Library Header Image
LSE Research Online LSE Library Services

Measuring the outcomes of long-term care

Forder, Julien and Caiels, James (2011) Measuring the outcomes of long-term care. Social Science & Medicine, 73 (12). pp. 1766-1774. ISSN 0277-9536

Full text not available from this repository.
Identification Number: 10.1016/j.socscimed.2011.09.023


How should we measure the value of long-term (social) care? This paper describes a care-related quality of life instrument (ASCOT) and considers aspects of its validity. In particular the aim is to assess whether ASCOT is better suited to measuring the impact of long-term care services than the EQ5D health-related quality of life measure. Long-term care services tend to be more concerned with addressing the day-to-day consequences of long-term conditions. As such, a quality of life measure should not be overly focused on the potential impact of services on personal ability and should instead consider how services directly help people to function in everyday life. Construct validity was judged by assessing the degree to which measured quality of life improvement was consistent with the theorised positive correlation between quality of life and the use of home care services. In a 2008/9 sample of people using care services in England, we found that the impact of service use was significant when measured by ASCOT, but not significant when using EQ5D. The results support our hypothesis that ASCOT has greater construct validity in this case.

Item Type: Article
Official URL:
Additional Information: © 2011 Elsevier
Divisions: Personal Social Services Research Unit
Subjects: H Social Sciences > HB Economic Theory
H Social Sciences > HV Social pathology. Social and public welfare. Criminology
JEL classification: D - Microeconomics > D6 - Welfare Economics > D61 - Allocative Efficiency; Cost-Benefit Analysis
Date Deposited: 22 Nov 2011 16:15
Last Modified: 13 Apr 2024 04:45

Actions (login required)

View Item View Item