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

    Author(s)
    Le, Ha ND
    Gold, Lisa
    Mensah, Fiona
    Eadie, Patricia
    Bavin, Edith L
    Bretherton, Lesley
    Reilly, Sheena
    Griffith University Author(s)
    Reilly, Sheena
    Year published
    2017
    Metadata
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    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 ...
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    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.
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    Journal Title
    International Journal of Speech-Language Pathology
    Volume
    19
    DOI
    https://doi.org/10.1080/17549507.2016.1209559
    Subject
    Linguistics not elsewhere classified
    Clinical Sciences
    Cognitive Sciences
    Linguistics
    Publication URI
    http://hdl.handle.net/10072/123919
    Collection
    • Journal articles

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