An Economic Evaluation Framework for Government-Funded Home Adaptation Schemes: A Quantitative Approach.

An Economic Evaluation Framework for Government-Funded Home Adaptation Schemes: A Quantitative Approach.
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政府资助的居家改造计划的经济评估框架:定量方法

DOI:
10.3390/healthcare8030345
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发表时间:
2020-09-18
期刊:
Healthcare (Basel, Switzerland)
影响因子:
--
通讯作者:
Zhou P
Zhou P
中科院分区:
其他
文献类型:
--
作者:
Zhang B;Zhou P

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独立生活的能力对于残疾人的精神和心理健康起着至关重要的作用。为了实现这一目标,大多数政府在家居改造项目上花费了大量预算。据观察,不同目标客户(居民与房东)的计划在效率和效果上是不同的。为了了解这些计划绩效差异的原因和方式,本文开发并应用了政府资助的家居改造计划的通用经济评估框架。根据在英国收集的个人层面的调查,制定了一个实证模型来量化各种绩效指标的决定因素,包括金钱成本、时间成本和客户满意度。应用稳健估计程序来处理数据中的异方差和异常值问题。结果表明,专门针对残疾适应的独立生活计划(例如,身体适应补助金,PAG)比通用计划(例如,残疾人设施补助金,DFG)具有更高的效率和效果,因为资金提供给房东,他们有更强的动机在短期内最小化时间成本,并在长期内最大化未来的租金潜力。适应的“统一系统”方法应该成为政策制定的指导原则,无论谁实际提供服务。
The ability to live independently plays a crucial role in the mental and psychological wellbeing of the disabled. To achieve this goal, most governments spend a substantial budget on home adaptation projects. It has been observed that schemes with different target clients (residents versus landlords) are different in efficiency and effectiveness. To understand why and how these schemes differ in performance, this paper develops and applies a generic economic evaluation framework for government-funded home adaptation schemes. Based on the individual-level surveys collected in the United Kingdom, an empirical model was formulated to quantify the determinants for various performance indicators, including money costs, time costs and client satisfaction. Robust estimation procedures were applied to deal with the heteroscedasticity and outlier problems in the data. Results showed that a specialized independent living scheme dedicated to disability adaptations (e.g., the Physical Adaptations Grant, PAG) had higher efficiency and effectiveness than general-purpose schemes (e.g., the Disabled Facilities Grant, DFG), because the funds were provided to the landlords who had a stronger motivation to minimize the time cost in the short run and maximize the future rent potential in the long run. A “unified system” approach to adaptations should be a guiding principle for policy development, regardless of who actually delivers the service.
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