Efficiency in the provision of social care for older people. A three-stage Data Envelopment Analysis using self-reported quality of life

2015 ◽  
Vol 49 ◽  
pp. 33-46 ◽  
Author(s):  
José Luis Iparraguirre ◽  
Ruosi Ma
Keyword(s):  
Quality Of Life ◽  
Data Envelopment Analysis ◽  
Older People ◽  
Social Care ◽  
Data Envelopment ◽  
Care For Older People

scholarly journals Using DEA and VEA to Evaluate Quality of Life in the Mid-Atlantic States

2005 ◽  
Vol 34 (2) ◽  
pp. 185-203 ◽  
Author(s):  
Elizabeth Marshall ◽  
James Shortle
Keyword(s):  
Quality Of Life ◽  
Data Envelopment Analysis ◽  
Single Unit ◽  
Efficiency Analysis ◽  
Performance Standard ◽  
Data Envelopment ◽  
Atlantic Region ◽  
Rural And Urban ◽  
Value Efficiency Analysis

In this study we use data envelopment analysis (DEA) and an extension of DEA called value efficiency analysis (VEA) to explore the “production” of quality of life within counties in the mid-Atlantic region and the extent to which production frontiers and efficiency differ between rural and urban counties. These methods allow us to identify counties that are inefficient in their quality of life production, and to rank (using DEA) those counties according to their distance from a performance standard established by other observed counties, or (using VEA) by a single unit designated as “most preferred.”

scholarly journals SOCIAL CARE-RELATED QUALITY OF LIFE IN OLDER PEOPLE WITH MULTIMORBIDITY

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 1212-1213
Author(s):  
A. Stoop ◽  
R. Hendrikx ◽  
H. Drewes ◽  
G. Nijpels ◽  
C. Baan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older People ◽  
Social Care ◽  
Related Quality

scholarly journals An assessment of the construct validity of the ASCOT measure of social care-related quality of life with older people

2012 ◽  
Vol 10 (1) ◽  
pp. 21 ◽  
Author(s):  
Juliette N Malley ◽  
Ann-Marie Towers ◽  
Ann P Netten ◽  
John E Brazier ◽  
Julien E Forder ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Construct Validity ◽  
Older People ◽  
Social Care ◽  
Related Quality

scholarly journals Integrated Care for Older People Screening Tool for Measuring Intrinsic Capacity: Preliminary Findings From ICOPE Pilot in China

2020 ◽  
Vol 7 ◽  
Author(s):  
Lina Ma ◽  
Jagadish K. Chhetri ◽  
Yaxin Zhang ◽  
Pan Liu ◽  
Yumeng Chen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older People ◽  
Activities Of Daily Living ◽  
Integrated Care ◽  
Daily Living ◽  
Screening Tool ◽  
Psychological Capacity ◽  
Intrinsic Capacity ◽  
Care For Older People

Objectives: The World Health Organization (WHO) proposed the Integrated Care for Older People (ICOPE) screening tool to identify older people with priority conditions associated with declines in intrinsic capacity (IC). We aimed to determine the clinical utility of the WHO ICOPE screening tool in a Chinese population.Method: A total of 376 adults aged 68.65 ± 11.41 years participated in the study. IC was assessed with the WHO ICOPE screening tool, covering five domains: cognitive, locomotor, sensory, vision, and psychological capacity. We assessed the activities of daily living (ADL); instrumental activities of daily living (IADL); the Fried frailty phenotype; FRAIL scale; Strength, Assistance With Walking, Rising From chair, Climbing Stairs, and Falls (SARC-F) scale; Mini-mental State Examination (MMSE); Geriatric Depression Scale (GDS); social frailty; and quality of life.Results: There were 260 (69.1%) participants who showed declines in one or more IC dimensions. The percentages of decline in mobility, cognition, vitality, hearing, vision, and psychological capacity were 25.3, 46.8, 16.2, 15.4, 11.7, and 12.0%, respectively. IC decreased with increasing age. After adjusting for age, sex, and multimorbidity, participants with declines in IC were more likely to be older, frail, and disabled. They also had worse physical, mental, and overall health. There was a higher prevalence of declines in IC in participants with frailty. After adjusting for age, IC was positively correlated with walking speed, resilience score, and MMSE score and negatively correlated with frailty, SARC-F score, IADL score, GDS score, and physical and mental fatigue. The IC score was not associated with body composition variables such as fat-free mass, body fat percentage, or visceral fat area. Higher IC was associated with better quality of life. The area under the curve of the receiver operating characteristic (AUC-ROC) for the ICOPE screening tool vs. Fried phenotype, FRAIL, ADL disability, IADL disability, and SARC-F were 0.817, 0.843, 0.954, 0.912, and 0.909, respectively.Conclusion: Our research affirms that the ICOPE screening tool is useful to identify adults with poor physical and mental function in a Chinese sample. This tool may assist in identifying declines in IC in an integrative care model and help slow down function decline and onset of care dependence.

scholarly journals QUALITY OF LIFE OUTCOMES OF HOUSING WITH CARE FOR OLDER PEOPLE IN ENGLAND

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 1081-1081
Author(s):  
R.A. Darton ◽  
T. Atkinson ◽  
T. Bäumker ◽  
S. Evans ◽  
A. Netten
Keyword(s):  
Quality Of Life ◽  
Older People ◽  
Life Outcomes ◽  
Quality Of Life Outcomes ◽  
Care For Older People

scholarly journals Improving care for older people with long-term conditions and social care needs in Salford: the CLASSIC mixed-methods study, including RCT

2018 ◽  
Vol 6 (31) ◽  
pp. 1-188 ◽  
Author(s):  
Peter Bower ◽  
David Reeves ◽  
Matt Sutton ◽  
Karina Lovell ◽  
Amy Blakemore ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older People ◽  
Integrated Care ◽  
Patient Outcomes ◽  
Social Care ◽  
Health Coaching ◽  
Long Term Conditions ◽  
Community Assets ◽  
Health And Social Care

BackgroundThe Salford Integrated Care Programme (SICP) was a large-scale transformation project to improve care for older people with long-term conditions and social care needs. We report an evaluation of the ability of the SICP to deliver an enhanced experience of care, improved quality of life, reduced costs of care and improved cost-effectiveness.ObjectivesTo explore the process of implementation of the SICP and the impact on patient outcomes and costs.DesignQualitative methods (interviews and observations) to explore implementation, a cohort multiple randomised controlled trial to assess patient outcomes through quasi-experiments and a formal trial, and an analysis of routine data sets and appropriate comparators using non-randomised methodologies.SettingSalford in the north-west of England.ParticipantsOlder people aged ≥ 65 years, carers, and health and social care professionals.InterventionsA large-scale integrated care project with three core mechanisms of integration (community assets, multidisciplinary groups and an ‘integrated contact centre’).Main outcome measuresPatient self-management, care experience and quality of life, and health-care utilisation and costs.Data sourcesProfessional and patient interviews, patient self-report measures, and routine quantitative data on service utilisation.ResultsThe SICP and subsequent developments have been sustained by strong partnerships between organisations. The SICP achieved ‘functional integration’ through the pooling of health and social care budgets, the development of the Alliance Agreement between four organisations and the development of the shared care record. ‘Service-level’ integration was slow and engagement with general practice was a challenge. We saw only minor changes in patient experience measures over the period of the evaluation (both improvements and reductions), with some increase in the use of community assets and care plans. Compared with other sites, the difference in the rates of admissions showed an increase in emergency admissions. Patient experience of health coaching was largely positive, although the effects of health coaching on activation and depression were not statistically significant. Economic analyses suggested that coaching was likely to be cost-effective, generating improvements in quality of life [mean incremental quality-adjusted life-year gain of 0.019, 95% confidence interval (CI) –0.006 to 0.043] at increased cost (mean incremental total cost increase of £150.58, 95% CI –£470.611 to £711.776).LimitationsThe Comprehensive Longitudinal Assessment of Salford Integrated Care study represents a single site evaluation, with consequent limits on external validity. Patient response rates to the cohort survey were < 40%.ConclusionsThe SICP has been implemented in a way that is consistent with the original vision. However, there has been more rapid success in establishing new integrated structures (such as a formal integrated care organisation), rather than in delivering mechanisms of integration at sufficient scale to have a large impact on patient outcomes.Future workFurther research could focus on each of the mechanisms of integration. The multidisciplinary groups may require improved targeting of patients or disease subgroups to demonstrate effectiveness. Development of a proven model of health coaching that can be implemented at scale is required, especially one that would provide cost savings for commissioners or providers. Similarly, further exploration is required to assess the longer-term benefits of community assets and whether or not health impacts translate to reductions in care use.Trial registrationCurrent Controlled Trials ISRCTN12286422.FundingThis project was funded by the NIHR Health Services and Delivery Research programme and will be published in full inHealth Services and Delivery Research; Vol. 6, No. 31. See the NIHR Journals Library website for further project information.

Sign in / Sign up

Export Citation Format

Share Document