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The economic costs of dementia in Korea, 2002
- Authors:
- SUH Guk-Hee, KNAPP Martin, KANG Cheol-Joong
- Journal article citation:
- International Journal of Geriatric Psychiatry, 21(8), August 2006, pp.722-728.
- Publisher:
- Wiley
The aim was to estimate the economic costs of dementia in 2002 using an economic evaluation model for dementia care. Data were from the Korea National Survey of the Long-Term Care Need (LTC survey) (n = 5058), two prospective 1-year studies [one clinical trial (n = 234), one naturalistic community cohort study (n = 107)], and two epidemiologic community studies for prevalence of dementia (n = 1037 + 1481). Daily costs and proportions of different levels of institutional service provided were collected from the LTC survey. Resource use in the community included health care services, social care services, out-of-pocket purchase for self-support, caregiver time and missed work of caregiver. Costs in community were calculated based on resource utilization multiplied by the unit costs for each resource. Total annual costs of dementia were estimated to be over 2.4 billion US$ for 272 000 dementia sufferers. Costs in community represent 96% of the total annual costs, while costs of informal care and missed work of caregivers were 1.3 billion US$, or 55% of total annual cost. Average annual costs of full time care (FTC) and pre-FTC in community LTC were 44 121 US$ and 13 273 US$ per person, whereas cost per patient who did not need community LTC was 3986 US$. Given that the number of dementia sufferers is projected to increase in the near future and that larger part of the costs are subsidized by the government, the economic and social costs of dementia is significant not only for dementia sufferers and their caregivers, but also for society.
Long-term care: matching resources and needs: a festschrift for Bleddyn Davies
- Editor:
- KNAPP Martin
- Publisher:
- Ashgate
- Publication year:
- 2004
- Pagination:
- 311p.,bibliog.
- Place of publication:
- Aldershot
Improving equity and efficiency in the long-term care of older people is an international concern, with governments attempting to ensure that policies and practice develop so that resources are used to best effect. This requires good quality evidence founded on sound theory. This volume honours the outstanding contribution of Bleddyn Davies to this field, bringing together perspectives of scholars and practitioners from many countries including the UK, Australia, Hong Kong, Japan, Sweden and the USA. Contemporary policy dilemmas are considered, leavened by professional anecdote. A chapter from Davies himself, reflecting on the origins of the PSSRU (Personal Social Services Research Unit), concludes the volume that also features a full listing of his books and monographs, which will prove invaluable to those seeking to engage with his contribution to the field.
Community mental health care for former hospital in-patients
- Authors:
- KNAPP Martin, et al
- Journal article citation:
- British Journal of Psychiatry, 166(Supplement 27), April 1995, pp.10-18.
- Publisher:
- Cambridge University Press
In the UK the replacement of in-patient care with community-based support for people with long-term mental health problems is a key component of health policy. One of the challenges of implementing such a policy is the prediction of support and service needs in the community and the associated costs. Using research data from north London analyses were undertaken to examine the associations between service use and costs in the community and the characteristics of hospital in-patients. Presents the findings.
Inter-sectoral and international contracting-out of long term care: evidence on comparative costs and efficiency from Britain and Spain
- Authors:
- KNAPP Martin, MONTSERRAT Julia, FENYO Andrew
- Publisher:
- University of Kent. Personal Social Services Research Unit
- Publication year:
- 1990
- Pagination:
- 31p.,tables,bibliog.
- Place of publication:
- Canterbury
Investigates relative cost efficiency in England and Wales and Catalunya, the reasons for cross-country differences and the longer term role of the voluntary sectors.
Searching for efficiency in long-term care: de-institutionalisation and privatisation
- Author:
- KNAPP Martin
- Journal article citation:
- British Journal of Social Work, 18, 1988, pp.149-171.
- Publisher:
- Oxford University Press
Discusses definitions of efficiency and their application to social care policies.
Prevention: wrestling with new economic realities
- Author:
- KNAPP Martin
- Journal article citation:
- Tizard Learning Disability Review, 18(4), 2013, pp.186-191.
- Publisher:
- Emerald
Purpose : The purpose of this paper is to discuss the economic pressures on long-term care systems, and describe how an economic case might be made for better care, support and preventive strategies. Design/methodology/approach: Discussion of recent developments and research responses, with illustrations from previous studies. Findings: Economics evidence is highly relevant to decision makers in health, social care, and related systems. When resources are especially tight, economics evidence can sometimes persuade uncertain commissioners and others to adopt courses of action that improve the wellbeing of individuals, families, and communities. Originality/value: The paper uses long-established approaches in economic evaluation to discuss preventive and other strategies in today's challenging context. (Publisher abstract)
The mental health residential care study: classification of facilities and description of residents
- Authors:
- LELLIOTT Paul, AUDINI Bernard, KNAPP Martin, CHISHOLM Daniel
- Journal article citation:
- British Journal of Psychiatry, 169, August 1996, pp.139-147.
- Publisher:
- Cambridge University Press
The NHS is no longer a virtual monopoly provider of mental health residential care. This makes it difficult to assess the volume, range and adequacy of provision. In this study facilities providing residential care in eight districts were compared on levels of staffing, staff qualifications, and the characteristics of their residents. Results found that there was great variation between districts in the number of places available per unit of the population, especially in those with 24-hour waking cover. It is suggested that one consequence of the diversification in provision of mental health residential accommodation has been a relative reduction in the proportion of provision available to the most severely disabled, particularly those who pose a risk of acting violently.
Mental health residential care in the 1990s: beds and balances
- Authors:
- LELLIOTT Paul, KNAPP Martin, AUDINI Bernard, CHISHOLM Daniel
- Journal article citation:
- Mental Health Research Review, 3,, April 1996, pp.24-31.
- Publisher:
- Personal Social Services Research Unit
A study of mental health residential facilities in eight areas of England and Wales was completed by the Royal College of Psychiatrists' Research Unit and the Centre for the Economics of Mental Health. The work brings together detailed descriptions of the full range of residential care available to mentally ill people in each area - from hospital admission beds to group homes, the characteristics of their residents and the costs, both of providing the facilities and services used by residents. The information provides a base on which to build more rational commissioning strategies.