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Improving equity and efficiency in British community care
- Authors:
- DAVIES Bleddyn, KNAPP Martin
- Journal article citation:
- Social Policy and Administration, 28(3), September 1994, pp.263-285.
- Publisher:
- Wiley
The reform of community and long-term care has been an important theme of policy development around the world during the last decade. British community care is a particularly interesting and impressive example of changes which have parallels in other countries. They include: achieving greater flexibility in the response to the needs and wishes of users and carers; containing costs increases and achieving greater cost-effectiveness; consolidation of structures; competition, variety and choice in a mixed economy; care management and assessment; clarity in targeting; improvement of mechanisms for orchestrating the system. Reviews the evidence on equity and efficiency in British community care: resources, needs and outcomes, and, in particular, targeting and the production of welfare.