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Cognitive impairment in older people: its implications for future demand for services and costs
- Authors:
- COMAS-HERRERA Adelina, et al
- Publisher:
- London School of Economics. Personal Social Services Research Unit
- Publication year:
- 2003
- Pagination:
- 50p.
- Place of publication:
- London
New research shows that unless more effective treatments are developed for Alzheimer's disease and other causes of cognitive impairment, there will be a substantial rise in the demand for long-term care services. The research also concludes that if treatments developed were to reduce the percentage of older people with severe cognitive impairment by only 1% per year, this would broadly offset the increasing long-term care costs due to rising numbers of older people. Researchers compared figures for 1998 with their projected figures for the year 2031, under a range of assumptions about future mortality and prevalence rates and future patterns of care. The study shows that the number of people with cognitive impairment in England is likely to rise by 66% from 461,000 to 765,000 between 1998 and 2031, faster than the number of people with physical disability only. The report implies that demand for long-term care will rise at a faster rate among those with cognitive impairment than projections based on the overall demand for long-term care would suggest.
Kaiser Permanente’s manifesto 2005 demonstration: the promises and limits of devolution
- Authors:
- LEUTZ Walter, et al
- Journal article citation:
- Journal of Aging and Social Policy, 14(3/4), 2002, pp.233-243.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
In 1996, the eight-million member Kaiser Permanente HMO adopted a vision statement that said by 2005 it would expand its services to include home- and community-based services for its members with disabilities. It funded a 3-year, 32-site demonstration that showed that it was feasible to link HMO services with existing home- and community-based (HCB) services and that members appreciated the improved coordination and access. This private-sector project showed that devolution can produce innovative and feasible models of care, but it also showed that without federal financial and regulatory support, such models are unlikely to take hold if they are focused on “unprofitable” populations, for example, those who are chronically ill, poor, and/or disabled. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
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.
Ageing, social security and affordability
- Editors:
- MARMOR Theodore R., DE JONG Philip R.
- Publisher:
- Ashgate
- Publication year:
- 1998
- Pagination:
- 365p.,tables,bibliogs.
- Place of publication:
- Aldershot
Collection of papers looking at spending on pensions and medical care for older people and their place in the debate about the desirability and affordability of modern social programmes. Includes chapters on: social assistance in the member states of the European Union; the relationship between social and occupational security; an international comparison of legal indexation of social security benefits; the hidden liabilities of public pension plans in twelve EU countries; pensions in transition in the United States and Japan; transitional effects of a change in the Spanish pension system; financing old age in Singapore; pay as you go versus funded system of financing pensions in Central and Eastern Europe; pension system reform in Latin America; equity, cost containment and efficiency in health care; health care reform; the social and economic consequences of delaying a political decision concerning reform of health care in Poland; the role of government in the provision and financing of long term care for older people; the impact of the evolution of health expectancy in future public health care expenditure; and forecasts of future disabled and institutionalised US populations 195 to 2040.
Handbook of aging and the social sciences
- Editors:
- BINSTOCK Robert H., GEORGE Linda K., et al
- Publisher:
- Academic Press
- Publication year:
- 1996
- Pagination:
- 552p.,tables,bibliogs.
- Place of publication:
- San Diego, CA
Contains sections on: research directions and unresolved issues in ageing and the social sciences; the state of theory in ageing and the social sciences; ageing and human development; economic and social implications of demographic patterns; disability trends; age, ageing and culture; historical perspective on ageing; race, ethnicity and ageing; gender age and the life course; social factors and illness; families and ageing; caregiving and social support; housing; work and retirement; the political economy of ageing; ageing and politics; the financing and health care of older Americans; social protection and services; ageing and the law; and ethics and ageing.