Department of Mental Health Sciences, University College London Medical School, and Camden and Islington Foundation NHS Trust, London, UK.
Br J Psychiatry. 2010 Feb;196(2):133-8. doi: 10.1192/bjp.bp.108.060939.
The cost of caring for people with intellectual disability currently makes up a large proportion of healthcare spending in western Europe, and may rise in line with the increasing numbers of people with intellectual disability now living to old age.
To report service use and costs of older people with intellectual disability and explore the influence of sociodemographic and illness-related determinants.
We collected data on receipt and costs of accommodation, health and personal care, physical as well as mental illness, dementia, sensory impairment and disability in a representative sample of adults with intellectual disability aged 60 years and older (n = 212).
The average weekly cost in GBP per older person was 790 pounds (41,080 pounds per year). Accommodation accounted for 74%. Overall costs were highest for those living in congregate settings. Gender, intellectual disability severity, hearing impairment, physical disorder and mental illness had significant independent relationships with costs. Mental illness was associated with an additional weekly cost of 202 pounds.
Older adults with intellectual disability comprise about 0.15-0.25% of the population of England but consume up to 5% of the total personal care budget. Interventions that meet needs and might prove to be cost-effective should be sought.
在西欧，照顾智障人士的成本目前占医疗保健支出的很大一部分，而且随着现在越来越多的智障人士进入老年，这一成本可能会随之上升。
报告智障老年人的服务使用情况和费用，并探讨社会人口学和与疾病相关的决定因素的影响。
我们在一个具有代表性的 60 岁及以上智障成年人样本（n=212）中收集了关于住宿、健康和个人护理、身体和精神疾病、痴呆、感官障碍和残疾的接受和费用的数据。
每个老年人的每周平均费用为 790 英镑（每年 41,080 英镑）。住宿占 74%。总体费用最高的是住在集体住所的人。性别、智障严重程度、听力障碍、身体障碍和精神疾病与费用有显著的独立关系。精神疾病与每周额外 202 英镑的费用有关。
智障成年人占英格兰总人口的 0.15-0.25%，但他们却消耗了个人护理预算的 5%。应该寻求满足需求且可能具有成本效益的干预措施。
