Dementia care costs and the patient's quality of life (QoL) in Taiwan: Home versus institutional care services

Kuo, Yu-Chun; Lan, Chung Fu; Chen, Liang‐Kung; Lan, Virginia M.

doi:10.1016/j.archger.2009.10.001

Cited by 25 publications

(36 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Elderly people with 24 dementia living in their own home tended to report higher QoL than those living in care institutions. This is supported by four studies (Kuo et al, 2010;Nikmat et al, 2015;Salvador et al, 2000;Winzelberg et al, 2005). Besides, recognised that elderly people with dementia in residential care/assisted living settings showed higher QoL than those in nursing homes.…”

Section: Religious Environmental and Other Factorssupporting

confidence: 65%

“…Most care institutions provide various facilities and professional care for elderly people with dementia, which is usually regarded as benefit for them; however, studies comparing QoL between elderly people with dementia in the community and those living in care institutions showed that living in the community contributed to a better QoL of elderly people with dementia (Nikmat et al, 2015;Kuo et al, 2010;Winzelberg et al, 2005). In addition, Borowiak & Kostka (2004) pointed out that determinants of QoL in older adults are different between in the communities and care institutions.…”

Section: Dementia and Quality Of Life (Qol)mentioning

confidence: 99%

See 1 more Smart Citation

Factors influencing quality of life of elderly people with dementia and care implications: A systematic review

Jing

Willis

Feng

2016

Archives of Gerontology and Geriatrics

121

117

View full text Add to dashboard Cite

Background: Identifying factors associated with Quality of Life (QoL) of elderly people with dementia could contribute to finding pathways to improve QoL for elderly people in dementia.Aim: This paper systematically reviews all possible factors that influence QoL of elderly people with dementia, identifies how these factors are different by different stages of dementia and living settings, and explores how the influencing factors could be perceive differently by elderly people with dementia, family members, and caregivers.

show abstract

Section: Religious Environmental and Other Factorssupporting

confidence: 65%

Section: Dementia and Quality Of Life (Qol)mentioning

confidence: 99%

Factors influencing quality of life of elderly people with dementia and care implications: A systematic review

Jing

Willis

Feng

2016

Archives of Gerontology and Geriatrics

121

117

View full text Add to dashboard Cite

show abstract

“…That way, the economic value of informal care is €2100 in mild and €2400 in moderate dementia covering around 50% respectively 33% of total costs. Other studies differentiated opportunity costs of lost leisure time and forgone working hours [43], assigned small flat-rate amounts [8] or relied on the caregivers' individual wage rate [42]. These approaches led altogether to more conservative cost estimates than ours.…”

Section: Discussionmentioning

confidence: 96%

“…Primary data sources in contrast enable investigation of cognition status, functional dependency level, occurrence of disruptive behavior as well as sociodemographic information. Costs of dementia care do not depend on cognition as a single item [7,8,42]but are the result of complex mutual interaction mechanisms between cognition, function, behavior, care setting, concurrent comorbid conditions, service utilization patterns, and prescription habits. The latter elements are traceable in claims data.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2011

View full text Add to dashboard Cite

Due to valued informal care, costs of care for community-living patients with moderate dementia are significantly higher than for patients with mild dementia. Informal care is a non-cash item saving expenditures for professional care. To relieve social security system and family caregivers as well as to allow dementia patients to stay at home as long as possible, concepts fostering community-based dementia care and support to family caregivers need to be further developed.

show abstract

“…Recent literature suggests that for people with dementia with high levels of physical dependence, residential care can be less costly to provide at a societal level than home-based care [10–12]. This is primarily because of the high informal care costs for society arising from time spent by family and friends on supervision and care in home based settings [10, 11]. …”

Section: Introductionmentioning

confidence: 99%

Where’s the evidence? a systematic review of economic analyses of residential aged care infrastructure

Easton

Milte

Crotty

et al. 2017

BMC Health Serv Res

View full text Add to dashboard Cite

BackgroundResidential care infrastructure, in terms of the characteristics of the organisation (such as proprietary status, size, and location) and the physical environment, have been found to directly influence resident outcomes. This review aimed to summarise the existing literature of economic evaluations of residential care infrastructure.MethodsA systematic review of English language articles using AgeLine, CINAHL, Econlit, Informit (databases in Health; Business and Law; Social Sciences), Medline, ProQuest, Scopus, and Web of Science with retrieval up to 14 December 2015. The search strategy combined terms relating to nursing homes, economics, and older people. Full economic evaluations, partial economic evaluations, and randomised trials reporting more limited economic information, such as estimates of resource use or costs of interventions were included. Data was extracted using predefined data fields and synthesized in a narrative summary to address the stated review objective.ResultsFourteen studies containing an economic component were identified. None of the identified studies attempted to systematically link costs and outcomes in the form of a cost-benefit, cost-effectiveness, or cost-utility analysis. There was a wide variation in approaches taken for valuing the outcomes associated with differential residential care infrastructures: 8 studies utilized various clinical outcomes as proxies for the quality of care provided, and 2 focused on resident outcomes including agitation, quality of life, and the quality of care interactions. Only 2 studies included residents living with dementia.ConclusionsRobust economic evidence is needed to inform aged care facility design. Future research should focus on identifying appropriate and meaningful outcome measures that can be used at a service planning level, as well as the broader health benefits and cost-saving potential of different organisational and environmental characteristics in residential care.Trial registrationInternational Prospective Register of Systematic Reviews (PROSPERO) registration number CRD42015015977.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-017-2165-8) contains supplementary material, which is available to authorized users.

show abstract

Dementia care costs and the patient's quality of life (QoL) in Taiwan: Home versus institutional care services

Cited by 25 publications

References 21 publications

Factors influencing quality of life of elderly people with dementia and care implications: A systematic review

Factors influencing quality of life of elderly people with dementia and care implications: A systematic review

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

Where’s the evidence? a systematic review of economic analyses of residential aged care infrastructure

Contact Info

Product

Resources

About