Differences in resource use and costs of dementia care between European countries: Baseline data from the ictus study

Gustavsson, Anders; Jönsson, Linus; Rapp, Thomas; Reynish, Emma; Ousset, Pierre‐Jean; Andrieu, Sandrine; Cantet, Christelle; Winblad, Bengt; Vellas, Bruno; Wimo, Anders

doi:10.1007/s12603-010-0311-7

Cited by 83 publications

(102 citation statements)

References 20 publications

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“…As French patients use more community care services overall, they may be receiving assistance for self-care tasks from external sources, such as district nurses or home helps (as indicated by the greater frequency of district nurse visits and increased likelihood of home aid visits, similar to findings from the ICTUS study [2]). Community-dwelling patients aged over 60 years and needing assistance with ADL in France can receive a means-tested allowance (Allocation Personnalisée d'Autonomie [APA]) to encourage use of professional services [25].…”

Section: Informal Caregiver Timementioning

confidence: 71%

“…Total societal costs of caring for patients with Alzheimer's disease (AD) dementia vary across countries or regions of Europe with different health care systems [1,2]. 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].…”

Section: Introductionmentioning

confidence: 99%

“…Differences exist in resource utilization between countries [2], although there may also be regional variations in the delivery of care within countries.…”

Section: Introductionmentioning

confidence: 99%

“…However, few studies have examined resource use in multiple countries, have a large sample size with a prospective follow-up, or use standardized measures of resource use [1]. Resource use has been studied within the mild and moderate AD dementia population [2] rather than across the full range of AD dementia stages.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Informal Caregiver Timementioning

confidence: 71%

Section: Introductionmentioning

confidence: 99%

“…Differences exist in resource utilization between countries [2], although there may also be regional variations in the delivery of care within countries.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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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“…Among many interesting findings and suggestions, three main conclusions emerge from that special issue (23)(24)(25)(26)(27)(28)(29)(30), which bring guidance for future research on the health economics of AD. New creative pharmacoeconomics models are needed.…”

Section: Resultsmentioning

confidence: 95%

Editorial

Rapp

2010

The Journal of nutrition, health and aging

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Projections of costs and quality adjusted life years lost due to dementia from 2020 to 2050: A population‐based microsimulation study

Brück

Wolters

Ikram

et al. 2023

Alzheimer's & Dementia

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IntroductionEfficient healthcare planning requires reliable projections of the future increase in costs and quality‐adjusted life years (QALYs) lost due to dementia.MethodsWe used the microsimulation model MISCAN‐Dementia to simulate life histories and dementia occurrence using population‐based Rotterdam Study data and nationwide birth cohort demographics. We estimated costs and QALYs lost in the Netherlands from 2020 to 2050, incorporating literature estimates of cost and utility for patients and caregivers by dementia severity and care setting.ResultsSocietal costs and QALYs lost due to dementia are estimated to double between 2020 and 2050. Costs are incurred predominantly through institutional (34%), formal home (31%), and informal home care (20%). Lost QALYs are mostly due to shortened life expectancy (67%) and, to a lesser extent, quality of life with severe dementia (14%).DiscussionTo limit healthcare costs and quality of life losses due to dementia, interventions are needed that slow symptom progression and reduce care dependency.

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Differences in resource use and costs of dementia care between European countries: Baseline data from the ictus study

Cited by 83 publications

References 20 publications

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

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

Editorial

Projections of costs and quality adjusted life years lost due to dementia from 2020 to 2050: A population‐based microsimulation study

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