Priorities for long-term care resource allocation in England: actual allocation versus the views of directors of service and older citizens

Clarkson, Paul, Davies, Sue, Hughes, Jane, Xie, Chengqiu, Stewart, Karen, Clifford, Paul and Challis, David (2018) Priorities for long-term care resource allocation in England: actual allocation versus the views of directors of service and older citizens. Journal of Long-term Care (September). pp. 13-23. ISSN 2516-9122

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Abstract

Context: Decisions about resource allocation in long-term care are a perennial issue. The basis for deciding between different needs in prioritising allocation is contested. In England, this debate has crystallised with the advent of selfdirected support, where individuals’ expressed preferences drive resources. Objectives: To compare perceptions of the priority given to needs for resource allocation in long-term care of older people by two stakeholder groups, compared with actual resource allocation. Methods: Survey data, eliciting perspectives of senior service managers and older citizens, were used to rank the perceived importance of eight needs-related outcomes. Actual resource allocation from 17 local authorities was also modelled against these outcomes. A variable importance metric was used to rank the importance of these outcomes in determining actual resource allocation. Findings from each data collection were compared. Findings: Differences in prioritisation of needs emerged Context: Decisions about resource allocation in long-term care are a perennial issue. The basis for deciding between different needs in prioritising allocation is contested. In England, this debate has crystallised with the advent of selfdirected support, where individuals’ expressed preferences drive resources. Objectives: To compare perceptions of the priority given to needs for resource allocation in long-term care of older people by two stakeholder groups, compared with actual resource allocation. Methods: Survey data, eliciting perspectives of senior service managers and older citizens, were used to rank the perceived importance of eight needs-related outcomes. Actual resource allocation from 17 local authorities was also modelled against these outcomes. A variable importance metric was used to rank the importance of these outcomes in determining actual resource allocation. Findings from each data collection were compared. Findings: Differences in prioritisation of needs emerge

Item Type:	Article
Official URL:	https://www.ilpnetwork.org/journal/
Additional Information:	© 2018 University of Manchester © CC BY-NC-ND 4.0
Divisions:	Care Policy and Evaluation Centre
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Date Deposited:	17 May 2018 08:58
Last Modified:	13 Sep 2024 13:16
Projects:	T976/EM/Man1
Funders:	National Institute for Health Research, School for Social Care Research
URI:	http://eprints.lse.ac.uk/id/eprint/87979

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