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Related Experiment Videos

Inter-sectoral cost comparisons: day care for the elderly.

M Knapp, S Missiakoulis

    Journal of Social Policy
    |June 10, 1982
    PubMed
    Summary

    Public versus non-public service costs are often debated. This study reveals that voluntary services for elderly care are not always cheaper than statutory ones, with cost-effectiveness depending on operational scale.

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    Area of Science:

    • Health economics
    • Social policy analysis
    • Public administration

    Background:

    • Public and non-public service cost comparisons are frequently based on unreliable expenditure data.
    • Existing arguments often assume voluntary services are inherently cheaper than statutory services.

    Purpose of the Study:

    • To develop and apply a conceptual framework for more reliable inter-sectoral cost comparisons.
    • To investigate the cost-effectiveness of day care services for the elderly across different provider types.

    Main Methods:

    • Development of a conceptual framework for cost analysis.
    • Application of the framework to day care services for the elderly.
    • Standardization of costs based on user dependency and day unit activities.

    Main Results:

    • Voluntary services are not universally cheaper than statutory services.
    • Cost differences are dependent on the scale of operation.
    • Small voluntary units show a cost advantage, while larger ones may be more expensive than local authority units.

    Conclusions:

    • The assumption of lower costs for voluntary services is refuted.
    • Scale of operation is a critical factor in the cost-effectiveness of elderly day care services.
    • A standardized framework is essential for accurate inter-sectoral cost comparisons.

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