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National Medical Expenditure Survey: Elderly Persons with DevelopmentalDisabilities in Long-Term Care Facilities

机译:国家医疗支出调查:长期护理机构发育障碍的老年人

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The report from the Institutional Population Component of the 1987 NationalMedical Expenditure Survey (NMES) provides national estimates of the functional, behavioral, and health characteristics of the population in residential facilities, including nursing homes, who have a developmental disability. Developmental disabilities are defined as conditions which occur at birth or before the age of 22 and which limit or slow an individual's intellectual or physical development. The most prevalent disability among the institutionalized population is mental retardation; others are autism, cerebral palsy, spina bifida, and epilepsy. The inclusion of nursing home residents in estimates of person with mental retardation other developmental disabilities who live in long-term care facilities indicates that there is a large proportion over age 50 in this population than previously reported. A total of 19.2 percent were age 65 or over and another 16.7 percent were between ages 50 and 64. As in the general population, there is a decline in health among the elderly with developmental disabilities. The estimates indicate, however, that the highest level of functional disability among those age 65 and over was comparable to that in the age group from birth to 24, who often have multiple diagnoses, multiple limitations, and fragile health. While the causes of the need for services differ among these two age groups, their functional care needs are very similar, suggesting the usefulness of intergenerational service models which could accomodate the integration of both groups.

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