• S Karande, S D'souza, N Gogtay, M Shiledar, and R Sholapurwala.
• Department of Pediatrics, Seth G.S. Medical College and K.E.M. Hospital, Parel, Mumbai, India.
• J Postgrad Med. 2019 Jul 1; 65 (3): 152-159.

AimsThe primary objective of the present study was to evaluate the economic burden of specific learning disability (SpLD) by estimating its direct, indirect, and intangible costs. A secondary objective was to assess the impact of variables on the economic burden.Settings And DesignCross-sectional single-arm descriptive study.SettingLearning disability clinic in a public medical college in Mumbai.Subjects And MethodsThe study cases (aged ≥8 years) were recruited by non-probability sampling. A structured questionnaire was used to interview the parent/guardian to collect data related to direct and indirect costs. Intangible costs data were collected by documenting the willingness-to-pay value using the contingent valuation technique.Statistical Analysis UsedA quantile regression model was used to assess the impact of predictor variables on the costs.ResultsThe direct, indirect, and intangible costs due to SpLD were Indian Rupees (INR) 5,936,053, 29,261,220, and 42,295,000, respectively. Indirect costs comprised 83.1% of the total costs. Expenditure on tuitions and remedial education comprised 61.61% and 64.39% of the indirect and direct costs, respectively. The average annual learning disability clinic costs were INR 2,169,888. The average annual total costs per student were INR 90,773. Longer duration of poor school performance was predictive of higher direct, indirect, and total costs; and higher socioeconomic status was predictive of lower intangible costs.ConclusionSpLD is a cost-intensive disability (intangible > indirect > direct costs). Tuitions, which are not the therapy for SpLD, are the most costly component of indirect costs. Remedial education is the most costly component of direct costs.

25 keywords...

hide…