ABSTRACT

The results show lower technical efficiency than might have been expected for a variable indicating what is presumably the care managers' judgements

Figure 21.1 Technical efficiency index* for care manager's perception of services' impact on user welfare

Equity and Efficiency Policy in Community Care Figure 21.2 Average output gain or cost saving from postulated improvement in technical efficiency in the production ofWKSAT Efficiency improvement strategy: the least efficient are made as efficient as units at a prescribed higher percentile in the distribution ordered from least to most efficient

about the degree to which the goals they were aiming at were achieved. One might have expected that the input mixes would have been adjusted to these, and that the workers' goals reflected the dominant cultural assumptions about goals among the in-house providers. Indeed, many of the care managers would also have been the direct field managers of the main form of community service for their users.