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首页> 外文期刊>Health & social care in the community >The costs of change: a case study of the process of implementing individual budgets across pilot local authorities in England
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The costs of change: a case study of the process of implementing individual budgets across pilot local authorities in England

机译：变革的成本：以英格兰试点地方政府执行个人预算的过程为例

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摘要

Individual budgets form a key element in the objective of the English Government to promote independence among people with needs for social care support. The initiative was designed to provide greater user control but the wider consequences, in terms of the implications for local authorities and their other responsibilities, remain to be addressed. An evaluation of the implementation of individual budgets in 13 local authorities was funded by the Department of Health, using a mixed methods approach to explore the impact of individual budgets both in terms of service user experiences and the implications for the local authority social services. One aspect of the evaluation concentrated on the cost implications of implementing individual budgets for the local authorities. All pilot local authorities were invited to take part in an interview designed to obtain the resources required to implement individual budget. Twelve of the 13 local authorities were part of the study reported in this article. All quantitative analysis was carried out using SPSS 13. Excluding all expenses that might be at least in part associated with the pilot process, in the first year, the estimated mean average cost was pound290 000 (median pound270 000). This article will describe the initial approach adopted in estimating set-up costs, followed by a description of the findings for the first year of implementation and likely subsequent set-up costs. We also identify the range of factors that might affect reported costs.
机译：个人预算是英国政府在有社会支持需求的人中促进独立的目标的关键要素。该计划旨在提供更大的用户控制权，但是就其对地方当局及其其他责任的影响而言，更广泛的后果仍有待解决。卫生部资助了对13个地方当局的个人预算执行情况的评估，采用混合方法来探讨个人预算在服务使用者体验和对地方当局社会服务的影响方面的影响。评估的一个方面集中在为地方当局实施个人预算带来的成本影响上。邀请所有试点地方当局参加采访，目的是获得实施个人预算所需的资源。 13个地方当局中有12个是本文报道的研究的一部分。所有定量分析均使用SPSS 13进行。不包括可能至少部分与试点过程相关的所有费用，第一年的估计平均平均成本为29万英镑（中位数为27万英镑）。本文将介绍在估算安装成本时采用的初始方法，然后介绍实施第一年的发现以及可能的后续安装成本。我们还确定了可能影响报告成本的一系列因素。

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