By Martin Knapp (auth.)
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Extra resources for The Economics of Social Care
Sample text
5) we can define the output, as the single-shaded area Bminus the double-shaded area A. Area A is the initial 'cost' of care to the individual (the adverse effect of the initial relocation) and area B is the enhanced well-being once the client has adjusted to the change. Four particular complications will arise when we attempt to translate these principles into practice: We have been drawing our diagrams on the assumption that after watching an individual progress through until (say) death we can then tum the clocks back and observe what happens without care.
It can only tell us the well-being of an individual or group at one point in time. Two developments are needed. We must first recognise that output is a net measure - it reflects the net effect of a care intervention. We thus need to make comparisons either between individuals or between time periods using a before-after design. Bare comparisons of values on the well-being scale are not enough, however, for relative positions on the scale (either for different individuals or for the same individual at two points in time) will be attributable to a great many factors other than differences in the amount and type of care received, as the production of welfare approach suggests.
Furthermore, it is a social and not a private judgement. The very nature of most of the objectives set for the social care services, and the consequent characteristics of those individuals with needs, make it highly unlikely that these individuals can act alone to make good the deficiencies. By definition, many of the social care services are concerned with needs which are of social concern and which require social action or intervention. Whether or not the adjective 'social' reflects the concern and requisite action of the whole nation, or the local community or immediate neighbourhood, or just a close group of relatives and friends, need not delay us at this stage.