Health Care Costs of Older Persons With Cognitive Impairments

Coughlin, Teresa A.; Liu, Korbin

doi:10.1093/geront/29.2.173

Cited by 62 publications

(31 citation statements)

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“…The NYC AD sample is, on the whole, older, more impoverished, and less healthy than the other Sample chosen evidently to exclude subjects with formal care, f r o m Coughlin & Liu (1989), Table 3, excludes mild/no cognitive impairment group, f r o m Weinberger et al (1993), sum from Table 3 (Adult day care category interpreted as hrs/week). Estimate from Rice et al (1993), Exhibit 1, "Social Services," valued at $9 = 1 formal hour.…”

Section: Discussionmentioning

confidence: 99%

“…Although estimates of hourly care received by people with AD are now available (Coughlin & Liu, 1989;Ernst & Hay, 1994;Ernst, Hay, Fenn, Tinklenberg, & Yesavage, 1997;Hu, Huang, & Cartwright, 1986;Huang, Cartwright, & Hu, 1985;0stbye & Crosse, 1994;Rice et al, 1993;Souetre etal., 1995;Stommel, Collins, & Given, 1994;Weinberger et al, 1993), these have been based, for the most part, on clinic or tertiary care referral series and have mainly involved cross-sectional samples. Much less frequent are analyses using longitudinal panels (Tennstedt, Crawford, & McKinlay, 1993).…”

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confidence: 99%

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Hourly Care Received by People With Alzheimer's Disease: Results From an Urban, Community Survey

et al. 1998

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People with Alzheimer's disease living in a defined community in New York City were identified and assessed on two occasions to determine the number of hours of activities of daily living (ADL) care they received. Nearly half received all care hours from informal sources; however, a quarter received all ADL care hours from formal sources. The mean number of daily ADL hours in the sample was 9.7, of which 4.2 came from formal sources. This reflects the extensive use of Medicaid-based home care services in New York City. As dementia worsened, substitution of formal for informal care was rare, but formal care assumed a greater proportion of total care hours.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Hourly Care Received by People With Alzheimer's Disease: Results From an Urban, Community Survey

et al. 1998

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“…According to estimates on the incidence and prevalence of Alzheimer's disease, net expected direct costs for these patients were projected to have been $9578 in 1983; over half involved nursing home care.5 Another report using aggregated data estimated the total direct cost of senile dementia to be $13.3 billion; of $6.4 billion in medical costs, 40%o were expended in nursing homes.6 Data from the National Long-Term Channeling Demonstration project indicated that the estimated annual cost ofcommunity care for dementia patients is $11 700, compared with $22 300 for dementia patients receiving nursing home care. 7 Although these studies provide insights into the economic burden ofdementia, they lack primary data to assess the expense of caring for dementia patients. One …”

Section: Introductionmentioning

confidence: 99%

Expenditures in caring for patients with dementia who live at home.

Weinberger¹,

Gold²,

Divine³

et al. 1993

Am J Public Health

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OBJECTIVES. Given the national interest in progressive dementia, we estimated expenditures incurred in caring for dementia patients who live at home. METHODS. Primary caregivers of 264 patients from a university-based memory disorders clinic were interviewed at baseline and asked to keep service use diaries for 6 months; 141 caregivers who returned the diaries are the focus of this report. We examined both formal and informal services (distinguished by whether money was exchanged) and associated expenditures. RESULTS. Neither caregivers returning diaries nor their patients differed at baseline from those not returning diaries and their patients. Expenditures incurred over 6 months were extensive for both formal ($6986) and informal ($786) services. Out-of-pocket expenditures were high (e.g., in-home companion or sitter, adult day care, visiting nurse). Multivariable analyses indicated that patients with more severe symptoms of dementia and families with higher incomes reported significantly higher expenditures. CONCLUSIONS. The expense of caring for patients with progressive dementia living at home may be higher than previously estimated and frequently involves expenses paid directly by patients and their families.

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“…An estimated two to four million Americans suffer from dementia (Coughlin & Liu, 1989). This is not to say that dementia is an inevitable result of the aging process, but it is associated with a number of conditions and diseases which increase in prevalence with increasing age.…”

Section: Introductionmentioning

confidence: 99%

Reading comprehension in dementia of the Alzheimer's type : factual versus inferential

Graville¹

2000

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1 Leonard CainThe purpose of this study was to investigate the reading comprehension abilities of those with mild and moderate dementia of the Alzheimer's type (DAT) and compare their performance to that of a sample of non-demented elderly. Thirty-eight male subjects were used, 20 nondemented elderly, nine mild DAT and nine moderate DA1'. All were administered level B of the NRST. This test contains questions requiring three levels of inference:literal, translational, and high-level inference.Results indicated that the non-demented elderly subjects consistently performed significantly better than either of the demented groups in all areas of performance.The mildly demented performed consistently better than the moderately demented across all levels of performance. The exception was that no significant difference was seen between the demented groups in translational scores. The results did not indicate the predicted pattern of best performance on literal questions and worst performance on high level inference questions for all subjects. This raised questions about the validity of the NRST and its ability to differentiate between levels of inference.

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Health Care Costs of Older Persons With Cognitive Impairments

Cited by 62 publications

References 0 publications

Hourly Care Received by People With Alzheimer's Disease: Results From an Urban, Community Survey

Hourly Care Received by People With Alzheimer's Disease: Results From an Urban, Community Survey

Expenditures in caring for patients with dementia who live at home.

Reading comprehension in dementia of the Alzheimer's type : factual versus inferential

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