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First published in 1998, the aims of this book are: the comparison
of community care service and financing systems, the comparison of
reform arguments and history over the last decade, the comparison
of who uses how much of what services, and with what impact on
their needs and the probability of having to enter institutions for
long-term care. The book breaks new ground by comparing systems
from a new perspective and describing contemporary reform argument
and proposals for the first time in the English language. It
presents new evidence from the most ambitious collection and
analysis of quantative data so far made for the comparison of the
two countries (based on matched area samples collecting comparable
information about cohorts of new users on two or more occasions).
The book also shows how the need-related circumstances of users
differ between countries and within each country between areas. The
book shows how and why higher levels of the French cash benefit for
community care had more effect on the central policy goal than its
British counterpart, how higher levels of services generally had
little impact on it in either country, but on average, how the
effect of the British services were much greater.
This title was first published in 2000: Equity and Efficiency
Policy provides a completely new perspective on post-reform
community care, analyzes its fairness, effectiveness and efficiency
in a new way and uses its powerful new techniques applied to a
major national collection of evidence to suggest how to develop the
Modernization Agenda. It - describes, for the first time, how
differences in the levels of each of the main services alone and in
combination affect a wide range of user and carer benefits; - uses
this knowledge to analyze in a new way and make policy proposals
about some of the pressing policy issues of the government's
Modernization Agenda.
First published in 1986, Matching Resources to Needs describes the
PSSRU's community care approach and analyses the first of the
community care projects, a seminal set of experiments in the care
of the elderly at high risk of institutional long-term care. The
experiments create field structures which provide incentives to
improve efficiency, decentralised power over resources being
balanced by enhanced accountability. The first part explains the
approach, analyses the causes of inefficiency in ~British social
care, and reviews British and American evidence about the
relationships between resources, recipient characteristics and
outcomes. The approach is compared with some two dozen American
experiments hitherto unknown in the UK. It describes the design of
the project and its evaluation. The authors then examine the
experimental results. They show that cost and welfare effects are
better and the costs of outcomes are lower for recipients of
community car. The third part of the book uses observational and
other data to explore the relationships between structures,
assumptive worlds, causal processes and outcomes and their costs.
It also analyses the performance of the core tasks of
entrepreneurial case management for types of case. The book
concludes with a discussion of the broader implications of this
approach to community care.
This title was first published in 2000: Caring for Older People
provides a unique insight into the world of community care in the
1990's. It presents findings from a national study of social care
from the perspectives of older service users, their carers and care
managers. Descriptive findings from this longitudinal study -
conducted by the PSSRU from 1994 and funded by the Department of
Health - are set in the context of the history of community care
and developments since the passage of the 1990 NHS and Community
Care Act. The study's findings highlight important challenges for
policy and practice development in the new millennium.
First published in 1998, the aims of this book are: the comparison
of community care service and financing systems, the comparison of
reform arguments and history over the last decade, the comparison
of who uses how much of what services, and with what impact on
their needs and the probability of having to enter institutions for
long-term care. The book breaks new ground by comparing systems
from a new perspective and describing contemporary reform argument
and proposals for the first time in the English language. It
presents new evidence from the most ambitious collection and
analysis of quantative data so far made for the comparison of the
two countries (based on matched area samples collecting comparable
information about cohorts of new users on two or more occasions).
The book also shows how the need-related circumstances of users
differ between countries and within each country between areas. The
book shows how and why higher levels of the French cash benefit for
community care had more effect on the central policy goal than its
British counterpart, how higher levels of services generally had
little impact on it in either country, but on average, how the
effect of the British services were much greater.
First published in 1986, Matching Resources to Needs describes the
PSSRU's community care approach and analyses the first of the
community care projects, a seminal set of experiments in the care
of the elderly at high risk of institutional long-term care. The
experiments create field structures which provide incentives to
improve efficiency, decentralised power over resources being
balanced by enhanced accountability. The first part explains the
approach, analyses the causes of inefficiency in ~British social
care, and reviews British and American evidence about the
relationships between resources, recipient characteristics and
outcomes. The approach is compared with some two dozen American
experiments hitherto unknown in the UK. It describes the design of
the project and its evaluation. The authors then examine the
experimental results. They show that cost and welfare effects are
better and the costs of outcomes are lower for recipients of
community car. The third part of the book uses observational and
other data to explore the relationships between structures,
assumptive worlds, causal processes and outcomes and their costs.
It also analyses the performance of the core tasks of
entrepreneurial case management for types of case. The book
concludes with a discussion of the broader implications of this
approach to community care.
This title was first published in 2000: Equity and Efficiency
Policy provides a completely new perspective on post-reform
community care, analyzes its fairness, effectiveness and efficiency
in a new way and uses its powerful new techniques applied to a
major national collection of evidence to suggest how to develop the
Modernization Agenda. It - describes, for the first time, how
differences in the levels of each of the main services alone and in
combination affect a wide range of user and carer benefits; - uses
this knowledge to analyze in a new way and make policy proposals
about some of the pressing policy issues of the government's
Modernization Agenda.
This title was first published in 2000: Caring for Older People
provides a unique insight into the world of community care in the
1990's. It presents findings from a national study of social care
from the perspectives of older service users, their carers and care
managers. Descriptive findings from this longitudinal study -
conducted by the PSSRU from 1994 and funded by the Department of
Health - are set in the context of the history of community care
and developments since the passage of the 1990 NHS and Community
Care Act. The study's findings highlight important challenges for
policy and practice development in the new millennium.
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