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The Centre for Market and Public Organisation Extending Choice in English Health Care: the Implications of the Economic Evidence Extending Choice in English Health Care: the Implications of the Economic Evidence
- Publisher
- Emerald Publishing
- Copyright
- Copyright © Emerald Group Publishing Limited
- ISSN
- 1471-7794
- DOI
- 10.1108/14717794200600022
- Publisher site
- See Article on Publisher Site
Abstract
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 19992003. 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.
Journal
Quality in Ageing and Older Adults – Emerald Publishing
Published: Dec 1, 2006