Health care costs of people referred to an aged care assessment team: The effect of cognitive impairment

Dina LoGiudice, Wendy Waltrowicz, David Ames, Kaye Brown, Colin Burrows, Leon Flicker

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)


The aim of this study was to determine the effect cognitive impairment has on direct and indirect costs to elderly people, their carers and the community over one year, by following prospectively a cohort of elderly people referred to an aged care assessment team. The 78 subjects were drawn from a random sample of people referred to the NorthWest Hospital team, and validated tools were used to assess their cognitive state. Outcome measures included total costs of community services, residential care, hospital bed use, carer burden and psychological morbidity. A comparison of outcome measures was made between those with cognitive impairment and those without. Use of community services and hospital beds was high overall. Those with cognitive impairment were substantially greater users of residential care, accounting for the higher expenditure in this group. Psychological morbidity and burden remain high in carers of those with cognitive impairment despite a high rate of institutionalisation in this group. The total costs for those referred to aged care assessment teams with cognitive impairment are double those seen for those with normal cognition.

Original languageEnglish
Pages (from-to)311-316
Number of pages6
JournalAustralian and New Zealand Journal of Public Health
Issue number3
Publication statusPublished - Jun 1997
Externally publishedYes


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