O'Neill J, Brown M, Gordon W, Orazem J, Hoffman C, Schonhorn R
Department of Educational Foundations and Counseling Programs, Hunter College, City University of New York, NY 10021.
Ment Retard. 1990 Jun;28(3):183-8.
The unintended effects on quality of life that flow from decisions regarding funding sources used to support community-based residential programs were documented. Results show that community residence program structures play an important role in determining quality of life after deinstitutionalization. Clients living under program structures flowing from the Medicaid ICF/MR funding source were less active and involved in life than were clients living in programs funded by non-Medicaid state sources. We hypothesized that the reason for this differential outcome was the result of Medicaid funding regulations and their interpretation, which create an institutional-like set of program structures leading to restrictive care patterns.
有关用于支持社区居住项目的资金来源的决策对生活质量产生的意外影响已被记录在案。结果表明，社区居住项目结构在去机构化后的生活质量决定中起着重要作用。与由非医疗补助州资金来源资助的项目中的客户相比，生活在医疗补助“智力迟钝者中间照料设施/医疗康复”（ICF/MR）资金来源所产生的项目结构下的客户活动较少，对生活的参与度也较低。我们推测，这种不同结果的原因是医疗补助资金规定及其解读的结果，它们造成了一套类似机构的项目结构，导致了限制性的护理模式。
