The purpose of this study is to better understand the impact of shifting public sector financing of home care services on older adults living with dementia. Given the unpredictable nature and progression of dementia, many adults will not only require some degree of home-based support in the initial stages of the disease, but are likely to require continuous, intensive home-based support in the later stages.
This study will explore the implications for persons living with dementia of public policies relating to the financing and provision of home care services. Specifically, this study will critically assess the landscape of home care policy change over the last decade in England and Ireland, and, through the quantitative analysis of survey datasets, will assess the impact of policy change on a) the utilization of home care services and b) unmet need for assistance with activities of daily living (ADLs) and instrumental activities of daily living (IADLs). This study will advance understanding around how to equitably finance home care to better support persons with dementia to live at home with dignity and independence.