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Community care for the elderly: costs and dependency.

M C Snell

    Social Science & Medicine (1982)
    |January 1, 1985
    PubMed
    Summary

    The cost of elderly care at home is often less than in residential homes. Dependency levels, health, sex, and location significantly influence community care costs.

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    Area of Science:

    • Gerontology
    • Health Economics
    • Social Policy

    Background:

    • Planning for elderly care requires understanding the costs associated with different living arrangements.
    • Existing data often focuses on direct costs, neglecting broader economic impacts.
    • Community-based care versus residential care presents distinct financial considerations.

    Purpose of the Study:

    • To compare the costs of care for elderly individuals living at home versus in residential facilities.
    • To identify factors influencing the cost of community-based care for the elderly.
    • To provide data for informed planning of elderly care services.

    Main Methods:

    • Survey of elderly individuals in Britain to assess domiciliary service provision.
    • Application of unit costs based on the social opportunity cost economic concept.
    • Categorization of elderly persons by dependency levels (physical and mental).
    • Regression analysis to determine the impact of dependency on care costs.

    Main Results:

    • Average costs of care in the community were generally lower than in residential homes.
    • Physical and mental health characteristics significantly explained variations in care costs.
    • Elderly person's sex and area of residence were also significant factors influencing care costs.

    Conclusions:

    • Community care for the elderly can be more cost-effective than residential care.
    • Personal characteristics and location are crucial determinants of community care expenses.
    • Findings have significant implications for the strategic planning and resource allocation of elderly care services.

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