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Hitting the moving target of program choice

K B Heinlein1, E M Campbell, J Fortune

  • 1University of Wyoming, Wyoming Institute for Disabilities, Cheyenne 82002, USA.

Research in Developmental Disabilities
|February 24, 1998
PubMed
Summary
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Service delivery systems improved user satisfaction and quality of life between 1988 and 1996. Increased program access led to more social activities and fewer barriers for individuals in Wyoming and South Dakota.

Area of Science:

  • Health Services Research
  • Social Policy

Background:

  • Service delivery systems face evolving client needs and recommendations.
  • Measuring client satisfaction and quality of life is crucial for evaluating program effectiveness.

Purpose of the Study:

  • To compare client preferences and service reception in 1988 versus 1996.
  • To assess the impact of service expansion on quality of life indicators.

Main Methods:

  • Comparative analysis of survey data from 1988 and 1996.
  • Involved 2,927 individuals in 1988 and 3,934 individuals in 1996 in Wyoming and South Dakota.

Main Results:

  • Preferred setting attainment increased from 51% to 84% in Wyoming and 62% to 72% in South Dakota.
  • Significant improvements in quality of life measures were observed, including increased social activities and reduced transportation barriers.

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Conclusions:

  • An 8-year expansion of services and supports positively impacted social engagement and reduced barriers.
  • Enhanced service delivery systems can lead to improved client satisfaction and overall quality of life.