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

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Listed:
  • Wei Yang

    (University of Kent)

  • Julien Forder

    (University of Kent)

  • Olena Nizalova

    (University of Kent)

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.

Suggested Citation

  • Wei Yang & Julien Forder & Olena Nizalova, 2017. "Measuring the productivity of residential long-term care in England: methods for quality adjustment and regional comparison," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 18(5), pages 635-647, June.
    • Handle: RePEc:spr:eujhec:v:18:y:2017:i:5:d:10.1007_s10198-016-0816-z
    DOI: 10.1007/s10198-016-0816-z
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    References listed on IDEAS

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    More about this item

    Keywords

    Regional productivity; Care home; England;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General

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