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The Use and Cost of Community Care Services by Elders with Unimpaired Cognitive Function, with Cognitive Impairment/No Dementia and with Dementia

Published online by Cambridge University Press:  29 November 2010

Evelyn Shapiro  and
Robert B. Tate
Evelyn Shapiro
Affiliation:
University of Manitoba
Robert B. Tate
Affiliation:
University of Manitoba
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Abstract

Data from the Manitoba Study of Health and Aging were used to compare the utilization and direct costs of formal community care services among the elderly diagnosed as persons with no cognitive impairment, with cognitive impairment/no dementia and with dementia. The results of the analyses indicate that, in addition to living arrangement and limitation on basic and instrumental activities of daily living, mental function diagnosis is an independent predictor of community care use. A diagnosis of dementia increases the likelihood of community care use over those with unimpaired mental functioning, whereas cognitive impairment without dementia does not. The three diagnostic groups differ in the type of services used. Standardization by age, sex and the other variables which significantly affect the need for community care can help a program improve its ability to project realistic cost estimates.

Résumé

On a eu recours aux données d'une étude manitobaine sur la santé et le vieillissement (Manitoba Study of Health and Aging) pour comparer l'utilisation et le coût direct des soins communautaires structurés pour les aînés chez qui on a diagnostiqué une absence de déficience cognitive, une déficience cognitive sans démence ou une démence. Les résultats de l'analyse indiquent que, outre les conditions de logement et des incapacités dans les activités fondamentales et instrumentales de la vie quotidienne, un diagnostic de fonctionnement mental est un prédicteur indépendant de l'utilisation des soins communautaires. Une diagnostic de démence augmente la probabilité d'utilisation des soins communautaires chez les personnes qui en souffrent par rapport à celles qui en sont exemptes; par contre, la déficience cognitive sans démence ne l'augmente pas. Les trois types de diagnostic donnent lieu à une utilisation différente des soins. La standardisation par âge, sexe et toute autre variable affectant sensiblement la nécessité de recourir aux soins communautaires peut aider à la projection de coûts directs plus réalistes à l'égard d'un programme.

Keywords

CognitiveCommunity Care Use and CostCognitiveutilisation et coût des soins communautaires
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 16 , Issue 4 , Hiver/Winter 1997 , pp. 665 - 681
Copyright
Copyright © Canadian Association on Gerontology 1997

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