The relationship of personal budgets with independence, participation and quality of life; a secondary analysis of survey data using propensity score matching

Journal of Patient-Reported Outcomes

Peter P. Groenewegen¹  Jurjen Iedema²  Isolde Woittiez²  Anna Maria Marangos²  Mirjam de Klerk² 

[1] Nivel – Netherlands Institute for Health Services Research, P.O. Box 1568, 3500 BN, Utrecht, The Netherlands;Utrecht University, Faculty of Geoscience, Faculty of Social Science, P.O. Box 80.115, 3508 TC, Utrecht, The Netherlands;The Netherlands Institute for Social Research, SCP, P.O. Box 16164, 2515 XP, The Hague, The Netherlands;

关键词: Personal budgets;    Social care;    Health care;    Quality of life;   

DOI  :  10.1186/s41687-020-00258-x

来源: Springer

【 摘 要 】

ObjectivesPersonal budgets for social and health care have been introduced in many European countries over recent decades. The assumption is that people with a personal budget are able to purchase care that matches their needs more closely and therefore experience greater independence and improved well-being. The question is whether this assumption is true. Little research has been carried out on this and the research that has been carried out is inconclusive and hampered by methodological limitations.MethodsWe performed a secondary analysis of data collected in a survey among persons who had submitted an application for social support. Propensity score matching was used to investigate whether people with a personal budget experience better independence, participation in society and quality of life than comparable people using conventionally organised help.ResultsAfter matching, no significant effects of the personal budget were initially found. A sensitivity analysis that excluded the variable sense of mastery from the calculation of the propensity scores, showed a significantly greater independence for those using a personal budget.ConclusionThere may be several reasons for this lack of effect. First, perhaps there are no effects. It is also possible that effects can only be found in specific situations and/or specific groups.

【 授权许可】

CC BY