Background There has been no published study that considers actual costs in a representative sample of people aged = 65 years.
The present study describes the financial cost offormal community services for elderly people with dementia, depression, anxiety disorders or physical disability.
Method Psychiatric morbidity, physical disability and services received were assessed by standardised questionnaire in randomly selected Islington enumeration districts.
Subjects were interviewed at home (n=700).
Results Dementia was the most expensive disorder per sufferer in terms of formal services.
Those with depression were also high users of health services.
Despite presenting to health services, 90% were nottreated with appropriate drugs.
In contrast, social services were received by people who were activity-limited or with dementia.
The highest service cost for the population as a whole was for the physically disabled.
In multivariate analysis the significant predictors of high service costs were living alone, being physically ill, depression, dementia and increasing age.
Conclusions Failure to detect and treat depression and the anxiety disorders in older people, despite their presentation to medical services, may have major economic consequences as well as contributing to individual suffering.
Mots-clés Pascal : Trouble psychiatrique, Traitement communautaire, Psychiatrie communautaire, Analyse coût, Economie santé, Angleterre, Grande Bretagne, Royaume Uni, Europe, Vieillard, Homme
Mots-clés Pascal anglais : Mental disorder, Community treatment, Community psychiatry, Cost analysis, Health economy, England, Great Britain, United Kingdom, Europe, Elderly, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0402480
Code Inist : 002B18H05B. Création : 19/12/1997.