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Titre du document / Document title

Costs of formal care for frail older people in England : the resource implications study of the MRC cognitive function and ageing study (RIS MRC CFAS)

Auteur(s) / Author(s)

MCNAMEE P. (1) ; GREGSON B. A. (1) ; BUCK D. (1) ; BAMFORD C. H. (1) ; BOND J. (1) ; WRIGHT K. (2) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

(1) Centre for Health Services Research, School of Health Sciences, University Newcastle upon Tyne, Newcastle upon Tyne, ROYAUME-UNI
(2) Centre for Health Economics, University of York, York, ROYAUME-UNI

Résumé / Abstract

The aim of this paper is to quantify service use and costs of supporting frail older people at home in the community, using data collected in a longitudinal multicentre stratified randomised study for 1055 mentally frail. physically frail, and mentally and physically frail subjects. Average costs per person per week were found to total £64.45, with a small number of services accounting for a large proportion of the total costs. The level of services offered by the nonstatutory voluntary and private sectors was found to be small. To highlight issues for policy makers, the extent of cost variations between a number of different subgroups were calculated. These bivariate analyses revealed substantial variation in costs, especially according to household structure, type of frailty, whether admission to continuing care accommodation occurred and survival. Multiple regression analysis demonstrated that 26% of the variation in log average weekly costs could be explained by a number of socio-demographic and health status variables. A particularly close relationship was observed between costs and whether admission to continuing care accommodation occurred, highlighting a need for policy-makers to examine the nature and scale of provision of alternative community based care packages. The results demonstrate that descriptive cost data such as those presented can provide information useful to the planning process, enabling more informed choices to be made over the provision of services for particular groups of people.

Revue / Journal Title

Social science & medicine    ISSN  0277-9536   CODEN SSMDEP 

Source / Source

1999, vol. 48, no3, pp. 331-341 (25 ref.)

Langue / Language

Anglais

Editeur / Publisher

Elsevier, Kidlington, ROYAUME-UNI  (1982) (Revue)

Mots-clés anglais / English Keywords

Community health

;

Public health

;

Elderly

;

England

;

Cost analysis

;

Health economy

;

Regression analysis

;

Care

;

At home

;

Resource allocation

;

Human

;

Great Britain

;

United Kingdom

;

Europe

;

Mots-clés français / French Keywords

Santé communautaire

;

Santé publique

;

Personne âgée

;

Angleterre

;

Analyse coût

;

Economie santé

;

Analyse régression

;

Soin

;

A domicile

;

Allocation ressource

;

Homme

;

Grande Bretagne

;

Royaume Uni

;

Europe

;

Mots-clés espagnols / Spanish Keywords

Salud comunitaria

;

Salud pública

;

Anciano

;

Inglaterra

;

Análisis costo

;

Economía salud

;

Análisis regresión

;

Cuidado

;

A domicilio

;

Asignación recurso

;

Hombre

;

Gran Bretaña

;

Reino Unido

;

Europa

;

Localisation / Location

INIST-CNRS, Cote INIST : 13689, 35400007350086.0060

Nº notice refdoc (ud4) : 1671515



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