Comprehensive health assessments for adults with intellectual disability living in the community: weighing up the costs and benefits

Gordon, Louisa G., Holden, Libby, Ware, Robert S., Taylor, Miriam T. and Lennox, Nick (2012) Comprehensive health assessments for adults with intellectual disability living in the community: weighing up the costs and benefits. Australian Family Physician, 41 12: 969-972.

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Author Gordon, Louisa G.
Holden, Libby
Ware, Robert S.
Taylor, Miriam T.
Lennox, Nick
Title Comprehensive health assessments for adults with intellectual disability living in the community: weighing up the costs and benefits
Journal name Australian Family Physician   Check publisher's open access policy
ISSN 0300-8495
Publication date 2012-12
Sub-type Article (original research)
Volume 41
Issue 12
Start page 969
End page 972
Total pages 4
Place of publication South Melbourne, VIC, Australia
Publisher Royal Australian College of General Practitioners
Collection year 2013
Language eng
Formatted abstract
Background: Health assessments have beneficial effects on health outcomes for people with intellectual disability living in the community. However, the effect on medical costs is unknown.

Methods: We utilised Medicare Australia data on consultations, procedures and prescription drugs (including vaccinations) from all participants in a randomised control trial during 2002-03 that examined the effectiveness of a health assessment. Government health costs for adults with intellectual disability who did or did not receive an assessment were compared. Bootstrapping statistics (95% confidence interval) were employed to handle the right-skewed cost data.

Results: Over 12 months, patients receiving health assessments incurred total costs of $4523 (95% CI: $3521 to $5525) similar to those in usual care $4466 (95% CI: $3283 to $5649). Costs were not significantly higher compared with the 12 month preintervention period.

Discussion: Health assessments for adults with intellectual disability living in the community are encouraged as they produce enhanced patient care but do not increase overall consultation or medication costs.
Keyword Intellectual disability
Costs and cost analysis
Health expenditures
Primary health care
Mass screening
Health status
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Public Health Publications
School of Medicine Publications
 
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