Personalisation through Individual Budgets: Does It Work and for Whom?

Netten, Ann; Jones, Karen C.; Knapp, Martín; Fernández, José-Luis; Challis, David; Glendinning, Caroline; Jacobs, Sally; Manthorpe, Jill; Moran, Nicola; Stevens, Martin; Wilberforce, Mark

doi:10.1093/bjsw/bcr159

Cited by 64 publications

(81 citation statements)

References 14 publications

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“…This means that ASCOT can be used in a QALY context; evaluators can calculate social care QALYs. To date, all applications of the instrument have been in a social care context [45,46] 6 .…”

Section: Measures Of Capabilitymentioning

confidence: 99%

Choice of Outcome Measure in an Economic Evaluation: A Potential Role for the Capability Approach

Lorgelly

2015

PharmacoEconomics

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The last decade has seen a renewed interest in Sen's capability approach; health economists have been instrumental in leading much of this work. One particular stream of research is the application of the approach to outcome measurement. To date, there have been a dozen attempts (some combined) to operationalise the approach, and produce an outcome measure that offers a broader evaluative space than health-related quality-of-life measures. Applications have so far been confined to public health, physical, mental health and social care interventions, but the capability approach could be of benefit to evaluations of pharmacotherapies and other technologies. This paper provides an introduction to the capability approach, reviews the measures that are available for use in an economic evaluation, including their current applications, and then concludes with a discussion of a number of issues that require further consideration before the approach is adopted more widely to inform resource allocation decisions.

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“…This means that ASCOT can be used in a QALY context; evaluators can calculate social care QALYs. To date, all applications of the instrument have been in a social care context [45,46] 6 .…”

Section: Measures Of Capabilitymentioning

confidence: 99%

Choice of Outcome Measure in an Economic Evaluation: A Potential Role for the Capability Approach

Lorgelly

2015

PharmacoEconomics

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“…However, the results ASCOT yielded are similar to those acquired in England. According to results of earlier studies, social services influence the different components of quality of life in different ways [2037]. The second limitation is associated with the method of using ASCOT.…”

Section: Discussionmentioning

confidence: 99%

“…ASCOT combines eight domains of quality of life with preferences using English preference weights [35], since there are no Finnish weights available. ASCOT has been used in a number of studies to measure social-care-related quality-of-life outcomes or effectiveness of adult social care [363738]. The National Institute for Health and Care Excellence mentions ASCOT as a very rare outcome measure.…”

Section: Methodsmentioning

confidence: 99%

The Association between Freedom of Choice and Effectiveness of Home Care Services

Steffansson

Pulliainen

Kettunen

et al. 2016

International Journal of Integrated Care

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Objectives: The aim of this paper is to study home care clients’ freedom to choose their services, as well the association between the effectiveness of home care services and freedom of choice, among other factors.Methods: A structured postal survey was conducted among regular home care clients (n = 2096) aged 65 or older in three towns in Finland. Freedom of choice was studied based on clients’ subjective experiences. The effectiveness of the services was evaluated by means of changes in the social-care-related quality of life. Regression analyses were used to test associations.Results: As much as 62% of home care recipients reported having some choice regarding their services. Choosing meals and visiting times for the care worker were associated with better effectiveness. The basic model, which included needs and other factors expected to have an impact on quality of life, explained 15.4% of the changes in quality of life, while the extended model, which included the freedom-of-choice variables, explained 17.4%. The inclusion of freedom-of-choice variables increased the adjusted coefficient of determination by 2%. There was a significant positive association between freedom of choice and the effectiveness of public home care services.Conclusion: Freedom of choice does not exist for all clients of home care who desire it. By changing social welfare activities and structures, it is possible to show respect for clients’ opinions and to thereby improve the effectiveness of home care services.

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“…94 Moreover, these arrangements have been associated with a greater financial cost compared with the provision of traditional care and support and greater anxiety consequent on planning and managing care for older people. 95,96 Conclusion Cluster analysis was used to explore the complexities of care coordination arrangements that have evolved in England. Reflecting the discretionary guidance that accompanied the community care reforms, considerable variation in care coordination arrangements were noted with no one type predominating.…”

Section: Community-based Servicesmentioning

confidence: 99%

Exploring patterns of care coordination within services for older people

Chester

Hughes

Sutcliffe

et al. 2015

International Journal of Care Coordination

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Introduction: Supporting frail older people at home is an international policy objective. This article explored variations in care coordination arrangements and their relationship with service level outcomes using England as a case study. Method: Survey data and routinely generated data collected in 2006 from 119 local authorities responsible for social care were combined. Using cluster analysis, distinct groups were identified with regard to forms of care coordination. Results: Considerable variation was evident both within and between different types of care coordination, reflecting implementation guidance. Links with service level outcomes were weak, the most notable being the provision of intensive home care, a component of intensive care management. Discussion: Thus this study, using agency level data, confirmed the variability in care coordination arrangements and the relative absence of intensive care management, central to shifting the balance of care from residential and nursing provision to care at home.

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Personalisation through Individual Budgets: Does It Work and for Whom?

Cited by 64 publications

References 14 publications

Choice of Outcome Measure in an Economic Evaluation: A Potential Role for the Capability Approach

Choice of Outcome Measure in an Economic Evaluation: A Potential Role for the Capability Approach

The Association between Freedom of Choice and Effectiveness of Home Care Services

Exploring patterns of care coordination within services for older people

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