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Provider and care workforce influences on quality of home-care services in England
- Authors:
- NETTEN Ann, JONES Karen
- Journal article citation:
- Journal of Aging and Social Policy, 19(3), 2007, pp.81-97.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
Over the past decade there has been a major shift away from the in-house provision of home care by local authorities to the commissioning of services from outside providers. A national survey in 2003 indicated lower levels of satisfaction and perception of the quality of care among older users of independent providers compared with in-house providers. This paper reports a study to relate service user views of 121 providers with the characteristics of those providers and, for the most part, characteristics associated with positive perceptions were more prevalent among in-house providers. Multivariate analysis of independent providers suggests that the key influences on service user perceptions of service quality are aspects of the workforce (including age and experience), provider perceptions of staff turnover, and allowance of travel time between home care visits. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).