Costs of Care for Dementia Patients in Community Setting: An Analysis for Mild and Moderate Disease Stage

Schwarzkopf, Larissa; Menn, Petra; Kunz, Simone; Holle, Rolf; Lauterberg, Jörg; Marx, Peter W.; Mehlig, Hilmar; Wunder, Sonja; Leidl, Reiner; Donath, Carolin; Graessel, Elmar

doi:10.1016/j.jval.2011.04.005

Cited by 82 publications

(109 citation statements)

References 39 publications

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“…In this analysis, diagnosed patients had more comorbidities, which could cause a higher need of differentiated outpatient physician treatments. However, less treatment by outpatient physicians in the progression of dementia diseases is out of line with published studies, which frequently state constant or higher outpatient physician treatments for more cognitively impaired PWD (Leicht et al, 2011;Schwarzkopf et al, 2011). It is questionable whether a formal diagnosis for dementia leads to inadequate outpatient treatment or if the outpatient treatment is managed more effectively to reduce the patient's burden after receiving a formal diagnosis of dementia.…”

Section: Differences In Resource Utilization and Costs Depending On Dmentioning

confidence: 96%

Healthcare resource utilization and cost in dementia: are there differences between patients screened positive for dementia with and those without a formal diagnosis of dementia in primary care in Germany?

Michalowsky

Eichler

Thyrian

et al. 2015

Int. Psychogeriatr.

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Section: Differences In Resource Utilization and Costs Depending On Dmentioning

confidence: 96%

Healthcare resource utilization and cost in dementia: are there differences between patients screened positive for dementia with and those without a formal diagnosis of dementia in primary care in Germany?

Michalowsky

Eichler

Thyrian

et al. 2015

Int. Psychogeriatr.

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“…These findings are similar to those from earlier studies that reported higher healthcare resource utilization and costs for individuals with Alzheimer's disease and dementia when compared with individuals without these conditions. [31][32][33][34] Individuals diagnosed with dementia are more likely to also be diagnosed with other comorbidities, 35 and to report greater difficulties in instrumental activities of daily living. 36 As a result, individuals with dementia may tend to use more LTC services and therefore incur higher LTC expenditure than non-dementia individuals.…”

Section: Discussionmentioning

confidence: 99%

The determinants of long-term care expenditure and their interactions

Lin

Otsubo

Sasaki

et al. 2016

International Journal of Healthcare Management

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Objective: A cross-sectional study was conducted to examine the factors associated with long-term care (LTC) expenditure among LTC service users in Kyoto Prefecture, Japan. Method: Using descriptive statistics and multiple linear regression analysis, we investigated the associations of gender, dementia, service type, and other factors with LTC expenditure. Result: Our regression analysis showed that older age, women, and higher care needs levels were significantly associated with higher LTC expenditure. Furthermore, women who used home care and community-based/other care services had higher expenditures than men who used the same services. In contrast, men who used facility care services had higher expenditures than women. Service users with dementia were also found to be significantly associated with higher LTC expenditure. Conclusion: There is a need for policy interventions that focus on gender differences and dementia when developing care service plans to ensure the sustainability of the LTC system.

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“…Available cost studies from several European countries show a strong positive relationship between disease severity and total costs of care [1,[3][4][5][6][7][8]. Informal care costs form the major component of societal costs for community-dwelling AD dementia patients [8][9][10][11], and the cost of institutional care is the other main cost driver in the long-term care of patients with AD dementia [12].…”

Section: Introductionmentioning

confidence: 99%

What Drives Country Differences in Cost of Alzheimer’s Disease? An Explanation from Resource Use in the GERAS Study

Reed

Happich

Argimón³

et al. 2017

JAD

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Abstract.Background: Country differences in resource use and costs of Alzheimer's disease (AD) may be driven by differences in health care systems and resource availability. Objective: To compare country resource utilization drivers of societal costs for AD dementia over 18 months. Methods: GERAS is an observational study in France (n = 419), Germany (n = 550), and the UK (n = 526). Resource use of AD patients and caregivers contributing to >1% of total societal costs (year 2010) was assessed for country differences, adjusting for participant characteristics. Caregiver time spent on basic and instrumental activities of daily living (ADL) contributed the most to societal costs (54% France, 64% Germany, 65% UK). Caregivers in France spent less time on ADL than UK caregivers and missed fewer work days than in other countries. Compared with other countries, patients in France used more community care services overall and were more likely to use home aid. Patients in Germany were least likely to use temporary accommodation or to be institutionalized at 18 months. UK caregivers spent the most time on instrumental ADL, UK patients used fewest outpatient resources, and UK patients/caregivers were most likely to receive financial support. Conclusion: Caregiver time on ADL contributed the most to societal costs and differed across countries, possibly due to use of community care services and institutionalization. Other resources had different patterns of use across countries, reflecting country-specific health and social care systems.

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Costs of Care for Dementia Patients in Community Setting: An Analysis for Mild and Moderate Disease Stage

Cited by 82 publications

References 39 publications

Healthcare resource utilization and cost in dementia: are there differences between patients screened positive for dementia with and those without a formal diagnosis of dementia in primary care in Germany?

Healthcare resource utilization and cost in dementia: are there differences between patients screened positive for dementia with and those without a formal diagnosis of dementia in primary care in Germany?

The determinants of long-term care expenditure and their interactions

What Drives Country Differences in Cost of Alzheimer’s Disease? An Explanation from Resource Use in the GERAS Study

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