Centre for Policy on Ageing



The use and cost of community care services by elders with unimpaired cognitive function, with cognitive impairment/no dementia and with dementia
Author(s)	Evelyn Shapiro, Robert B Tate
Journal title	Canadian Journal on Aging, vol 16, no 4, Winter 1997
Pages	pp 665-681
Keywords	Dementia ; Services ; Community care ; Usage [services] ; Costs [care] ; Canada.
Annotation	Data from the Manitoba Study of Health and Aging, Canada, were used to compare the utilisation and direct costs of formal community care services among older people diagnosed as persons with no cognitive impairment, with cognitive impairment/no dementia, and with dementia. The results of the analyses indicate that, in addition to living arrangement and limitation on basic and instrumental activities of daily living, mental function was an independent predictor of community care use. A diagnosis of dementia increased the likelihood of community care use over those with unimpaired mental functioning, whereas cognitive impairment without dementia did not. The three diagnostic groups differed in the type of services used. Standardisation by age, sex and the other variables which significantly affect the need for community care can significantly help service programmes to improve its abilities to project realistic cost estimates. (AKM).
Accession Number	CPA-980720217 A
Classmark	EA: I: PA: QLD: QDC: 7S
Data © Centre for Policy on Ageing

...from the Ageinfo database published by Centre for Policy on Ageing.