View in EDS

The main cost drivers in dementia: a systematic review.

Saved in:
Bibliographic Details
Title: The main cost drivers in dementia: a systematic review.
Authors: Schaller, Sandra, Mauskopf, Josephine, Kriza, Christine, Wahlster, Philip, Kolominsky‐Rabas, Peter L.
Source: International Journal of Geriatric Psychiatry. Feb2015, Vol. 30 Issue 2, p111-129. 19p. 6 Charts, 1 Graph.
Subjects: Dementia, Medical care costs, PubMed (Online service), Great Britain. National Health Service, Long-term care insurance
Abstract: Objectives Because of the increasing prevalence of dementia worldwide, combined with limited healthcare expenditures, a better understanding of the main cost drivers of dementia in different care settings is needed. Methods A systematic review of cost-of-illness (COI) studies in dementia was conducted from 2003 to 2012, searching the following databases: PubMed (Medline), Cochrane Library, ScienceDirect (Embase) and National Health Service Economic Evaluations Database. Costs (per patient) by care setting were analyzed for total, direct, indirect and informal costs and related to the following: (1) cost perspective and (2) disease severity. Results In total, 27 studies from 14 different healthcare systems were evaluated. In the included studies, total annual costs for dementia of up to $70,911 per patient (mixed setting) were estimated (average estimate of total costs = $30,554). The shares of cost categories in the total costs for dementia indicate significant differences for different care settings. Overall main cost drivers of dementia are informal costs due to home based long term care and nursing home expenditures rather than direct medical costs (inpatient and outpatient services, medication). Conclusions The results of this review highlight the significant economic burden of dementia for patients, families and healthcare systems and thus are important for future health policy planning. The significant variation of cost estimates for different care settings underlines the need to understand and address the financial burden of dementia from both perspectives. For health policy planning in dementia, future COI studies should follow a quality standard protocol with clearly defined cost components and separate estimates by care setting and disease severity. Copyright © 2014 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]
Copyright of International Journal of Geriatric Psychiatry is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
FullText Text:
  Availability: 0
Header DbId: pbh
DbLabel: Psychology and Behavioral Sciences Collection
An: 100399184
AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
PreciseRelevancyScore: 0
IllustrationInfo
Items – Name: Title
  Label: Title
  Group: Ti
  Data: The main cost drivers in dementia: a systematic review.
– Name: Author
  Label: Authors
  Group: Au
  Data: <searchLink fieldCode="AR" term="%22Schaller%2C+Sandra%22">Schaller, Sandra</searchLink><br /><searchLink fieldCode="AR" term="%22Mauskopf%2C+Josephine%22">Mauskopf, Josephine</searchLink><br /><searchLink fieldCode="AR" term="%22Kriza%2C+Christine%22">Kriza, Christine</searchLink><br /><searchLink fieldCode="AR" term="%22Wahlster%2C+Philip%22">Wahlster, Philip</searchLink><br /><searchLink fieldCode="AR" term="%22Kolominsky‐Rabas%2C+Peter+L%2E%22">Kolominsky‐Rabas, Peter L.</searchLink>
– Name: TitleSource
  Label: Source
  Group: Src
  Data: <searchLink fieldCode="JN" term="%22International+Journal+of+Geriatric+Psychiatry%22">International Journal of Geriatric Psychiatry</searchLink>. Feb2015, Vol. 30 Issue 2, p111-129. 19p. 6 Charts, 1 Graph.
– Name: Subject
  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Dementia%22">Dementia</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+costs%22">Medical care costs</searchLink><br /><searchLink fieldCode="DE" term="%22PubMed+%28Online+service%29%22">PubMed (Online service)</searchLink><br /><searchLink fieldCode="DE" term="%22Great+Britain%2E+National+Health+Service%22">Great Britain. National Health Service</searchLink><br /><searchLink fieldCode="DE" term="%22Long-term+care+insurance%22">Long-term care insurance</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objectives Because of the increasing prevalence of dementia worldwide, combined with limited healthcare expenditures, a better understanding of the main cost drivers of dementia in different care settings is needed. Methods A systematic review of cost-of-illness (COI) studies in dementia was conducted from 2003 to 2012, searching the following databases: PubMed (Medline), Cochrane Library, ScienceDirect (Embase) and National Health Service Economic Evaluations Database. Costs (per patient) by care setting were analyzed for total, direct, indirect and informal costs and related to the following: (1) cost perspective and (2) disease severity. Results In total, 27 studies from 14 different healthcare systems were evaluated. In the included studies, total annual costs for dementia of up to $70,911 per patient (mixed setting) were estimated (average estimate of total costs = $30,554). The shares of cost categories in the total costs for dementia indicate significant differences for different care settings. Overall main cost drivers of dementia are informal costs due to home based long term care and nursing home expenditures rather than direct medical costs (inpatient and outpatient services, medication). Conclusions The results of this review highlight the significant economic burden of dementia for patients, families and healthcare systems and thus are important for future health policy planning. The significant variation of cost estimates for different care settings underlines the need to understand and address the financial burden of dementia from both perspectives. For health policy planning in dementia, future COI studies should follow a quality standard protocol with clearly defined cost components and separate estimates by care setting and disease severity. Copyright © 2014 John Wiley & Sons, Ltd. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of International Journal of Geriatric Psychiatry is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=100399184
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1002/gps.4198
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 19
        StartPage: 111
    Subjects:
      – SubjectFull: Dementia
        Type: general
      – SubjectFull: Medical care costs
        Type: general
      – SubjectFull: PubMed (Online service)
        Type: general
      – SubjectFull: Great Britain. National Health Service
        Type: general
      – SubjectFull: Long-term care insurance
        Type: general
    Titles:
      – TitleFull: The main cost drivers in dementia: a systematic review.
        Type: main
  BibRelationships:
    HasContributorRelationships:
      – PersonEntity:
          Name:
            NameFull: Schaller, Sandra
      – PersonEntity:
          Name:
            NameFull: Mauskopf, Josephine
      – PersonEntity:
          Name:
            NameFull: Kriza, Christine
      – PersonEntity:
          Name:
            NameFull: Wahlster, Philip
      – PersonEntity:
          Name:
            NameFull: Kolominsky‐Rabas, Peter L.
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 01
              M: 02
              Text: Feb2015
              Type: published
              Y: 2015
          Identifiers:
            – Type: issn-print
              Value: 08856230
          Numbering:
            – Type: volume
              Value: 30
            – Type: issue
              Value: 2
          Titles:
            – TitleFull: International Journal of Geriatric Psychiatry
              Type: main
ResultId 1