Political and economic determinants of expenditure on day services for persons with intellectual disabilities or autism

Hultkrantz, Lars; Värja, Emelie; Tholén, Susanna Larsson

doi:10.1080/13691457.2017.1286295

Cited by 2 publications

(8 citation statements)

References 10 publications

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“…15 There was no indication of high multicollinearity between these variables, 16 but still it turned out that the effect of one of the variables (Competence plan) was significant only when some of the other indicator variables were not present. The results for the economic explanatory variables were mainly the same as in the panel-data study of Hultkrantz, Värja, and Larsson Tholén (2016). The coefficients of Tax base and Fee/Grant were positive and significant supporting the conclusion of the previous study that the variation of expenditure per user to some extent can be explained by income variation.…”

Section: Resultssupporting

confidence: 82%

“…Hence, confounding and/or reverse causality issues may arise. Given that quality indicators are available only for one year, our empirical strategy was to do regression analysis with the same economic and political variables that were included in the panel-data study of Hultkrantz, Värja, and Larsson Tholén (2016). In addition, we included municipality population size and county-level-fixed effects to further control for structural differences between the municipalities that may affect cost.…”

Section: Methodsmentioning

confidence: 99%

“…One way to control for unknown demand and supply shifters is to, as in Hultkrantz, Värja, and Larsson Tholén (2016), estimate a fixed-effects model with panel data. However, since the quality indicators that were the focus of the present study were only available for one year, this was not feasible here.…”

Section: Basic Economic Modelmentioning

confidence: 99%

“…On the other hand, participants in such programmes are sometimes assigned as assistants to DA programmes, which therefore would reduce the cost of DAs. For further motivation and discussion of these variables, see Hultkrantz, Värja, and Larsson Tholén (2016). Here, we used county-level-fixed effects and the size of the municipality population (Pop i ) to control for omitted variables.…”

Section: Competence Of Case Workersmentioning

confidence: 99%

“…Using longitudinal data over the period 2004-2012, Hultkrantz, Värja, and Larsson Tholén (2016 analysed economic and political determinants of the Swedish municipalities' expenditure per user for day activities (DAs henceforth). It was found that the intended equality of the quality of these services independent of location has not been achieved.…”

Section: Introductionmentioning

confidence: 99%

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

Värja

Tholén

Hultkrantz

2016

Scandinavian Journal of Disability Research

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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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Section: Resultssupporting

confidence: 82%

Section: Methodsmentioning

confidence: 99%

Section: Basic Economic Modelmentioning

confidence: 99%

Section: Competence Of Case Workersmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

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

Värja

Tholén

Hultkrantz

2016

Scandinavian Journal of Disability Research

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Allocation of Adult Day Care Services to Different User Groups: A Register-Based Cross-Sectional Study

Burrell,

Rostad,

Wentzel-Larsen

et al. 2024

Health�Serv�Insights

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The international policy of active ageing emphasises activities and social relations for long-term care recipients, for example through adult day care. Knowledge about who are allocated such services is, however, sparse. We aimed to investigate characteristics that contribute to determine allocation of adult day care for care recipients with and without dementia. This study selected all 250 687 individuals who received long-term care services on 31 December 2019 from the Norwegian Register for Primary Health Care. We added municipal level data from the Municipality-State-Reporting register and a national survey. Multilevel analyses comparing allocation of adult day care services to other services found that municipal clustering was around 20%. Care recipients who lived alone had higher odds of receiving adult day care, while the odds of receiving adult day care decreased as age increased. Disability level and gender were also significantly associated with allocation of adult day care, but in different directions for different user groups. As the unrestricted revenues of municipalities increased, the odds of allocating adult day care to people without dementia decreased. Other municipality characteristics did not significantly impact the allocation of adult day care. In conclusion, individual characteristics were more influential in allocation of adult day care than municipality characteristics, and the results uncovered clear differences between care recipients with and without dementia.

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Political and economic determinants of expenditure on day services for persons with intellectual disabilities or autism

Cited by 2 publications

References 10 publications

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

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

Allocation of Adult Day Care Services to Different User Groups: A Register-Based Cross-Sectional Study

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