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Does Size Matter? Comparing Medium-Term Cost-Effectiveness of Group Homes with Institutional Care in South Korea

Authors
Nho C.R.Woo S.Kang H.Chun J.Chung I.-J.
Issue Date
Jun-2016
Publisher
Blackwell Publishing
Keywords
cost-effectiveness; developmental outcome; group home; institutional care; propensity score matching estimation; selection bias
Citation
Asian Social Work and Policy Review, v.10, no.2, pp.248 - 263
Journal Title
Asian Social Work and Policy Review
Volume
10
Number
2
Start Page
248
End Page
263
URI
https://scholarworks.sookmyung.ac.kr/handle/2020.sw.sookmyung/3407
DOI
10.1111/aswp.12094
ISSN
1753-1403
Abstract
Using unique 5-year longitudinal data on Korean children in group homes and those under institutional care, this paper compared the medium-term cost-effectiveness of group homes and that of institutional care facilities in terms of developmental outcomes. Results from propensity score matching estimation show that children in group homes tend to have more desirable positive outcomes and fewer behavioral problems in the medium term to a statistically significant margin. The cost-effectiveness ratio of being placed in a group home is consistently higher than placement in an institutional care facility. That is, for one dollar spent on an out-of-home care service, we anticipate the children in group homes have more desirable outcomes in the medium term than their counterparts in institutional care facilities. © 2016 John Wiley & Sons Australia, Ltd
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