Ha N D Le1,2, Lisa Gold1,2, Fiona Mensah3,4, Patricia Eadie5, Edith L Bavin6, Lesley Bretherton3,4,7, Sheena Reilly3,4,8. 1. a Population Health Strategic Research Center , Deakin Health Economics, Deakin University , Burwood , Victoria , Australia. 2. b Center for Community Child Health , The Royal Children's Hospital , Parkville , Victoria , Australia. 3. c Murdoch Children's Research Institute , The Royal Children's Hospital , Parkville , Victoria , Australia. 4. d Department of Paediatrics , The University of Melbourne , Melbourne , Victoria , Australia. 5. e Melbourne Graduate School of Education , University of Melbourne , Melbourne , Victoria , Australia. 6. f School of Psychology and Public Health , La Trobe University , Melbourne , Victoria , Australia. 7. g Faculty of Medicine, Melbourne School of Psychological Sciences , Dentistry, and Health Sciences, University of Melbourne , Melbourne , Victoria , Australia , and. 8. h Menzies Health Institute Queensland , Griffith University , QLD , Australia.
Abstract
PURPOSE: To examine (1) the patterns of service use and costs associated with language impairment in a community cohort of children from ages 4-9 years and (2) the relationship between language impairment and health service utilisation. METHOD: Participants were children and caregivers of six local government areas in Melbourne participating in the community-based Early Language in Victoria Study (ELVS). Health service use was reported by parents. Costs were valued in Australian dollars in 2014, from the government and family perspectives. Depending on age, the Australian adapted Clinical Evaluation of Language Fundamentals - Pre-school, 2nd Edition (CELF-P2) or the CELF, 4th Edition (CELF4) was used to assess expressive and receptive language. RESULT: At 5, 7 and 9 years respectively 21%, 11% and 8% of families reported using services for speech and/or language concerns. The annual costs associated with using services averaged A$612 (A$255 to government, A$357 to family) at 5 years and A$992 (A$317 to government, A$675 to family) at 7 years. Children with persistent language impairment had significantly higher service costs than those with typical language. CONCLUSION: Language impairment in 4-9-year-old children is associated with higher use of services and costs to both families and government compared to typical language.
PURPOSE: To examine (1) the patterns of service use and costs associated with language impairment in a community cohort of children from ages 4-9 years and (2) the relationship between language impairment and health service utilisation. METHOD:Participants were children and caregivers of six local government areas in Melbourne participating in the community-based Early Language in Victoria Study (ELVS). Health service use was reported by parents. Costs were valued in Australian dollars in 2014, from the government and family perspectives. Depending on age, the Australian adapted Clinical Evaluation of Language Fundamentals - Pre-school, 2nd Edition (CELF-P2) or the CELF, 4th Edition (CELF4) was used to assess expressive and receptive language. RESULT: At 5, 7 and 9 years respectively 21%, 11% and 8% of families reported using services for speech and/or language concerns. The annual costs associated with using services averaged A$612 (A$255 to government, A$357 to family) at 5 years and A$992 (A$317 to government, A$675 to family) at 7 years. Children with persistent language impairment had significantly higher service costs than those with typical language. CONCLUSION:Language impairment in 4-9-year-old children is associated with higher use of services and costs to both families and government compared to typical language.
Entities:
Keywords:
Language impairment; costs; health service; use