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Measuring inefficiency in long-term care commissioning: evidence from english local authorities

D'Amico, Francesco and Fernández, José-Luis (2012) Measuring inefficiency in long-term care commissioning: evidence from english local authorities. Applied Economic Perspectives and Policy, 34 (2). pp. 275-299. ISSN 2040-5790

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Abstract

Using a stochastic frontier approach, this paper explores efficiency in the commissioning of publicly funded social services among 148 English Councils through a six-year panel database (2002-2007), covering institutional and community care. Our estimates provide key policy evidence in a context in which optimization is critical both for social and financial purposes. Results suggest a slight decrease in the average inefficiency score, moving from 1.080 in the first year to 1.076 in the last year. Cost-output elasticity of institutional care is greater than those of community care services. Greater savings are obtained when the market is open to independent providers.

Item Type: Article
Official URL: http://www.oxfordjournals.org/our_journals/aepp/ab...
Additional Information: © 2012 The Authors
Library of Congress subject classification: H Social Sciences > HV Social pathology. Social and public welfare. Criminology
Journal of Economic Literature Classification System: C - Mathematical and Quantitative Methods > C2 - Econometric Methods: Single Equation Models; Single Variables > C21 - Cross-Sectional Models; Spatial Models; Treatment Effect Models
H - Public Economics > H7 - State and Local Government; Intergovernmental Relations > H75 - State and Local Government: Health, Education, and Welfare
I - Health, Education, and Welfare > I1 - Health > I12 - Health Production: Nutrition, Mortality, Morbidity, Suicide, Substance Abuse and Addiction, Disability, and Economic Behavior
Sets: Research centres and groups > Personal Social Services Research Unit (PSSRU)
Rights: http://www.lse.ac.uk/library/usingTheLibrary/academicSupport/OA/depositYourResearch.aspx
Date Deposited: 14 May 2012 13:52
URL: http://eprints.lse.ac.uk/43610/

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