HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS Psychiatric Bulletin Advances in Psychiatric Treatment All RCPsych Journals		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Submit an eLetter Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Citation Map Services Email this article to a friend Related articles in BJP Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via CrossRef Citing Articles via Google Scholar Google Scholar Articles by KAVANAGH, S. Articles by KNAPP, M. Search for Related Content PubMed PubMed Citation Articles by KAVANAGH, S. Articles by KNAPP, M.

Costs and cognitive disability: modelling the underlying associations

TNO (Netherlands Organisation for Applied Scientific Research), Leiden, The Netherlands

MARTIN KNAPP, PhD

Personal Social Services Research Unit, London School of Economics, and Institute of Psychiatry, King's College, London, UK

Correspondence: Professor Martin Knapp, PSSRU, London School of Economics, Houghton Street, London WC2A 2AE, UK. E-mail: m.knapp{at}lse.ac.uk

Declaration of interest Research was supported by a Department of Health grant to the Personal Social Services Research Unit. This work was completed prior to S.K.'s employment with Janssen Pharmaceutica. All opinions expressed in this paper are solely those of the authors.

See editorial, pp. 97–98, this issue.

ABSTRACT

Background The high support needs of elderly people with cognitive disability raise questions about the cost-effectiveness of different treatments. Associations between costs and cognitive disability could be influenced by other factors, particularly comorbidities.

Aims To examine the links between costs and cognitive disability in the context of covariates.

Method Secondary analyses of data from the UK Office of Population Censuses and Surveys disability surveys for over 4500 elderly people living in households were used to examine associations between cost and cognitive disability.

Results Costs varied considerably, and were associated with severity of disability along a number of dimensions. The cost-raising effects of cognitive disability were smaller when the analyses controlled for levels of disability in other domains.

Conclusions Cognitive disability is significantly associated with higher costs, but these analyses highlight the need to examine a range of disabilities.

Related articles in BJP:

Old age psychiatry

ALISTAIR BURNS and IAN G. McKEITH
BJP 2002 180: 97-98. [Full Text]  

This article has been cited by other articles:

				J. L. WOLSTENHOLME, P. FENN, A. M. GRAY, J. KEENE, R. JACOBY, and T. HOPE Estimating the relationship between disease progression and cost of care in dementia The British Journal of Psychiatry, July 1, 2002; 181(1): 36 - 42. [Abstract] [Full Text] [PDF]

				A. BURNS and I. G. McKEITH Old age psychiatry The British Journal of Psychiatry, February 1, 2002; 180(2): 97 - 98. [Full Text] [PDF]