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首页> 外文期刊>The British journal of psychiatry : >Service use and cost of mental disorder in older adults with intellectual disability
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Service use and cost of mental disorder in older adults with intellectual disability

机译：智障老年人的服务使用和精神障碍成本

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Background The cost of caring for people with intellectual disability currently makes up a large proportion of healthcare spending in western Europe, and may rise in line with the increasing numbers of people with intellectual disability now living to old age. Aims To report service use and costs of older people with intellectual disability and explore the influence of sociodemographic and illness-related determinants. Method We collected data on receipt and costs of accommodation, health and personal care, physical as well as mental illness, dementia, sensory impairment and disability in a representative sample of adults with intellectual disability aged 60 years and older ( n = 212). Results The average weekly cost in GBP per older person was ?￡790 (?￡41 080 per year). Accommodation accounted for 74%. Overall costs were highest for those living in congregate settings. Gender, intellectual disability severity, hearing impairment, physical disorder and mental illness had significant independent relationships with costs. Mental illness was associated with an additional weekly cost of ?￡202. Conclusions Older adults with intellectual disability comprise about 0.15a€“0.25% of the population of England but consume up to 5% of the total personal care budget. Interventions that meet needs and might prove to be cost-effective should be sought.
机译：背景技术目前，在西欧，照顾智障人士的费用在医疗保健支出中占很大比例，并且可能随着现在到老龄化的智障人士人数的增加而上升。目的报告智障老年人的服务使用情况和费用，并探讨社会人口统计学和疾病相关因素的影响。方法我们收集了具有代表性的60岁及以上智障成人的样本（n = 212），包括住宿，健康和个人护理，身体和精神疾病，痴呆，感觉障碍和残疾的收据和费用数据。结果每位老年人的平均每周英镑费用为790英镑（每年41 080英镑）。住宿占74％。对于居住在集体场所的人来说，总成本最高。性别，智障严重程度，听觉障碍，身体障碍和精神疾病与费用有着显着的独立关系。精神疾病与每周增加202英镑有关。结论智障老年人约占英格兰人口的0.15％至0.25％，但占个人护理总预算的5％。应该寻求能够满足需求并且可能证明具有成本效益的干预措施。

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