Equity and Efficiency Policy in Community Care

Bleddyn Davies, José Fernandez with Bulent Nomer, PSSRU at the London School of Economics and the universities of Kent and Manchester, UK

• Contents: Introduction: policy context and research design. Mapping Productivities and Service Outputs: Modeling the impact of service inputs on outputs: framework and indicators; Estimating production functions; Productivities for DAYS indicator variable (user’s length of stay in the community); Productivities for USATISF indicator variable (overall satisfaction with services); Productivities for IMPADL, IMPIADL and NSF indicator variables (perceived improvement in functioning in service-related areas and reported unmet needs); Productivities for IMPEMP, UEMPOW, CEMPOW indicator variables (empowerment, choice and control); Productivities for PGC, GDL, DLD indicator variables (general psychological well-being); Productivities for IMPREL and SATSOC indicator variables (reduction in social exclusion and improvement in relationships); Productivities for WKSAT indicator variable (worker perception of impact); Joint supply in the production system; Service productivities: the main patterns. Equity and Efficiency: Actual and Optimal: Equity and efficiency analysis: assumptions and methods; Efficiencies for DAYS indicator variable (users’ length of stay in the community) Efficiencies for USATISF indicator variable (degree of satisfaction of user with the overall level of service received); Efficiencies for IMPADL indicator variables (degree of improvement in personal care functions of daily living ascribed by user to social services); Efficiencies for IMPIADL indicator variable (degree of improvement in household care and other instrumental care functions of daily living ascribed by user to social services); Efficiencies for IMPEMP indicator variable (user felt control over own life score); Efficiencies for DLD indicator variable (user dissatisfaction with life development score); Efficiencies for KOSBERG indicator variable (felt burden of caregiving); Efficiencies for WKSAT indicator variable (worker perception of impact); The world viewed in the looking glass: the sy

’It is the great achievement of this book that, whilst it inhabits the rarified world of policy systems and how they can be rendered more systematic, it never loses sight at any point of the key gerontological axioms of independence and locus of control.’ Education and Ageing