عنوان

Utilisation and service productivities in community social care for older people :

Number

TLets543146

Title Proper

Utilisation and service productivities in community social care for older people :

General Material Designation

[Thesis]

First Statement of Responsibility

Fernandez, Jose-Luis

Title Proper by Another Author

patterns and policy implications

Name of Publisher, Distributor, etc.

London School of Economics and Political Science (LSE)

Date of Publication, Distribution, etc.

2005

Dissertation or thesis details and type of degree

Ph.D.

Body granting the degree

London School of Economics and Political Science (LSE)

Text preceding or following the note

2005

Text of Note

The study seeks to make two contributions. One is to participate in the developmentof theories and methods for the analysis of equity and efficiency in community care.The second is to yield evidence which assists policy-makers and managers to improvethe effectiveness of their policies.The broad context is the évolution of the policy discourse about issues of equity andefficiency in community care of elderly people. More narrowly, the context is theimplementation of the 1989 community care reforms, set out in Care in theCommunity: Policy Guidance (Department of Health 1990) and the government'scommitment to commission research to evaluate their impact on equity and efficiencyin social care. The more recent White Paper, Modernising Social Services(Department of Health 1998), is also an important element of the context.The detailed analysis in the thesis will therefore focus around two main foci:(1) the extent to which care brokered by social services departments hasachieved the equity- and efficiency-related goals stated by the 1989 WhitePaper and developed in the 1998 White Paper; and(2) the extent to which current policies need to be adjusted in the light ofunderstanding about how the new system produces equity and efficiencyeffects.1.1 Public policy and the Holy Grail: improving efficiency in the useof public fundsThe Conservative administration which produced the 1989 White Paper attached ahigher priority to efficiency in the use of public funds than its predecessors. However,the origins of its concerns could be traced back to the 1970s.

H Social Sciences (General)

HC Economic History and Conditions

HG Finance

RA Public aspects of medicine

Fernandez, Jose-Luis

London School of Economics and Political Science (LSE)

Electronic name

p

[Thesis]

276903

a

Y