Societal cost of childhood intellectual disability in Australia.

Background: There is limited research quantifying the direct and indirect economic costs associated with intellectual disability (ID) in Australia. Costs incurred by families, governments and broader society include time spent providing care, absenteeism and increased healthcare utilisation. The pur...

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Publicado en:Journal of Intellectual Disability Research Vol. 64; no. 7; pp. 524 - 538
Autores principales: Arora, S., Goodall, S., Viney, R., Einfeld, S.
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Jul2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2020
      vid: 64
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        10.1111/jir.12732
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        atl: Societal cost of childhood intellectual disability in Australia.
      aug:
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          Arora, S.
          Goodall, S.
          Viney, R.
          Einfeld, S.
        affil: Centre for Health Economics Research and Evaluation, University of Technology Sydney, Broadway New South Wales,, Australia
      sug:
        subj:
          Intellectual Disability Economics
          Intellectual Disability Economics
          Children with Disabilities Australia
          Human
          Australia
          Health Resource Utilization
          Health Care Costs
          Caregiver Burden
          Productivity
          Caregivers
          Child, Preschool
          Child
          Absenteeism
          Retrospective Design
          Questionnaires
          Diaries
          Economic Aspects of Illness
          Child, Preschool: 2-5 years
          Child: 6-12 years
      ab: Background: There is limited research quantifying the direct and indirect economic costs associated with intellectual disability (ID) in Australia. Costs incurred by families, governments and broader society include time spent providing care, absenteeism and increased healthcare utilisation. The purpose of this research is to quantify the costs associated with ID in childhood using a range of methods to collect cost data. Methods: Costs included healthcare service utilisation, pharmaceutical use, caregiver productivity losses and time spent providing care because of the child's disability. The sample comprised caregivers with a child with ID aged between 2 and 10 years old recruited in Australia. Healthcare service utilisation and pharmaceutical use were obtained from routinely collected administrative claims data. Healthcare utilisation not captured in the routinely collected administrative data and absenteeism data were obtained from a retrospective recall‐based questionnaire. Time spent providing care because of the child's disability was obtained using a time‐use diary. Results: The total cost of ID in Australia was estimated to be AUD 72 027 per year per child, and the total cost of ID in childhood was estimated to be AUD 12.5 billion per year. The cost to governments of ID in childhood was estimated to be AUD 6385 per child per year, resulting in a total cost to government of AUD 1.1 billion per year. Conclusions: This is the first study to estimate the direct and indirect costs associated with ID in childhood. The results of this research demonstrate the considerable economic impact of ID in childhood on families, governments and broader society in terms of both direct and indirect costs. An understanding of the cost implications of any intervention are critical in assisting policymakers in planning and prioritising of health services.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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