Analysis of cost and quality indicators of day activity service programmes in Sweden

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...

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Main Authors: Emelie Värja, Susanna Larsson Tholén, Lars Hultkrantz
Format: Article
Language:English
Published: Stockholm University Press 2016-12-01
Series:Scandinavian Journal of Disability Research
Subjects:
Online Access:https://www.sjdr.se/articles/290
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author Emelie Värja
Susanna Larsson Tholén
Lars Hultkrantz
author_facet Emelie Värja
Susanna Larsson Tholén
Lars Hultkrantz
author_sort Emelie Värja
collection DOAJ
description 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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spelling doaj.art-a8dc665712614d32ba2a7b95e90cf1e72023-09-02T20:39:03ZengStockholm University PressScandinavian Journal of Disability Research1501-74191745-30112016-12-0119434736110.1080/15017419.2016.1264466220Analysis of cost and quality indicators of day activity service programmes in SwedenEmelie Värja0Susanna Larsson Tholén1Lars Hultkrantz2School of Business, Örebro University, Örebro, SwedenThe Swedish Institute for Disability Research, Örebro University, Örebro, SwedenSchool of Business, Örebro University, Örebro, SwedenSeveral 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.https://www.sjdr.se/articles/290Day-activity programmesintellectual disabilitiesautismregional differencescost per userstructure qualitytransition to work
spellingShingle Emelie Värja
Susanna Larsson Tholén
Lars Hultkrantz
Analysis of cost and quality indicators of day activity service programmes in Sweden
Scandinavian Journal of Disability Research
Day-activity programmes
intellectual disabilities
autism
regional differences
cost per user
structure quality
transition to work
title Analysis of cost and quality indicators of day activity service programmes in Sweden
title_full Analysis of cost and quality indicators of day activity service programmes in Sweden
title_fullStr Analysis of cost and quality indicators of day activity service programmes in Sweden
title_full_unstemmed Analysis of cost and quality indicators of day activity service programmes in Sweden
title_short Analysis of cost and quality indicators of day activity service programmes in Sweden
title_sort analysis of cost and quality indicators of day activity service programmes in sweden
topic Day-activity programmes
intellectual disabilities
autism
regional differences
cost per user
structure quality
transition to work
url https://www.sjdr.se/articles/290
work_keys_str_mv AT emelievarja analysisofcostandqualityindicatorsofdayactivityserviceprogrammesinsweden
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AT larshultkrantz analysisofcostandqualityindicatorsofdayactivityserviceprogrammesinsweden