Competition and choice in the care home sector for older people: A case study of the market in Surrey

Quality in Ageing and Older Adults - Tập 7 Số 4 - Trang 3-10 - 2006
WendyKnibb1
1University of Surrey

Tóm tắt

Competition in the care home sector for older people is encouraged as a means of increasing efficiency, driving down prices and raising quality. Choice is promoted to meet user expectations of healthcare and to improve service provision. The purpose of this study is to consider the evidence of care home provider competition and enhanced user choice through analysis of a discrete market area in the south of England. Data were collected from care home directories compiled by the National Care Standards Commission and the inspection reports on care homes. Longitudinal changes to the structure of the care home market are analysed from 1999‐2003. Choice is investigated with reference to fees paid and vacancy rates in homes. Results indicate that the Surrey market reflects national evidence. This exemplifies how immediate choice is only realistically available for those with a willingness and ability to pay higher fees.

Từ khóa


Tài liệu tham khảo

Appleby J, Harrison A and Devlin N (2003) What is the Real Cost of More Patient Choice?

Bryan K, Larsen J and Woods V (2003) Care Sector Development in Surrey: Initial scoping analysis of the independent care sector

Damiana M, 2005, British Medical Journal, 330, 486

10.1002/gps.815

10.1258/136218004774202346

Department of Health, 1990, NHS and Community Care Act

Department of Health, 2002, Securing our Future Health: Taking a long-term view

Department of Health, 2003, Care Homes for Older People: National minimum standards

Department of Health, 2006, Our Care, Our Say.

10.1017/S0047279401006225

Knibb W, 2006, Eyers I and Allan H (work in progress

Laing, 2002, Care of elderly people. Market survey, 15

Laing W, 2002, Calculating a fair price for care: a toolkit for residential and nursing care costs

Machin S, 2004, Economic Journal 114 C102-C109

Netten A, 2005, Transitions in the care home market. Are things actually improving? Presentation at Transitions in Care Homes

10.1093/ageing/32.3.332

Norton E, 2000, Handbook of Health Economics.

10.1016/0167-6296(89)90004-0

10.1097/00005650-199308000-00002

Office, 2005, Care Homes for Older People in the UK

10.1017/S0047279406000079

Rosen R, Curry N and Florin D (2005) Public Views on Choices in Health and Healthcare: A qualitative study

10.1136/bmj.328.7430.4

Royal College of Nursing, 2005, Charging for the Privilege of Being Ill? Problems and opportunities with long term care: a view from the RCN