title: Synthesis of research on the costs of institutional and community-based care.
abstract: Cost studies in the long-term care field are reviewed, with emphasis on those relating to people with developmental disabilities. Studies frequently stressed the cost-effectiveness of community programs but often had significant methodological problems. Among the predominant findings in the literature were: 1) the generally lower average costs per client in community programs versus institutional programs; 2) unexplained wide cost ranges in similar community programs; and 3) significant cost shifts among federal, state, and local governments associated with deinstitutionalization initiatives. The implications of these findings for public officials and the advocacy community are discussed.
authors: School of Public Health, University of Illinois at Chicago 60608.
authors: D
authors: D
authors: Mitchell
authors: D
authors: D
authors: Braddock
authors: R
authors: R
authors: Hemp
mesh_terms: D003156:Community Mental Health Services / Q000191:economics*; D003365:Costs and Cost Analysis; D003688:Deinstitutionalization; D006076:Government; D006302:Health Services Research; D007326:Institutionalization / Q000191:economics*; D014481:United States