Symington D C
Arch Phys Med Rehabil. 1984 Aug;65(8):427-30.
The present system of service provision to people with disability is very complex, fragmented, and costly. The large number of disabilities receiving separate consideration contributes to the complexity and cost. Major costs to society associated with disability are institutional care and income support programs. An action plan is proposed based upon two national goals--reduction in the need for institutional care by 30% and reduction in the level of unemployment among employable disabled people to the national average by 1990. Basic considerations for implementing an action plan are outlined, including the need for morbidity indices to measure progress towards goal attainment.
目前为残疾人提供服务的体系非常复杂、分散且成本高昂。大量需分别考虑的残疾情况加剧了复杂性和成本。与残疾相关的社会主要成本是机构照料和收入支持项目。基于两个国家目标提出了一项行动计划——到1990年将机构照料需求减少30%,并将有就业能力的残疾人的失业率降至全国平均水平。文中概述了实施该行动计划的基本考量因素,包括需要发病率指标来衡量实现目标的进展情况。