Stevenson R C, Pharoah P O, Stevenson C J, McCabe C J, Cooke R W
Department of Economics, University of Liverpool.
Arch Dis Child Fetal Neonatal Ed. 1996 Mar;74(2):F118-21. doi: 10.1136/fn.74.2.f118.
To determine the cost of health and educational service provision for low birthweight children with a clinical disability.
Cohort study of a geographically defined population in five health districts that comprise the County of Merseyside was undertaken. All children with a clinical disability born in 1980 and 1981 to mothers resident in the County of Merseyside were followed up to age 8-9 years. The cost of care associated with the initial admission to the neonatal special/intensive care unit and subsequent use of hospital, family practitioner, and special education services was assessed.
There were 52 children with a disability; the disability rate in children of birthweight < or = 2000 g was estimated at 7.7%. Of the total expenditure to age 8-9 years, special education was the largest category (52%) and neonatal care accounted for 35%. The disabled children accounted for 38% of the cost of the whole cohort of 693 disabled and non-disabled children who weighed < or = 2000 g at birth.
In a cohort of low birthweight children, those who are disabled account for a disproportionate amount of the total expenditure to age 8-9. The cost of long term care for disabled young persons and adults will increasingly dominate the cost of care for the whole cohort of low birthweight children.
确定为患有临床残疾的低体重儿童提供健康和教育服务的成本。
对默西塞德郡五个卫生区地理范围内的人群进行队列研究。对1980年和1981年出生于默西塞德郡、患有临床残疾的所有儿童进行随访，直至其8至9岁。评估了与首次入住新生儿特殊/重症监护病房以及随后使用医院、家庭医生和特殊教育服务相关的护理成本。
有52名残疾儿童；出生体重≤2000g的儿童中残疾率估计为7.7%。在8至9岁的总支出中，特殊教育是最大的类别（52%），新生儿护理占35%。残疾儿童占整个出生时体重≤2000g的693名残疾和非残疾儿童队列成本的38%。
在低体重儿童队列中，残疾儿童在8至9岁的总支出中占比过高。残疾青少年和成年人的长期护理成本将越来越多地占据整个低体重儿童队列护理成本的主导地位。
