Aim-To determine the cost of health and educational service provision for low birthweight children with a clinical disability.
Methods-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 ¾2000 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 ¾2000 g at birth.
Conclusion-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.
Mots-clés Pascal : Poids naissance très faible, Poids naissance faible, Enfant, Homme, Evolution, Analyse coût, Angleterre, Grande Bretagne, Royaume Uni, Europe, Economie santé, Handicap, Séquelle, Etude cohorte, Etude statistique, Prématuré, Gestation pathologie, Nouveau né pathologie, Prématurité
Mots-clés Pascal anglais : Very low birthweight, Low birth weight, Child, Human, Evolution, Cost analysis, England, Great Britain, United Kingdom, Europe, Health economy, Handicap, Sequela, Cohort study, Statistical study, Premature, Pregnancy disorders, Newborn diseases, Prematurity
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0296255
Code Inist : 002B27B11. Création : 199608.