title: Community support for young physically handicapped people.
abstract: 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.
authors.affiliation: Northwick Park Hospital, Harrow, Middlesex.
authors.forename: P
authors.initials: P
authors.lastname: Prouse
authors.forename: K
authors.initials: K
authors.lastname: Ross-Smith
authors.forename: M
authors.initials: M
authors.lastname: Brill
authors.forename: M
authors.initials: M
authors.lastname: Singh
authors.forename: P
authors.initials: P
authors.lastname: Brennan
authors.forename: A
authors.initials: A
authors.lastname: Frank
mesh_terms: D000328:Adult; D003153:Community Health Services / Q000191:economics* / Q000706:statistics & numerical data; D003625:Data Collection; D006233:Persons with Disabilities / Q000145:classification*; D004739:England; D005069:Evaluation Studies as Topic; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006302:Health Services Research; D006699:Home Care Services / Q000191:economics* / Q000706:statistics & numerical data; D006801:Humans; D008875:Middle Aged; D009739:Nursing Services / Q000191:economics; D012947:Social Work / Q000191:economics; D013222:State Medicine / Q000191:economics