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Expenditures for long-term care services by community elders.

H S Ruchlin, J N Morris, C E Gutkin

    Health Care Financing Review
    |January 4, 1990
    PubMed
    Summary

    Community care costs for elderly individuals vary significantly based on living situation and home care services. Case-managed home care increases expenses, suggesting limited cost-saving potential for demonstration programs.

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    Area of Science:

    • Gerontology
    • Health Economics
    • Public Health

    Background:

    • Community-based care is increasingly utilized for elderly populations.
    • Understanding the cost implications of various care settings is crucial for resource allocation.
    • Existing research often overlooks the detailed expenditure variations within community care models.

    Purpose of the Study:

    • To analyze and compare the costs of care for elderly persons across diverse community-based settings.
    • To determine the relationship between care expenditures, living arrangements, and the use of case-managed home care.
    • To evaluate the potential for cost savings in community care demonstration programs.

    Main Methods:

    • Comparative cost analysis of elderly care in five distinct community settings.

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  • Inclusion of individuals living independently and in group housing.
  • Differentiation between recipients and non-recipients of case-managed home care.

    • Main Results:

    • Annual care expenditures ranged from approximately $1,100 to $4,025.
    • Higher expenditures were associated with increased risk of institutionalization.
    • Case-managed home care recipients incurred greater care costs.

    Conclusions:

    • The cost of community care for the elderly is substantial, even without intensive management.
    • The direct relationship between expenditure and institutionalization risk highlights care needs.
    • Significant cost savings from community care demonstration programs may be limited due to existing high utilization.