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What can local authorities do to improve the social care-related quality of life of older adults living at home?: evidence from the adult social care survey

Author

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  • van Leeuwen, K.M.
  • Malley, J.
  • Bosmans, J.E.
  • Jansen, A.P.D.
  • Ostelo, R.W.
  • van der Horst, H.E.
  • Netten, A.

Abstract

Local authorities spend considerable resources on social care at home for older adults. Given the expected growth in the population of older adults and budget cuts on local government, it is important to find efficient ways of maintaining and improving the quality of life of older adults. The ageing in place literature suggests that policies in other functions of local authorities may have a significant role to play. This study aims to examine the associations between social care-related quality of life (SCRQoL) in older adults and three potential policy targets for local authorities: (i) accessibility of information and advice, (ii) design of the home and (iii) accessibility of the local area. We used cross-sectional data from the English national Adult Social Care Survey (ASCS) 2010/2011 on service users aged 65 years and older and living at home (N=29,935). To examine the association between SCRQoL, as measured by the ASCOT, and three single-item questions about accessibility of information, design of the home and accessibility of the local area, we estimate linear and quantile regression models. After adjusting for physical and mental health factors and other confounders our findings indicate that SCRQoL is significantly lower for older adults who find it more difficult to find information and advice, for those who report that their home design is inappropriate for their needs and for those who find it more difficult to get around their local area. In addition, these three variables are as strongly associated with SCRQoL as physical and mental health factors. We conclude that in seeking to find ways to maintain and improve the quality of life of social care users living at home, local authorities could look more broadly across their responsibilities. Further research is required to explore the cost-effectiveness of these options compared to standard social care services.

Suggested Citation

  • van Leeuwen, K.M. & Malley, J. & Bosmans, J.E. & Jansen, A.P.D. & Ostelo, R.W. & van der Horst, H.E. & Netten, A., 2014. "What can local authorities do to improve the social care-related quality of life of older adults living at home?: evidence from the adult social care survey," LSE Research Online Documents on Economics 58022, London School of Economics and Political Science, LSE Library.
    • Handle: RePEc:ehl:lserod:58022
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    1. King, Abby C. & Sallis, James F. & Frank, Lawrence D. & Saelens, Brian E. & Cain, Kelli & Conway, Terry L. & Chapman, James E. & Ahn, David K. & Kerr, Jacqueline, 2011. "Aging in neighborhoods differing in walkability and income: Associations with physical activity and obesity in older adults," Social Science & Medicine, Elsevier, vol. 73(10), pages 1525-1533.
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    Cited by:

    1. Chau-kiu Cheung & Esther Oi-wah Chow, 2020. "Contribution of Wisdom to Well-Being in Chinese Older Adults," Applied Research in Quality of Life, Springer;International Society for Quality-of-Life Studies, vol. 15(3), pages 913-930, July.
    2. Ludovico Carrino & Cristina Elisa Orso, 2014. "Eligibility and inclusiveness of Long-Term Care Institutional frameworks in Europe: a cross-country comparison," Working Papers 2014:28, Department of Economics, University of Venice "Ca' Foscari".
    3. Gastón Márquez & Carla Taramasco, 2023. "Barriers and Facilitators of Ambient Assisted Living Systems: A Systematic Literature Review," IJERPH, MDPI, vol. 20(6), pages 1-22, March.
    4. Jingyu Yu & Guixia Ma & Shuxia Wang, 2021. "Do Age-Friendly Rural Communities Affect Quality of Life? A Comparison of Perceptions from Middle-Aged and Older Adults in China," IJERPH, MDPI, vol. 18(14), pages 1-13, July.
    5. Malley, Juliette & D'Amico, Francesco & Fernandez, Jose-Luis, 2019. "What is the relationship between the quality of care experience and quality of life outcomes? Some evidence from long-term home care in England," Social Science & Medicine, Elsevier, vol. 243(C).
    6. Francesco Longo & Karl Claxton & James Lomas & Stephen Martin, 2020. "Does public long-term care expenditure improve care-related quality of life in England?," Working Papers 172cherp, Centre for Health Economics, University of York.
    7. Francesco Longo & Karl Claxton & James Lomas & Stephen Martin, 2021. "Does public long‐term care expenditure improve care‐related quality of life of service users in England?," Health Economics, John Wiley & Sons, Ltd., vol. 30(10), pages 2561-2581, September.

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    More about this item

    Keywords

    quality of life; older adults; social care; local policy; PRP 100/0001;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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