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Centre for Policy on Ageing | |
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Cost of community care for older people | Author(s) | Gill Livingston, Monica Manela, Cornelius Katona |
Journal title | The British Journal of Psychiatry, vol 171, no 1, July 1997 |
Pages | pp 56-59 |
Keywords | Community care ; Costs [care] ; Dementia ; Depression ; Anxiety ; Evaluation ; Social surveys ; Islington. |
Annotation | There has been no published study that considers actual costs of community care for people aged 65 years and over. This study describes the financial cost of formal community services for older people with dementia, depression, anxiety disorders or physical disability. Psychiatric morbidity, physical disability and services received were assessed by standardised questionnaire to 700 people interviewed at home in randomly selected enumeration districts in the London Borough of Islington. Dementia was the most expensive disorder per sufferer in terms of formal services. Those with depression were also high users of health services, 90% of whom were not treated with appropriate drugs. In contrast, social services were received by people who were activity-limited or with dementia. The highest service cost for the population as a whole was for the physically disabled. In multivariate analysis, significant predictors of high service costs were living alone, being physically ill, depression, dementia and increasing age. Failure to detect and treat depression and anxiety disorders in older people may have major economic consequences as well as contributing to individual suffering. (RH). |
Accession Number | CPA-980521005 A |
Classmark | PA: QDC: EA: ENR: ENP: 4C: 3F: 82LK |
Data © Centre for Policy on Ageing |
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...from the Ageinfo database published by Centre for Policy on Ageing. |
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