Quotation Trukeschitz, Birgit, Hajji, Assma, Kieninger, Judith, Malley, Juliette, Linnosmaa, Ismo, Forder, Julien. 2021. Investigating factors influencing quality-of-life effects of home care services in Austria, England and Finland: A comparative analysis. Journal of European Social Policy. 31 (2), 192-208.




European countries have developed a range of long-term care (LTC) policy responses to support the increasing share of older people. However, little is known about the effectiveness of LTC services and benefits, particularly their impact on older peoples’ quality of life (QoL). This paper investigates the role of personal, care service and environmental characteristics on the effects of home care services on QoL across England, Finland and Austria. We used data from surveys conducted in England, Finland and Austria. In total, 811 older adults were included in the analysis. OLS regression including main effects and country-specific interactions was used to explore variation in gains in long-term care service-related quality-of-life (LTC-QoL). Explanatory variables were derived from the production of welfare framework and comprised home care service user socio-demographics, needs indicators, social support and environmental variables and characteristics of home care service provision. In all three countries, LTC-QoL gains increased with needs, indicating that home care services perform well, with additional gains declining the higher the needs. Also, better process quality contributed to LTC-QoL improvements in all three countries. In addition, the availability of informal care, social contact, financial household situation and living alone, were associated with changes in LTC-QoL only in one or two of the countries. Home care services increased service users’ QoL in all three European countries. The increase in QoL, however, varied across the countries. The results also provide insights into the benefits and limits of home care service provision and areas for future improvements.


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Publication's profile

Status of publication Published
Affiliation WU
Type of publication Journal article
Journal Journal of European Social Policy
Citation Index SSCI
WU-Journal-Rating new MAN-A, WH-B
Language English
Title Investigating factors influencing quality-of-life effects of home care services in Austria, England and Finland: A comparative analysis
Volume 31
Number 2
Year 2021
Page from 192
Page to 208
Reviewed? Y
URL https://journals.sagepub.com/doi/full/10.1177/0958928720974189
DOI https://doi.org/10.1177/0958928720974189
Open Access Y
Open Access Link https://journals.sagepub.com/doi/pdf/10.1177/0958928720974189
JEL I31, I38, J14


ASCOT for German speaking countries and regions
EXCELC - Exploring Comparative Effectiveness and Efficiency in Long-term Care
Trukeschitz, Birgit (Details)
Hajji, Assma (Details)
Kieninger, Judith (Former researcher)
Forder, Julien (University of Kent, United Kingdom)
Linnosmaa, Ismo (Finnish Institute for Health and Welfare & University of Eastern Finland, Finland)
Malley, Juliette (London School of Economics and Business, United Kingdom)
Research Institute for Economics of Aging FI (Details)
Research areas (ÖSTAT Classification 'Statistik Austria')
5334 Political economic policy (Details)
5405 Empirical social research (Details)
5421 Aging research (Details)
5911 Social policy (Details)
5933 Aging research (Details)
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