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On the sensitivity of need estimates to targeting criteria
Author(s)Bleddyn Davies
Corporate AuthorPersonal Social Services Research Unit - PSSRU, University of Kent
Journal titleInternational Journal of Health Sciences, vol 4, no 4, 1993
Pagespp 157-167
KeywordsCommunity care ; Policy ; Physical disabilities ; Cognitive impairment ; Needs indicators ; Methodology.
AnnotationThe radical British reform of community care revives the commitment to needs-based planning, a methodology neglected between the 1974 Oil Crisis and the late 1980s. This paper describes the components of British needs-based planning methodology, and how these failed to develop the crude early work on the estimation of numbers in need applying alternative targeting criteria. The paper also describes how the changes in policy require the application of new and changed targeting criteria, and how Americans have recently affected numbers in target groups in the UK by alternative targeting criteria. It shows that the numbers are highly sensitive to the floor levels of ADLs (activities of daily living and IADLs (instrumental ADLs) postulated in different need definitions, to the living arrangements of the disabled person, and to whether the targeting is restricted to those on low income. It also show that numbers are insensitive to the specific inclusion of cognitive impairment and or/behavioural disorder in addition to ADLs and IADLs. (OFFPRINT). (RH).
Accession NumberCPA-980107220 A
ClassmarkPA: QAD: BN: E4: IK:3RI: 3D *

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