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Cited by 48Dementia and Cognitive Impairment ResearchHealth Systems, Economic Evaluations, Quality of LifeGeriatric Care and Nursing Homes

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The Costs of Dementia From the Societal Perspective: Is Care Provided in the Community Really Cheaper than Nursing Home Care?

König, Hans-Helmut, Leicht, Hanna, Brettschneider, Christian, Bachmann, Cadja, Bickel, Horst, Fuchs, Angela, Jessen, Frank, Köhler, Mirjam, Luppa, Melanie, Mösch, Edelgard, Pentzek, Michael, Werle, Jochen, Weyerer, Siegfried, Wiese, Birgitt, Scherer, Martin, Maier, Wolfgang, Riedel-Heller, Steffi G.·2014·Journal of the American Medical Directors Association
DOI 10.1016/j.jamda.2013.10.003
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Abstract

Objective To compare the costs of care for community-dwelling dementia patients with the costs of care for dementia patients living in nursing homes from the societal perspective. Design Cross-sectional bottom-up cost of illness study nested within the multicenter German AgeCoDe-cohort. Setting Community and nursing homes. Participants One hundred twenty-eight community-dwelling dementia patients and 48 dementia patients living in nursing homes. Intervention None. Measurements Utilization and costs of medical care and long term care, including formal and informal social and nursing care based on proxy interviews. Informal care was valued using the replacement cost method. Results Unadjusted mean annual total costs including informal care were €29,930 ($43,997) for community-dwelling patients and €33,482 ($49,218) for patients living in nursing homes. However, multiple regression analysis controlling for age, sex, deficits in basic and instrumental activities of daily living and comorbidity showed that living in the community significantly increased total costs by €11,344 ($16,676; P < .01) compared with living in a nursing home, mainly due to higher costs of informal care (+€20,585; +$30,260; P < .001). Conclusion From the societal perspective care for dementia patients living in the community tends to cost more than care in nursing homes when functional impairment is controlled for.

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  • Some studies have found that care in the community can be more expensive than nursing home care when the cost of informal care is taken into account.

    “some studies have found that care in the community can be more expensive than nursing home care when the cost of informal care is taken into account.5”

    From Societal Costs of Dementia: 204 Countries, 2000–2019 (2024) · cites this paper as [5]

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Research works printed but not linked: 27

  1. Peters, 2010, Demographic change and disease rates: A projection until 2050, Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz, 53, 417, 10.1007/s00103-010-1050-y · DOI
  2. Quentin, 2010, Cost-of-illness studies of dementia: A systematic review focusing on stage dependency of costs, Acta Psychiatr Scand, 121, 243, 10.1111/j.1600-0447.2009.01461.x · DOI
  3. Schwarzkopf, 2013, Are community-living and institutionalized dementia patients cared for differently? Evidence on service utilization and costs of care from German insurance claims data, BMC Health Serv Res, 13, 2, 10.1186/1472-6963-13-2 · DOI
  4. van den Berg, 2004, Economic valuation of informal care. An overview of methods and applications, Eur J Health Econ, 5, 36, 10.1007/s10198-003-0189-y · DOI
  5. Leon, 1998, Alzheimer's disease care: Costs and potential savings, Health Aff, 17, 206, 10.1377/hlthaff.17.6.206 · DOI
  6. Scuvee-Moreau, 2002, National Dementia Economic Study Group. The economic impact of dementia in Belgium: Results of the National Dementia Economic Study (NADES), Acta Neuol Belg, 102, 104
  7. Chiu, 1999, Cost comparisons between family-based care and nursing home care for dementia, J Adv Nurs, 29, 1005, 10.1046/j.1365-2648.1999.00969.x · DOI
  8. Allegri, 2007, Economic impact of dementia in developing countries: An evaluation of costs of Alzheimer-type dementia in Argentina, Int Psychogeriatr, 19, 705, 10.1017/S1041610206003784 · DOI
  9. Beeri, 2002, Economic cost of Alzheimer disease in Israel, Alzheimer Dis Assoc Disord, 16, 73, 10.1097/00002093-200204000-00004 · DOI
  10. Luck, 2010, Risk factors for incident mild cognitive impairment—Results from the German Study on Ageing, Cognition and Dementia in Primary Care Patients (AgeCoDe), Acta Psychiatr Scand, 121, 260, 10.1111/j.1600-0447.2009.01481.x · DOI
  11. Zaudig, 1991, SIDAM: A structured interview for the diagnosis of dementia of the Alzheimer type, multi-infarct dementia and dementias of other aetiology according to ICD-10 and DSM-III-R, Psychol Med, 21, 225, 10.1017/S0033291700014811 · DOI
  12. Morris, 1993, The Clinical Dementia Rating (CDR)—Current version and scoring rules, Neurology, 43, 2412, 10.1212/WNL.43.11.2412-a · DOI · Paper page
  13. Folstein, 1975, Mini-Mental Stat— A practical method for grading the cognitive state of patients for the clinician, J Psychiatr Res, 12, 189, 10.1016/0022-3956(75)90026-6 · DOI · Paper page
  14. Mahoney, 1965, Functional evaluation: The Barthel Index, Md State Med J, 14, 61
  15. Lawton, 1969, Assessment of older people: Self-maintaining and instrumental activities of daily living, Gerontologist, 9, 179, 10.1093/geront/9.3_Part_1.179 · DOI · Paper page
  16. Neubauer, 2009, A valid instrument for measuring informal care time for people with dementia, Int J Geriatr Psychiatry, 24, 275, 10.1002/gps.2103 · DOI
  17. Wimo, 2007, Validity and reliability of assessments of time—Comparisons of direct observations and estimates of time by the use of the resource utilization in dementia (RUD)-instrument, Arch Gerontol Geriatr, 44, 71, 10.1016/j.archger.2006.03.001 · DOI
  18. de Meijer, 2010, The value of informal care—A further investigation of the feasibility of contingent valuation in informal caregivers, Health Econ, 19, 755, 10.1002/hec.1513 · DOI
  19. van den Berg, 2008, Economic valuation of informal care: Conjoint analysis applied in a heterogeneous population of informal caregivers, Value Health, 11, 1041, 10.1111/j.1524-4733.2008.00357.x · DOI
  20. van den Berg, 2005, The economic value of informal care: A study of informal caregivers' and patients' willingness to pay and willingness to accept for informal care, Health Econ, 14, 363, 10.1002/hec.980 · DOI
  21. van den Berg, 2005, Economic valuation of informal care: The contingent valuation method applied to informal caregiving, Health Econ, 14, 169, 10.1002/hec.893 · DOI
  22. Martinsson, 2006, Activity Index—A complementary ADL scale to the Barthel Index in the acute stage in patients with severe stroke, Cerebrovasc Dis, 22, 231, 10.1159/000094009 · DOI
  23. Zanetti, 1999, Contrasting results between caregiver's report and direct assessment of activities of daily living in patients affected by mild and very mild dementia: The contribution of the caregiver's personal characteristics, J Am Geriatr Soc, 47, 196, 10.1111/j.1532-5415.1999.tb04578.x · DOI
  24. Wolfs, 2012, Predictive factors for the objective burden of informal care in people with dementia: A systematic review, Alzheimer Dis Assoc Disord, 26, 197, 10.1097/WAD.0b013e31823a6108 · DOI
  25. Caron, 2006, Deciding on institutionalization for a relative with dementia: The most difficult decision for caregivers, Can J Aging, 25, 193, 10.1353/cja.2006.0033 · DOI · Paper page
  26. Krauth, 2005, Empirical standard costs for health economic evaluation in Germany—A proposal by the working group. Methods in Health Economic Evaluation, Gesundheitswesen, 67, 736, 10.1055/s-2005-858698 · DOI
  27. Posnett, 1996, Indirect cost in economic evaluation: The opportunity cost of unpaid inputs, Health Econ, 5, 13, 10.1002/(SICI)1099-1050(199601)5:1<13::AID-HEC182>3.0.CO;2-J · DOI

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Metadata

Authors
König, H.-H., Leicht, H., Brettschneider, C., Bachmann, C., Bickel, H., Fuchs, A., Jessen, F., Köhler, M., Luppa, M., Mösch, E., Pentzek, M., Werle, J., Weyerer, S., Wiese, B., Scherer, M., Maier, W., & Riedel-Heller, S. G.
Affiliations
  • University Medical Center Hamburg-Eppendorf (DE)
  • Technical University of Munich (DE)
  • University of Bonn (DE)
  • Leipzig University (DE)
  • Heinrich Heine University Düsseldorf (DE)
  • Heidelberg University (DE)
  • Medizinische Hochschule Hannover (DE)
Corresponding author
König, Hans-Helmut
ORCID
Venue
Journal of the American Medical Directors Association
Publisher
Elsevier BV
Published
2014-02
Volume
15
Issue
2
Pages
117-126
ISSN
1525-8610 (ISSN-L)
DOI
10.1016/j.jamda.2013.10.003
OpenAlex
W1967279077
Cited by
48
References
1
Citations by year
2026: 3 · 2025: 3 · 2024: 7 · 2023: 3 · 2022: 3 · 2021: 4 · 2020: 3 · 2019: 4 · 2018: 2 · 2017: 3 · 2016: 8 · 2015: 4 · 2014: 1
FWCI
3.06
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Journal of the American Medical Directors Association (publishedVersion)
  • PubMed (publishedVersion)
  • mediaTUM – the media and publications repository of the Technical University Munich (Technical University Munich) (submittedVersion)
  • mediaTUM (Technical University of Munich) (submittedVersion)
  • DZNE Pub (submittedVersion)
Funders
Bundesministerium für Bildung und Forschung (01ET1006B, 01GI0102, 01GI0420, 01GI0422, 01GI0423, 01GI0429, 01GI0431, 01GI0433, 01GI0434, 01GI0711, 01GI0712, 01GI0713, 01GI0714, 01GI0715, 01GI0716, O1GI0710)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
  • Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
  • Health Sciences › Medicine › Geriatrics and Gerontology › Geriatric Care and Nursing Homes
Keywords
dementia, economic burden, nursing homes, community-dwelling older adults, informal care, long-term care costs, societal perspective, activities of daily living, functional disability, health care utilization
MeSH terms
Activities of Daily Living, Aged, Aged, 80 and over, Ambulatory Care, Cross-Sectional Studies, Dementia, Disability Evaluation, Female, Germany, Home Care Services, Hospitalization, Humans, Male, Nursing Homes, Regression Analysis, Severity of Illness Index, Caregivers

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