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Service utilisation and costs of language impairment in children: the early language in Victoria Australian population-based study

journal contribution
posted on 2017-01-01, 00:00 authored by Ha LeHa Le, Lisa GoldLisa Gold, F Mensah, P Eadie, E L Bavin, L Bretherton, S Reilly
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.

History

Journal

International journal of speech-language pathology

Volume

19

Issue

4

Pagination

360 - 369

Publisher

Taylor & Francis

Location

Abingdon, Eng.

ISSN

1754-9507

eISSN

1754-9515

Language

eng

Publication classification

C Journal article; C1 Refereed article in a scholarly journal

Copyright notice

2016, Speech Pathology Association of Australia