Prouse P, Ross-Smith K, Brill M, Singh M, Brennan P, Frank A
Northwick Park Hospital, Harrow, Middlesex.
Health Trends. 1991;23(3):105-9.
This study examined the cost of home and hospital care for individuals who are severely physically handicapped and who may have many years to live. In addition to quantifying the overall level of these services and their costs, factors which might influence the level of service were identified and their use related to the diagnosis, duration and severity of disability, and number of unpaid carers. Costs of health and social service community support increased with severity of disability, and were mostly incurred by individuals with a Barthel score of less than 50 (more severe handicap). Costs, except for those individuals with cerebral palsy, were independent of the number of careers, and for those of school and university age the costs of special educational facilities were significant.
本研究调查了严重身体残疾且可能还有多年寿命的个体的家庭护理和住院护理成本。除了量化这些服务的总体水平及其成本外，还确定了可能影响服务水平的因素，并将其使用情况与残疾的诊断、持续时间和严重程度以及无薪护理人员的数量相关联。健康和社会服务社区支持的成本随着残疾严重程度的增加而增加，并且大部分由巴氏指数低于50（残疾程度更严重）的个体产生。除了患有脑瘫的个体外，成本与护理人员数量无关，对于学龄和大学年龄的个体，特殊教育设施的成本很高。
