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Cognitive disability and direct care costs for elderly people

Knapp, Martin ORCID: 0000-0003-1427-0215 and Kavanagh, Shane (1999) Cognitive disability and direct care costs for elderly people. British Journal of Psychiatry, 174 (6). pp. 539-546. ISSN 1472-1465

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Identification Number: 10.1192/bjp.174.6.539


BACKGROUND: Population ageing and the high costs of care support for elderly people have concentrated attention on economic issues. Is there an association between costs and cognitive disability? AIMS: To compare service utilisation and direct costs for elderly people with different degrees of cognitive disability, and between people living in households and in communal establishments. METHOD: Secondary analysis of Office of Population Censuses and Surveys (OPCS) Disability Surveys data compared service utilisation and costs for 8736 elderly people with cognitive disability. Cost estimates were constructed for all health and social care services. RESULTS: A much greater proportion of people at higher levels of cognitive disability lived in communal establishments, where their (direct) costs were much higher than when supported in households. Service utilisation patterns and costs varied with cognitive disability. CONCLUSIONS: It is important to look at the full range of living arrangements and support services when examining costs. The potential cost implications of pharmacotherapies, other treatments or new care arrangements cannot be appreciated without such a broad perspective.

Item Type: Article
Official URL:
Additional Information: © 1999 Royal College of Psychiatrists
Divisions: Social Policy
Personal Social Services Research Unit
LSE Health
Subjects: H Social Sciences > HB Economic Theory
H Social Sciences > HV Social pathology. Social and public welfare. Criminology
R Medicine > RA Public aspects of medicine
JEL classification: I - Health, Education, and Welfare > I1 - Health > I12 - Health Production: Nutrition, Mortality, Morbidity, Suicide, Substance Abuse and Addiction, Disability, and Economic Behavior
Sets: Departments > Social Policy
Collections > Economists Online
Research centres and groups > Personal Social Services Research Unit (PSSRU)
Research centres and groups > LSE Health
Research centres and groups > NIHR School for Social Care Research
Date Deposited: 05 Sep 2008 10:15
Last Modified: 20 Feb 2021 01:40

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