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The effect of self-reported and performance-based functional impairment on future hospital costs of community-dwelling older persons
- Authors:
- REUBEN David B., et al
- Journal article citation:
- Gerontologist, 44(3), June 2004, pp.401-407.
- Publisher:
- Oxford University Press
The authors determined the prognostic value of self-reported and performance-based measurement of function, including functional transitions and combining different measurement approaches, on utilization. This cohort study used the 6th, 7th, and 10th waves of three sites of the Established Populations for Epidemiologic Studies of the Elderly, linked to 1- and 4-year Medicare Part A hospital costs. The authors examined mean hospital expenditures based on (a) 1- and 4-year transitions in self-reported functional status; (b) 4-year transitions in performance-based functional status; (c) combined baseline self-reported and performance-based functional status; and (d) poorest self-reported and performance-based functional status during a 4-year period. Even modest declines in self-reported or performance-based functional status were associated with increased expenditures. When baseline self-reported and performance-based assessments were combined, mean 1- and 4-year adjusted costs were higher with progressively worse performance-based scores, even among those who were independent in self-reported function. When the poorest 4-year self-reported and performance-based functions were examined, self-reported functioning was the most important determinant of hospital costs, but within each self-reported functional level, poorer performance-based function was associated with progressively higher costs. The costs associated with even modest functional decline are high. Combining self-reported and performance-based measurements can provide more precise estimates of future hospital costs.
The costs of care: the impact of the fairer charging policy on disabled and older people and their carers in England
- Authors:
- HOLMES Richard, MCMULLEN Kate
- Publisher:
- Coalition on Charging
- Publication year:
- 2003
- Pagination:
- 12p.
- Place of publication:
- London
In October 2002 local authorities in England began implementing the Government’s guidance on charging for care services Fairer charging for home care and other non-residential social services. To check how the new guidance was impacting on the real lives of disabled and older people, members of the Coalition on Charging invited service users to take part in a survey during the summer of 2003. Findings from this survey indicate that despite the introduction of new national guidance there are still inconsistencies with charging policies. Not only do service users and carers find it difficult to get the information they need about local authorities’ charging policies but charging for essential services continues to have a negative impact on people’s personal finances and lifestyles and it remains fundamentally unjust.
The effectiveness of housing adaptations
- Author:
- JOSEPH ROWNTREE FOUNDATION
- Publisher:
- Joseph Rowntree Foundation
- Publication year:
- 2001
- Pagination:
- 4p.
- Place of publication:
- York
Public spending on housing adaptations - permanent or fixed alterations to make homes more suitable for disabled occupants and their families - amounts to more than £220 million every year, and both numerical demand and unit costs are growing. This research examined the effectiveness of these investments from the point of view of those who have to live with them. Presents the findings of the study.
Care, courts and costs
- Author:
- SCHWEHR Belinda
- Journal article citation:
- Community Care, 18.3.99, 1999, p.28.
- Publisher:
- Reed Business Information
Asks whether the courts would force local authorities to provide care for elderly and disabled people irrespective of the cost, or should they support the councils' plea of a lack of funds.
Mental and physical frailty in older people: the costs and benefits of informal care
- Author:
- -
- Journal article citation:
- Ageing and Society, 18(3), May 1998, pp.317-354.
- Publisher:
- Cambridge University Press
Describes the financial, opportunity and social costs and benefits of providing informal support to frail older people within an economic framework. Around half the supporters reported financial costs or lost social opportunities. A minority of supporters had reduced their working hours or withdrawn from employment because of caregiving. Nearly all supporters reported at least one social cost and identified at least one positive aspect of caregiving. The benefits of caregiving were not consistently related to co-residency, relationship of supporter or frailty type. Possible strategies for decreasing the costs and increasing the benefits of caregiving are discussed.
Personal social services expenditure and unit costs England, 2007-08
- Author:
- NATIONAL HEALTH SERVICE. Information Centre for Health and Social Care
- Publisher:
- National Health Service. Information Centre for Health and Social Care
- Publication year:
- 2009
- Pagination:
- 26p.
- Place of publication:
- Leeds
Personal social services expenditure and unit costs: England, 2005-06
- Author:
- NATIONAL HEALTH SERVICE. Information Centre for Health and Social Care
- Publisher:
- National Health Service. Information Centre for Health and Social Care
- Publication year:
- 2007
- Pagination:
- 18p.
- Place of publication:
- Leeds
Personal social services expenditure and unit costs: England: 2004-2005
- Author:
- NATIONAL HEALTH SERVICE. Information Centre for Health and Social Care
- Publisher:
- National Health Service. Information Centre for Health and Social Care
- Publication year:
- 2006
- Pagination:
- 14p.
- Place of publication:
- London
Personal social services expenditure and unit costs: England: 2000-2001
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2002
- Pagination:
- 13p.
- Place of publication:
- London
The data given regards England throughout, not individual councils.
Cognitive disability and direct care costs for elderly people
- Authors:
- KAVANAGH Shane, KNAPP Martin
- Journal article citation:
- British Journal of Psychiatry, 174(6), June 1999, pp.539-546.
- Publisher:
- Cambridge University Press
Population ageing and the high costs of care support for elderly people have concentrated attention on economic issues. Examines whether there is an association between costs and cognitive disability by comparing service utilisation and direct costs for elderly people with different degrees of cognitive disability, and between people living in households and in communal establishments. Discusses how population ageing is closely associated with higher utilisation of health and social care services, and how new treatment or service arrangements provoke debate about their cost implications. The study aims to provide 'benchmark' information to inform debates about the potential costs of various treatment and service charges.