The small ICF/MR program: dimensions of quality and cost.
Dimensions of quality of life were compared for people living in small ICFs/MR versus other community living arrangements. Individual differences were controlled by using a matched comparison design. The data set contained 35 indicators of quality. Primary analyses were restricted to data from 1988 to 1992. Fifty-one people from small ICFs/MR were matched with people from community living arrangements. Subjects were matched on adaptive behavior, challenging behavior, age, and gender. Quality outcomes were superior for people in the non-ICF settings on 10 of the 35 measures. The ICFs/MR were not superior on any of the indicators. Results suggest that less intensively regulated and more flexible models of residential supports may produce superior outcomes at equal or lower cost.
Conroy
J W
JW
Center for Outcome Analysis, Ardmore, PA 19003, USA.
D000328:Adult; D000368:Aged; D003131:Combined Modality Therapy; D003362:Cost-Benefit Analysis; D005260:Female; D016352:Group Homes / Q000191:economics; D006801:Humans; D008607:Intellectual Disability / Q000191:economics / Q000534:rehabilitation*; D007380:Intermediate Care Facilities / Q000191:economics*; D008297:Male; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D010348:Patient Care Team / Q000191:economics; D010414:Pennsylvania; D011785:Quality Assurance, Health Care / Q000191:economics*; D011788:Quality of Life; D012917:Social Adjustment