Workshop on the Public Financing of Long Term Care (Special Issue of Fiscal Studies)
Date: Monday 3 August 2015
Time: 10:30 - 17:30
Long-term care programmes have experienced an expansion of government intervention. Population ageing and social change within families (making informal care-giving costly) put significant pressures on government expenditures. A special issue of Fiscal Studies will bring together ideas and empirical evidence to learn more about how to tackle the increasing demand for long-term care programees; to measure costs and beenfits of different interventions; and to assess ahead of time whether the costs are manageable and under control. Papers presented at this workshop will shed some light on how to respond to questions of funding, sustainability, quality, equity and choice.
Click here for a copy of the workshop programme.
There are limited spaces remaining for prospective audience members. If you wish to attend the workshop, you should contact either Joan Costa-Font (firstname.lastname@example.org) or Anthony Kelly (email@example.com) in the first instance to express your interest.
HEPL 10th Anniversary event
Date: Thursday 22 October 2015
Time: 18:15 - 19:45
An event to mark the 10th anniversary of Health Economics Policy and Law will take place at the London School of Economics from 18:00 - 19:45 on Thursday 22 October 2015. The programme will begin with some words about HEPL from Patrick McCartan of Cambridge University Press.
There will then be short statements from some of the members of HEPL’s International Advisory Board on what they think the biggest challenges will be in health care policy, either from the perspective of their own country or internationally, over the next 10 years. The presenters reflect the mix of disciplinary perspectives on which HEPL focuses (i.e. economics, political science and law), and will include:
Isabelle Durand-Zaleski, University of Paris XII
Giovanni Fattore, Bocconi University
Scott Greer, University of Michigan
Vassilis Hatzopoulos, Democritis University of Thrace
Jan-Kees Helderman, Radboud University Nijmegen
Tamara Hervey, University of Sheffield
Martin Knapp, LSE
Julian Le Grand, LSE
Richard Saltman, Emory University
Mark Stabile, University of Toronto
Karsten Vrangbaek, University of Copenhagen
Albert Weale, University College London
Winnie Yip, University of Oxford
Following these short presentations, there will be 30 minutes for comments/questions from the audience, and then a reception to which all audience members are welcome. The event will be accompanied by publication of a 10th anniversary special issue of HEPL, where members of the International Advisory Board will reflect on a selection of HEPL’s output over the past decade.
The event is free to attend, but there will be a limit to available places. Places can be booked simply by sending a brief email to Adam Oliver (firstname.lastname@example.org) indicating your desire to attend. Please feel free to forward to those whom you think might be interested.
Please check this page again towards the end of the summer when we hope to announce details of the Lent term Formal Seminar Series.
Care Trajectories for Newly Admitted Skilled Nursing Facility Patients
Date: Thursday 4 June 2015
Time: 12:00 - 13:00
Venue: Wolfson Theatre, NAB LG.01, New Academic Building, LSE
Speaker: Professor Edward Norton
Although it is well established that larger skilled nursing facilities have lower per-patient costs due to economies of scale, it is not known if they also achieve higher quality outcomes. Knowing this would be important both for patients choosing high quality nursing homes, and for regulators who use certificate-of-need (CON) regulations to limit the number of nursing facilities, indirectly resulting in larger nursing homes in states with CON regulations (by 20 beds, on average). Because unobserved characteristics may be correlated with both an individual’s choice of a large nursing home and the quality of that nursing home care, we control for endogeneity of number of beds. We apply a novel instrument by exploiting the average size of SNFs selected by previous patients from the originating hospital. With this instrument, we mimic randomization of residents into more or less "exposure" to larger nursing homes when estimating the effects of size on the quality of care for the post-acute nursing home population. Using national Minimum Data Set assessments linked with Medicare claims, we use a national cohort of residents who were newly admitted to nursing homes in 2009. The instrumental variables analyses examine the effect of facility size on competing risk-adjusted, person-level short-stay measures of quality over the 180 days following admission. After instrumenting for facility size, we found that size is unrelated to mortality.
Professor Norton is a leading expert on long-term care and has significant research experience in this field. Professor Norton joined the University of Michigan in 2008 as Professor in both the SPH Department of Health Management and Policy and in the Department of Economics. He is the Director of the Robert Wood Johnson Foundation Scholars in Health Policy Research at the University of Michigan, and a Research Affiliate of the Population Studies Center. In addition to his affiliations with the University of Michigan, Edward is a Research Associate of the National Bureau of Economic Research in the Health Economics Program.
International perspectives on integration and care coordination
Date: Friday 20 March 2015
Time: 12:30 - 13:30
Venue: 32L LG.04
Speaker: Ellen Nolte, European Observatory of Health Systems and Policy, LSE
The rising burden of chronic illness, in particular the rapid increase in the number of people with multiple health problems, is a challenge to health systems globally. Associated premature mortality and reduced physical functioning, along with higher use of health services and related costs, are among the key concerns faced by policy-makers and practitioners.
There is a clear need to redesign delivery systems in order to better meet the needs created by chronic conditions, moving from the traditional, acute and episodic model of care to one that better coordinates professionals and institutions and actively engages service users and their carers. Many countries have begun this process but it has been difficult to reach conclusions about the best approach to take: care models are highly context-dependent and scientifically rigorous evaluations have been lacking.
This seminar explores some of the key issues, ranging from interpreting the evidence base to assessing the policy context for, and approaches to, chronic disease management across Europe. Drawing on a study of chronic disease management in Europe, the presentation provides insights into the range of care models and the people involved in delivering these; payment mechanisms and service user access; and challenges faced by countries in the implementation and evaluation of these novel approaches.
The video of this seminar can be viewed here.
International evidence on the impact of budget cuts on long-term care systems
Date: Monday 22 June 2015
Time: 10:00 16:00
Venue: The Shaw Library, 6 Floor, Old Building, London School of Economics and Political Science
Speakers: Tim Muir (OECD) Gerald Wistow (PSSRU), David Bell (University of Stirling), Josh Wiener (RTI International), Heinz Rothgang & Lorraine Frisina-Doetter (Bremen University, Germany), Pieter Bakx (Erasmus University Rotterdam, the Netherlands), Agnieszka Sowa (CASE, Poland), Giovanni Lamura (INRCA, Italy), Lennarth Johansson (Stockholm University, Sweden)
The financial crisis has led many countries to reign in public expenditure, sometimes with very significant implications for public services. This event explored how different countries have managed the impact of the global recession on their long-term care systems, for instance in terms of changes in the targeting of publicly-funded long-term care services across the population, in the prioritisation of different types of care, and in funding arrangements for services. The seminar brought together experts from the UK, US, Germany, Italy, Sweden, Netherlands, Poland and the OECD, and was funded by an award from the LSE HEIF5 Knowledge Exchange Fund.
SSCR event - Research showcase: Loneliness, prevention and wellbeing Date: Friday 17 April 2015
Time: 10:00 - 16:00
This research showcase – jointly hosted by the NIHR School for Social Care Research (SSCR) and the Campaign to End Loneliness - focused on research into loneliness, social isolation, wellbeing and prevention. This event was an opportunity for delegates to:
Hear about research findings focusing on loneliness, isolation, prevention and wellbeing across the life-course
Improve understanding of wellbeing and loneliness, and take away ideas about how to make positive changes, for example to social care commissioning or service provision
Network with colleagues working in similar areas
Identify and discuss some of the gaps in the current research base on loneliness and isolation.
NIHR School for Social Care Research Annual Conference
Date: 24 March 2015
Time: 09:45 - 16:30
Venue: New Academic Building, London School of Economics
The NIHR School for Social Care Research's Annual Conference brought together researchers, policy-makers, managers, commissioners, providers, people who use services, carers and practitioners, among others and provide an opportunity to hear about emerging evidence from across SSCR’s commissioned studies and implications for adult social care practice. The Conference featured contributions from experts and practice colleagues in the adult social care field, and brought together presentations on findings from across our funded studies, and their implications for practice
ALPHA Research Seminar: Maternal age and child’s birth weight: a cross cohort comparison in the UK
Date: Wednesday 18 March 2015
Time: 12:00 - 13:00
Speaker: Alice Goisis
The nature and consequences of childbearing at advanced maternal ages have changed considerably over time, but there is limited evidence showing this process and its potential consequences for child health. In this study, we undertake a cross-cohort comparison using data from five UK birth cohort studies (1946, 1958, 1970, ALSPAC and the MCS) to investigate how the selection mechanisms associated with advanced maternal age and its association with child health (low birth weight) have changed over time. Preliminary results show that advanced maternal age has, across the cohorts, gradually become more selective of advantaged mothers and, possibly as a consequence, less likely to be negatively associated with child health at birth.
PSSRU Literary Festival Discussion: Perceptions of Madness: understanding mental illness through art, literature and drama
Date: Wednesday 25 February 2015
Time: 17:00 - 18:30
Venue: Sheikh Zayed Theatre, New Academic Building
Speakers included: Dr Sarah Carr, Paul Farmer, Nathan Filer, Dr John McGowan
Chair: Professor Martin Knapp
How mental illness is portrayed in art, literature and on TV can have a positive or negative effect on how the public perceives mental ill health. Representations of people with mental health problems can range from the mad psychotic criminal to people within their daily lives dealing with depression, schizophrenia or bipolar disorder. This panel discussion explored how such presentations of mental illness can affect public understanding of mental ill health with insights from research and personal experiences.
This event formed part of the LSE Space for Thought Literary Festival 2015, taking place from Monday 23 - Saturday 28 February 2015, with the theme 'Foundations'. The video of the event can be viewed here.
Click here to see full list of past events