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Related Experiment Videos

Home care outsourcing strategy.

Paul R Drake1, Bethan M Davies

  • 1University of Liverpool Management School, e-Business Division, Liverpool, UK. drake@liv.ac.uk

Journal of Health Organization and Management
|July 28, 2006
PubMed
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Public sector managers can use this research on home care outsourcing strategies to achieve Best Value. The study identifies six mixed-economy care models driven by the Best Value regime, focusing on complementary capabilities.

Area of Science:

  • Public Administration
  • Health Services Management
  • Social Policy

Background:

  • The British Government's Best Value regime incentivizes local authorities to increase outsourcing of home care services.
  • Limited research exists on the future of home care services, particularly concerning outsourcing strategies and achieving Best Value.
  • The World Health Organization advocates for community-level support to prevent costly institutional care.

Purpose of the Study:

  • To provide guidance to public sector managers on formulating effective strategies for outsourcing home care.
  • To explore the political drivers and practical implementation of home care outsourcing in the UK.
  • To identify and critique various strategies for creating a mixed economy of care.

Main Methods:

  • A literature review on home care outsourcing and its political drivers in the UK.

Related Experiment Videos

  • An exploratory research approach using in-depth analysis of selected local authorities and private providers.
  • Purposive/judgemental (extreme and critical case) sampling for selecting informative cases.
  • Intensive investigation through personal contact to gather in-depth information.
  • Main Results:

    • Six distinct strategies for a mixed economy of care have been identified, based on complementary capacity and/or capabilities.
    • Local authorities are increasingly outsourcing home care, with decisions on the extent of outsourcing and provider selection being crucial.
    • Re-enablement is emerging as a key in-house capability, while cost reduction drives a shift towards outsourcing complementary capacities.
    • The choice between 100% outsourcing and a mixed economy impacts local authority demands and strategic decisions.

    Conclusions:

    • This paper offers timely guidance for public sector and healthcare managers aiming to achieve Best Value through home care outsourcing.
    • Further research is needed, including a detailed survey of England and comparative studies with countries like Canada.
    • There is an urgent need for well-defined outsourcing strategies in the UK to ensure efficient and effective home care provision.