Sherwood S, Morris J N
Am J Public Health. 1983 Jun;73(6):646-53. doi: 10.2105/ajph.73.6.646.
This paper reports findings concerning the impact on quality of life of a case management focused program of small board and care facilities serving aging, mental health, and mental retardation adult target populations--the Pennsylvania Domiciliary Care Program. Program participants from the counties in which the Domiciliary Care Program was initiated were matched with persons residing in similar counties without the program who were comparable on a large array of characteristics prior to program initiation. Conducted separately by target group, 10-month follow-up assessments provided the basis for determining impact. In general, the effects were positive, particularly with respect to meeting program quality of life goals (providing needed services, improving living conditions, increasing community integration, and reducing institutional days); the effects were more positive for the aging and mental health than for the mentally retarded target populations.
本文报告了一项针对小型寄宿照料设施的病例管理重点项目对生活质量影响的研究结果，该项目服务于老年、心理健康和智力障碍的成年目标人群——宾夕法尼亚州寄宿照料项目。来自启动寄宿照料项目的县的项目参与者与居住在没有该项目的类似县且在项目启动前在一系列特征上具有可比性的人员进行了匹配。针对每个目标群体分别进行了为期10个月的随访评估，为确定影响提供了依据。总体而言，效果是积极的，特别是在实现项目生活质量目标方面（提供所需服务、改善生活条件、增强社区融入度以及减少住院天数）；对老年和心理健康目标人群的效果比对智力障碍目标人群的效果更积极。
