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- Hultkrantz, Lars, 1952-, et al.
(författare)
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Political and economic determinants of expenditure on day services for persons with intellectual disabilities or autism [Vad förklarar variationen i kostnad per brukare i dagligverksamhet i svenska kommuner?]
- 2018
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Ingår i: European Journal of Social Work. - : Taylor & Francis Group. - 1369-1457 .- 1468-2664. ; 21:2, s. 207-221
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Tidskriftsartikel (refereegranskat)abstract
- This study investigates whether the Swedish national entitlement legislation, which is known to be one of the most developed in Europe for persons with intellectual disabilities or autism, accomplishes its aim to provide equal quality of day services independent of location. We estimated a reduced-form model of demand and supply-side determinants of a latent quality variable for day-service programmes using panel data on expenditure per attendee for the 290 Swedish municipalities 2004–2012. We found that expenditure per attendee is among others affected by changes of the local tax base and outcome in elections to the local assemblies. These results imply that rights of persons with intellectual disabilities with regard to equal quality of day services independent of where they live are not fully honoured in budget allocation decisions made by local governments.
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- Larsson Tholén, Susanna, 1967-, et al.
(författare)
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Economic Evaluation of Supported-Employment Inspired Program for Pupils With Intellectual Disabilities
- 2017
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Ingår i: Nordic Journal of Working Life Studies. - : Roskilde University. - 2245-0157. ; 7:1, s. 69-86
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Tidskriftsartikel (refereegranskat)abstract
- In this study, we investigate whether, or to what degree, a ‘business case’ could be made for implementation of a Supported-Employment (SE) inspired program for pupils with intellectual disabilities (IDs), starting during the final school years. For this aim, we do a quasi-experimental before-after intervention impact evaluation of such a project funded by the European Social Fund in the Swedish city of Örebro (135,000 inhabitants) during 2010–2013. From an estimate of the average treatment effect, we calculate the internal net present value and the payback period that would make this program break even from avoided expenditure for day-activity services, assuming that it had been funded entirely by the municipality.
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- Värja, Emelie, 1985-, et al.
(författare)
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Analysis of cost and quality indicators of day activity service programmes in Sweden
- 2017
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Ingår i: Scandinavian Journal of Disability Research. - : Taylor & Francis. - 1501-7419 .- 1745-3011. ; 19:4, s. 347-361
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Tidskriftsartikel (refereegranskat)abstract
- Several countries provide day activity programmes for people with intellectual disabilities. Little is known about the quality of these programmes or about their effectiveness in providing vocational training. In this study, we analysed the distribution across Swedish municipalities of the cost per user and how this is related to five structure quality and one outcome quality variables. We observed that the expenditure per attendee varies considerably between different municipalities. Statistical analysis was used to study to what extent expenditure per user correlates with supply-side factors, (political) demand-side factors and quality indicators. This indicated that the variation of expenditure is not explained by supply-side factors only. The local tax base and other local economic and/or political circumstances are statistically significant covariates, in spite of the entitlement legislation that gives eligible persons right to services of equal quality independent of such location-specific factors. We also found that municipalities that conduct regular user surveys find reasons to, on average, spend more per user. Finally, we found that the probability for transitions to employment at a regular workplace is higher in municipalities where as an annual routine, a review is made of whether each participant can be offered an internship or work.
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