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Investigating factors influencing quality-of-life effects of home care services in Austria, England, and Finland: a comparative analysis

Author

Listed:
  • Trukeschitz, Birgit
  • Hajji, Assma
  • Kieninger, Judith
  • Malley, Juliette
  • Linnosmaa, Issmo
  • Forder, Julien

Abstract

European countries have developed a range of long-term care (LTC) policy responses to support the increasing share of older people. However, little is known about the effectiveness of LTC services and benefits, particularly their impact on older peoples’ quality of life (QoL). This paper investigates the role of personal, care service and environmental characteristics on the effects of home care services on QoL across England, Finland and Austria. We used data from surveys conducted in England, Finland and Austria. In total, 811 older adults were included in the analysis. OLS regression including main effects and country-specific interactions was used to explore variation in gains in long-term care service-related quality-of-life (LTC-QoL). Explanatory variables were derived from the production of welfare framework and comprised home care service user socio-demographics, needs indicators, social support and environmental variables and characteristics of home care service provision. In all three countries, LTC-QoL gains increased with needs, indicating that home care services perform well, with additional gains declining the higher the needs. Also, better process quality contributed to LTC-QoL improvements in all three countries. In addition, the availability of informal care, social contact, financial household situation and living alone, were associated with changes in LTC-QoL only in one or two of the countries. Home care services increased service users’ QoL in all three European countries. The increase in QoL, however, varied across the countries. The results also provide insights into the benefits and limits of home care service provision and areas for future improvements.

Suggested Citation

  • Trukeschitz, Birgit & Hajji, Assma & Kieninger, Judith & Malley, Juliette & Linnosmaa, Issmo & Forder, Julien, 2021. "Investigating factors influencing quality-of-life effects of home care services in Austria, England, and Finland: a comparative analysis," LSE Research Online Documents on Economics 106222, London School of Economics and Political Science, LSE Library.
    • Handle: RePEc:ehl:lserod:106222
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    References listed on IDEAS

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    1. Juliette Malley & José‐Luis Fernández, 2010. "Measuring Quality In Social Care Services: Theory And Practice," Annals of Public and Cooperative Economics, Wiley Blackwell, vol. 81(4), pages 559-582, December.
    2. G. M.P. Swann, 2009. "The Economics of Innovation," Books, Edward Elgar Publishing, number 13211.
    3. David Reher & Miguel Requena, 2018. "Living Alone in Later Life: A Global Perspective," Population and Development Review, The Population Council, Inc., vol. 44(3), pages 427-454, September.
    4. Julien Forder & Juliette Malley & Ann‐Marie Towers & Ann Netten, 2014. "Using Cost‐Effectiveness Estimates From Survey Data To Guide Commissioning: An Application To Home Care," Health Economics, John Wiley & Sons, Ltd., vol. 23(8), pages 979-992, August.
    5. Brambor, Thomas & Clark, William Roberts & Golder, Matt, 2006. "Understanding Interaction Models: Improving Empirical Analyses," Political Analysis, Cambridge University Press, vol. 14(1), pages 63-82, January.
    6. Forder, Julien E. & Caiels, James, 2011. "Measuring the outcomes of long-term care," Social Science & Medicine, Elsevier, vol. 73(12), pages 1766-1774.
    7. 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).
    8. Tsang, Eric W. K., 2014. "Old and New," Management and Organization Review, Cambridge University Press, vol. 10(03), pages 390-390, November.
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    Cited by:

    1. Mihaela Ghenţa & Aniela Matei & Luise Mladen-Macovei & Simona Stănescu, 2022. "Quality of Life of Older Persons: The Role and Challenges of Social Services Providers," IJERPH, MDPI, vol. 19(14), pages 1-18, July.

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    More about this item

    Keywords

    ASCOT; Austria; England; Finland; comparative analysis; long-term care;
    All these keywords.

    JEL classification:

    • I31 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - General Welfare, Well-Being
    • I38 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Government Programs; Provision and Effects of Welfare Programs
    • J14 - Labor and Demographic Economics - - Demographic Economics - - - Economics of the Elderly; Economics of the Handicapped; Non-Labor Market Discrimination

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