nizalova, Olena: https://orcid.org/0000-0002-1704-2632
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