Public spending on adult social care and delayed transfers of care in England

Iparraguirre, José Luis

doi:10.1108/qaoa-11-2019-0066

Cited by 2 publications

(1 citation statement)

References 46 publications

(47 reference statements)

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“…One of our case study areas had introduced capacity building and financial support to address some of the issues affecting providers' ability to support individuals with complex needs and counter the disincentive of paying a standard rate for all residents. There is mixed evidence on the effects of adult social care expenditure on healthcare utilisation, including DTOC (Crawford et al, 2018 ; Iparraguirre, 2020 ; Liu et al, 2021 ; Seamer et al, 2019 ). Our study suggests a direct link between low LA standard rates paid for care home placements and higher delayed discharges, particularly for people with complex needs.…”

Section: Discussionmentioning

confidence: 99%

Social care causes of delayed transfer of care (DTOC) from hospital for older people: Unpicking the nuances of ‘provider capacity’ and ‘patient choice’

Gridley

Baxter

Birks

et al. 2022

Health Social Care Comm

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Unnecessarily prolonged stays in hospitals can have negative impacts on patients and present avoidable costs to health and social care systems. This paper presents the qualitative findings of a multi-methods study of the social care causes of delayed transfers of care (DTOC) for older people in England. The quantitative strand of this study found that DTOC are significantly affected by homecare supply. In this paper, we explore in depth how and why social care capacity factors lead to delays, from the perspectives of those working within the system. We examined the local transfer arrangements in six English local authority (LA) sites that were purposively sampled to include a range of DTOC performance and LA characteristics. Between March and December 2018, 52 professionals involved in arranging or facilitating discharge from hospitals in these sites provided qualitative data, primarily through semi-structured interviews. Topics included discharge teams and processes, strategic issues and perceived causes of delays. The thematic analysis uncovered the nuances behind the causes of DTOC previously categorised broadly as 'provider capacity' and 'patient choice'. In particular, our analysis highlights the lack of fit between available provision and the needs of people leaving hospital (theme 1); workforce inconsistencies (theme 2) and a myth of patient choice (theme 3). We are now at a turning point in the development of policy to reduce DTOC in the English system, with the full implications of a new national discharge to assess programme yet to be seen. Our research shows the significance of the alignment of service capacity, including the type and location of provision, with the needs and preferences of those leaving hospital. As the new system becomes established, attendance to such nuances behind blockages in the system will be more important than ever.

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Section: Discussionmentioning

confidence: 99%

Social care causes of delayed transfer of care (DTOC) from hospital for older people: Unpicking the nuances of ‘provider capacity’ and ‘patient choice’

Gridley

Baxter

Birks

et al. 2022

Health Social Care Comm

View full text Add to dashboard Cite

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The Role of Public Debt in Economic Growth: An Empirical Analysis Evidence for Western Balkans and European Countries

Bashkim,

Ejup

2023

Wseas Transactions on Business and Economics

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Public debt was often considered as a supplementary source of public finances. In six Western Balkan states, a fixed regression model was employed to gauge the effect of public debt on economic growing using panel data. Findings demonstrate that public debt significantly affects economic growth. It was found too that direct foreign investments have a substantial influence into the economic growth. As an option for financing, state governments use external and internal public debt, which is often part of the debate approximately how much public debt should be used. Use of public debt varies from country to country and depends on economic growth and budgetary factors and economic and social demands. Reviewing the literature, it can be observed impact of public debt on overall economy and its growth and this was too used by states as an opportunity for economic growth. This is also reflected in the case of our study where we analyzed the data for EU member countries and Great Britain compared to the Western Balkans countries. During the research it is observed influence of public debt in economic growth on these countries and as such many states have exceeded the limits of the use of public debt based on legal frameworks, with the sole purpose of financing public demands and influence of economic growth. Public debt in this paper identifies the affiliation with economic growth through the specification of linear and non-linear time series models using the panel model for the years 2012-2021 for 35 countries in total. Also, the regression analysis shows us a support and correlation among public debt versus economic growth of countries part of this study. This is observed in developed countries, which have a higher potential and possibility of financing economic activity through public debt, while the Western Balkans countries are often challenged with the possibilities of financing from public debt. As variables we have GDP, Foreign Direct Investments and Inflation.

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Public spending on adult social care and delayed transfers of care in England

Cited by 2 publications

References 46 publications

Social care causes of delayed transfer of care (DTOC) from hospital for older people: Unpicking the nuances of ‘provider capacity’ and ‘patient choice’

Social care causes of delayed transfer of care (DTOC) from hospital for older people: Unpicking the nuances of ‘provider capacity’ and ‘patient choice’

The Role of Public Debt in Economic Growth: An Empirical Analysis Evidence for Western Balkans and European Countries

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