The cost-effectiveness of community care for adults with learning disabilities leaving long-stay hospital in Northern Ireland

Beecham, Jennifer and Knapp, Martin R J. and McGilloway, S. and Donnelly, Maureen A. and Kavanagh, Shane M. and Fenyo, Andrew J. and Mays, Nicholas (1997) The cost-effectiveness of community care for adults with learning disabilities leaving long-stay hospital in Northern Ireland. Journal of Intellectual Disability Research, 41 (7). pp. 30-41. ISSN 0964-2633. (The full text of this publication is not available from this repository)

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Abstract

Among the many questions concerning the replacement of long-stay hospital services with community-based care are those of cost and cost-effectiveness, is community care more expensive than hospital care? Are levels of expenditure associated with clients’ needs and changes in their well-being? By following a cohort of people discharged from seven long-stay hospitals in Northern Ireland, this wide-ranging evaluation was able to address such cost-related questions. Although nearly three-quarters of the sample were living in private sector residential or nursing homes, a six-fold variation in the total costs of support was found. However, at the mean, community care was less expensive than hospital care. For only ten people in our sample of 192 clients did the costs of community care exceed the average cost of long-stay inpatient care. Multivariate analysis revealed that the costs of community care ‘packages’ were linked to some client needs, but higher spending was not unequivocally associated with better client outcomes. Care in the community is reasonably cost-effective in Northern Ireland when compared with long-term hospital care. However, there is a case for increasing

Item Type: Article
Divisions: Faculties > Social Sciences > School of Social Policy Sociology and Social Research > Personal Social Services Research Unit
Depositing User: Rosalyn Bass
Date Deposited: 20 May 2011 14:30
Last Modified: 23 Jun 2014 07:58
Resource URI: http://kar.kent.ac.uk/id/eprint/26694 (The current URI for this page, for reference purposes)
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