Longo, Francesco orcid.org/0000-0002-1833-7328, Claxton, Karl orcid.org/0000-0003-2002-4694, Salas-Ortiz, Andrea orcid.org/0000-0003-1839-096X et al. (2 more authors) (2025) Does publicly-funded Adult Social Care impact informal and unpaid carers’ quality of life in England? Health Economics. ISSN 1057-9230
Abstract
Informal carers are important for their care recipients, but the burden of care may have a detrimental effect on the carer's well-being. Publicly-funded Adult Social Care (simply, ASC) in England may alleviate this burden. We therefore investigate whether ASC expenditure improves carers' quality of life and the channels through which this effect may exist. We analyze data on informal carers from the biennial Survey of Adult Carers in England in 2014/15, 2016/17, 2018/19 and 2021/22. We implement panel data instrumental variables methods that use conditionally exogenous variability in the local taxation to identify the causal effect of ASC expenditure. Our main finding suggests that a £1000-increase in ASC expenditure per client increases, on average, the carer-reported quality of life score by 0.3, which amounts to 4.2% of its average in 2021/22. Moreover, ASC expenditure has a beneficial impact on informal carers' care tasks, health, range of employment choices, and finances.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2025 John Wiley & Sons Ltd. This is an author-produced version of the published paper. Uploaded in accordance with the University’s Research Publications and Open Access policy. |
Keywords: | Adult Social Care,informal carers,quality of life,panel data,instrumental variable |
Dates: |
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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: | 11 Apr 2025 09:30 |
Last Modified: | 26 Apr 2025 23:15 |
Published Version: | https://doi.org/10.1002/hec.4957 |
Status: | Published online |
Refereed: | Yes |
Identification Number: | 10.1002/hec.4957 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:225426 |
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