Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Forder, Julien, Vadean, Florin, Rand, Stacey, Malley, Juliette
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2017
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
_version_ 1783314524436168704
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
work_keys_str_mv AT forderjulien theimpactoflongtermcareonqualityoflife
AT vadeanflorin theimpactoflongtermcareonqualityoflife
AT randstacey theimpactoflongtermcareonqualityoflife
AT malleyjuliette theimpactoflongtermcareonqualityoflife
AT forderjulien impactoflongtermcareonqualityoflife
AT vadeanflorin impactoflongtermcareonqualityoflife
AT randstacey impactoflongtermcareonqualityoflife
AT malleyjuliette impactoflongtermcareonqualityoflife