Corson W, Grannemann T, Holden N
Mathematica Policy Research, Inc., Princeton, NJ 08543-2393.
Health Serv Res. 1988 Apr;23(1):83-98.
Channeling was intended to improve access to formal community services, both through the facilitating activities of case managers and through direct purchase of services. It was expected that formal community service use would increase both because more individuals would stay in the community and because use would increase for those in the community. Only the latter effect was observed. Even though a majority of individuals in the control group also received formal services, for those in the community, channeling achieved increases in in-home care. The largest effects were for personal care and homemaker services. These effects were substantially stronger under the financial control model of channeling, which included expanded funding for such services. There were also increases in home-delivered meals, transportation, and day-care services under the financial model but not under the basic model. Both models increased the use of special equipment.
引导计划旨在通过个案管理员的促进活动以及直接购买服务，改善获得正规社区服务的机会。预计正规社区服务的使用将会增加，这既是因为会有更多个人留在社区，也是因为社区内人员的使用量会增加。但仅观察到了后一种效果。尽管对照组中的大多数人也接受了正规服务，但对于社区内的人来说，引导计划实现了居家护理的增加。最大的影响体现在个人护理和家政服务方面。在引导计划的财务控制模式下，这些影响要大得多，该模式包括为此类服务增加资金。在财务模式下，送餐上门、交通和日托服务也有所增加，但在基本模式下则没有。两种模式都增加了特殊设备的使用。
