Rational resourcing and productivity: relationships among staff input, resident characteristics, and group home quality.
Relationships among staff input per resident, resident characteristics, setting characteristics, and service quality were investigated. Data were obtained from 51 group homes in Wales on (a) resident numbers, ages, gender, adaptive behavior, challenging behavior, and additional disabilities; (b) allocated staff hours and actual staff costs; (c) provider agency, date of provision, and internal operational arrangements; and (d) resident receipt of staff attention and resident activity. Variation in staff input was related to resident challenging behavior, smaller residence size, and provider agency or date of provision. Staffing input was associated with resident receipt of attention, as were operational arrangements. Resident activity was related to resident adaptive behavior and receipt of attention but not resource input. Cost-effectiveness implications are discussed.
Felce
David
D
University of Wales College of Medicine, UK. felce@cf.ac.uk
Jones
Edwin
E
Lowe
Kathy
K
Perry
Jonathan
J
D000328:Adult; D003362:Cost-Benefit Analysis; D017598:Efficiency, Organizational / Q000191:economics / Q000706:statistics & numerical data*; D005260:Female; D016352:Group Homes / Q000191:economics / Q000592:standards*; D015276:Health Care Rationing / Q000191:economics / Q000706:statistics & numerical data*; D006801:Humans; D008607:Intellectual Disability; D008297:Male; D008503:Medical Staff / Q000191:economics / Q000706:statistics & numerical data*; D012114:Residential Treatment / Q000191:economics / Q000592:standards*; D040841:Resource Allocation / Q000191:economics / Q000706:statistics & numerical data*