Salas Ortiz, Andrea orcid.org/0000-0003-1839-096X, Longo, Francesco orcid.org/0000-0002-1833-7328, Claxton, Karl Philip orcid.org/0000-0003-2002-4694 et al. (1 more author) (2024) Unpacking the care‐related quality of life effect of England's publicly funded adult social care. A panel data analysis. Health Economics. hec.4907. ISSN 1057-9230
Abstract
Adult Social Care (ASC) is the publicly-funded long-term care program in England that provides support with activities of daily living to people experiencing mental and/or physical challenges. Existing evidence suggests that ASC expenditure improves service users' care-related quality of life (CRQoL). However, less is known about the channels through which this effect exists and the effect on outcomes other than CRQoL. We fill this gap by analyzing survey data on ASC service users who received long-term support from 2014/15 to 2019/20 using panel data instrumental variable methods. We find that the beneficial impact of ASC expenditure on the CRQoL of both new and existing users is mostly driven by users aged 18-64 without any learning disability and users with no learning disability aged 65 or older receiving community-based ASC. Moreover, control over daily life, occupation, and social participation are the CRQoL domains that are improved the most. We also find that ASC expenditure has a beneficial effect on several other outcomes beyond CRQoL for both new and existing users including user satisfaction and experience, the ability to carry out activities of daily living independently, whether their home is designed around needs, accessibility to local places, general health, and mental health through reduced anxiety and depression. Greater ASC expenditure, however, does not address the need for other forms of support such as unpaid informal and privately-funded care.
Metadata
Item Type: | Article |
---|---|
Authors/Creators: |
|
Copyright, Publisher and Additional Information: | © 2024 The Author(s). Health Economics published by John Wiley & Sons Ltd. |
Keywords: | adult social care,care-related quality of life,health,instrumental variables,panel data |
Dates: |
|
Institution: | The University of York |
Academic Units: | The University of York > Faculty of Social Sciences (York) > Centre for Health Economics (York) The University of York > Faculty of Social Sciences (York) > Economics and Related Studies (York) |
Depositing User: | Pure (York) |
Date Deposited: | 07 Oct 2024 13:40 |
Last Modified: | 10 Jan 2025 00:11 |
Published Version: | https://doi.org/10.1002/hec.4907 |
Status: | Published online |
Refereed: | Yes |
Identification Number: | 10.1002/hec.4907 |
Related URLs: | |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:218078 |
Download
Description: Health Economics - 2024 - Salas‐Ortiz - Unpacking the care‐related quality of life effect of England s publicly funded
Licence: CC-BY 2.5