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The impact of long‐term care on quality of life
Long‐term care services are provided to help people manage the consequences of impairment, but their impact goes beyond the meeting of basic needs. Accordingly, the main aim was to explore the marginal effectiveness of care when measured in terms of people's overall care‐related quality of life...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5901009/ https://www.ncbi.nlm.nih.gov/pubmed/29098741 http://dx.doi.org/10.1002/hec.3612 |
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author | Forder, Julien Vadean, Florin Rand, Stacey Malley, Juliette |
author_facet | Forder, Julien Vadean, Florin Rand, Stacey Malley, Juliette |
author_sort | Forder, Julien |
collection | PubMed |
description | Long‐term care services are provided to help people manage the consequences of impairment, but their impact goes beyond the meeting of basic needs. Accordingly, the main aim was to explore the marginal effectiveness of care when measured in terms of people's overall care‐related quality of life (CRQoL) and assess changes in marginal effect for increasing intensity. The associated aim was to refine and apply an observational method to estimate marginal effectiveness. A “production function” approach was used with survey data, including Adult Social Care Outcomes Toolkit‐measured CRQoL, whereby we statistically modelled the expected relationship between service utilisation rates and CRQoL. This method seeks to limit endogeneity issues by controlling on observables and using instrumental variable. Using a survey of publicly funded long‐term care service users in England, we found that community‐based long‐term care significantly improved people's CRQoL but with diminishing marginal effects and effects differentiated by baseline impairment levels. There are implications for how the care system should respond to changes in global public budgets. For example, where there is unmet need, a system aimed to maximise (unadjusted) CRQoL would put more emphasis on access (more recipients) than intensity of support compared to a system operating on a needs basis. |
format | Online Article Text |
id | pubmed-5901009 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-59010092018-04-24 The impact of long‐term care on quality of life Forder, Julien Vadean, Florin Rand, Stacey Malley, Juliette Health Econ Research Articles Long‐term care services are provided to help people manage the consequences of impairment, but their impact goes beyond the meeting of basic needs. Accordingly, the main aim was to explore the marginal effectiveness of care when measured in terms of people's overall care‐related quality of life (CRQoL) and assess changes in marginal effect for increasing intensity. The associated aim was to refine and apply an observational method to estimate marginal effectiveness. A “production function” approach was used with survey data, including Adult Social Care Outcomes Toolkit‐measured CRQoL, whereby we statistically modelled the expected relationship between service utilisation rates and CRQoL. This method seeks to limit endogeneity issues by controlling on observables and using instrumental variable. Using a survey of publicly funded long‐term care service users in England, we found that community‐based long‐term care significantly improved people's CRQoL but with diminishing marginal effects and effects differentiated by baseline impairment levels. There are implications for how the care system should respond to changes in global public budgets. For example, where there is unmet need, a system aimed to maximise (unadjusted) CRQoL would put more emphasis on access (more recipients) than intensity of support compared to a system operating on a needs basis. John Wiley and Sons Inc. 2017-11-03 2018-03 /pmc/articles/PMC5901009/ /pubmed/29098741 http://dx.doi.org/10.1002/hec.3612 Text en © 2017 The Authors. Health Economics published by John Wiley & Sons Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Articles Forder, Julien Vadean, Florin Rand, Stacey Malley, Juliette The impact of long‐term care on quality of life |
title | The impact of long‐term care on quality of life |
title_full | The impact of long‐term care on quality of life |
title_fullStr | The impact of long‐term care on quality of life |
title_full_unstemmed | The impact of long‐term care on quality of life |
title_short | The impact of long‐term care on quality of life |
title_sort | impact of long‐term care on quality of life |
topic | Research Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5901009/ https://www.ncbi.nlm.nih.gov/pubmed/29098741 http://dx.doi.org/10.1002/hec.3612 |
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