Quotation Hajji, Assma, Trukeschitz, Birgit, Forder, Julien, Malley, Juliette, Linnosmaa, Ismo. 2019. The effects of home care services on quality of life outcomes in Austria, England and Finland. Transforming Care Conference, Kopenhagen, Dänemark, 24.06.-26.06.




Home care services enable frail older people to age in place. However, little is known on the impact of home care services on service users’ quality of life. We compare the effects of long-term care (LTC) services on quality of life across England, Finland and Austria and investigate the role of personal and environment characteristics on LTC service outcomes. As care systems vary across the three countries, we expect different factors to be related to outcomes. We use data from large-scale surveys conducted in England, Finland and Austria. The questionnaires in all three countries comprised questions on long-term service users’ care situation, their needs and limitations, informal support and social contact and other personal and environment-related variables, as well the ASCOT (Adult Social Care Outcomes Toolkit) measure, used for assessing overall long-term care related quality of life (LTC-QoL) and LTC-QoL gains. In total, 811 persons were included in the analysis (370 in Austria, 264 in Finland and 177 in England).We perform a regression analysis with the aim of explaining variation in long-term care related quality of life (LTC-QoL) gains both across and within countries, using ASCOT gains as the dependent variable. ASCOT gains reflect the difference in LTC-QoL between the current situation (with LTC services) and a hypothetical situation without any services. As explanatory variables, we include service user socio-demographics, needs indicators, variables related to social support and environment (such as availability of informal care) and characteristics of the care services themselves. We test main effects and country-specific interactions in orderto capture both overalland country-dependent effects.


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Publication's profile

Status of publication Published
Affiliation WU
Type of publication Paper presented at an academic conference or symposium
Language English
Title The effects of home care services on quality of life outcomes in Austria, England and Finland
Event Transforming Care Conference
Year 2019
Date 24.06.-26.06.
Country Denmark
Location Kopenhagen


EXCELC - Exploring Comparative Effectiveness and Efficiency in Long-term Care
Hajji, Assma (Details)
Trukeschitz, Birgit (Details)
Forder, Julien (University of Kent, United Kingdom)
Linnosmaa, Ismo (National Institute for Health and Welfare, Finland)
Malley, Juliette (LSE, United Kingdom)
Research Institute for Economics of Aging FI (Details)
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