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Factors associated with costs of care in community-dwelling persons with dementia from a third party payer and societal perspective : a cross-sectional study

(2020) BMC GERIATRICS. 20(1).
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Abstract
Background: Besides the importance of estimating the global economic impact of care for persons with dementia, there is an emerging need to identify the key factors associated with this cost. The aim of this study was to analyze associations between the cost of care in community-dwelling persons with dementia and caregiver characteristics from both the healthcare third party payer perspective and the societal perspective. Methods: Several characteristics based on the cross-sectional data of 355 dyads of informal caregivers and persons with dementia living in Belgium were identified to include in a log-gamma generalized linear model and were used in a multiple linear regression model with bootstrapping to test robustness. Results: The mean monthly cost of care for a community-dwelling person with dementia was estimated at euro 2339 (95% CI euro 2133 - euro 2545) per person from a societal perspective and at euro 968 (95% CI euro 825 - euro 1111) per person from a third party payer viewpoint. Informal care accounted for the majority of the monthly costs from the societal perspective. Community based healthcare resource use represented the largest cost from the third party perspective. According to the regression analyses, a higher level of functional dependency of the person with dementia and a higher educational level of the caregiver were associated with a higher monthly cost from both a third party payer perspective and a societal perspective. In addition, being retired and a higher quality of life in the caregivers were associated with a lower monthly cost of care from the societal perspective. Conclusions: Several characteristics of the caregiver and the person with dementia were associated with the monthly costs of care from a third party payer and a societal perspective. Despite the lack of clear causal relationships, the results of this study can assist policy makers in planning and financing future dementia care.
Keywords
Healthcare costs, Resource use, Dementia, Community-dwelling, ALZHEIMERS-DISEASE, INFORMAL CARE, RESOURCE UTILIZATION, EUROPEAN COUNTRIES, RUD INSTRUMENT, HEALTH-CARE, DETERMINANTS, PREDICTORS, PEOPLE, TIME

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MLA
Vandepitte, Sophie, et al. “Factors Associated with Costs of Care in Community-Dwelling Persons with Dementia from a Third Party Payer and Societal Perspective : A Cross-Sectional Study.” BMC GERIATRICS, vol. 20, no. 1, 2020, doi:10.1186/s12877-020-1414-6.
APA
Vandepitte, S., Van Wilder, L., Putman, K., Van Den Noortgate, N., Verhaeghe, S., Trybou, J., & Annemans, L. (2020). Factors associated with costs of care in community-dwelling persons with dementia from a third party payer and societal perspective : a cross-sectional study. BMC GERIATRICS, 20(1). https://doi.org/10.1186/s12877-020-1414-6
Chicago author-date
Vandepitte, Sophie, Lisa Van Wilder, K Putman, Nele Van Den Noortgate, Sofie Verhaeghe, Jeroen Trybou, and Lieven Annemans. 2020. “Factors Associated with Costs of Care in Community-Dwelling Persons with Dementia from a Third Party Payer and Societal Perspective : A Cross-Sectional Study.” BMC GERIATRICS 20 (1). https://doi.org/10.1186/s12877-020-1414-6.
Chicago author-date (all authors)
Vandepitte, Sophie, Lisa Van Wilder, K Putman, Nele Van Den Noortgate, Sofie Verhaeghe, Jeroen Trybou, and Lieven Annemans. 2020. “Factors Associated with Costs of Care in Community-Dwelling Persons with Dementia from a Third Party Payer and Societal Perspective : A Cross-Sectional Study.” BMC GERIATRICS 20 (1). doi:10.1186/s12877-020-1414-6.
Vancouver
1.
Vandepitte S, Van Wilder L, Putman K, Van Den Noortgate N, Verhaeghe S, Trybou J, et al. Factors associated with costs of care in community-dwelling persons with dementia from a third party payer and societal perspective : a cross-sectional study. BMC GERIATRICS. 2020;20(1).
IEEE
[1]
S. Vandepitte et al., “Factors associated with costs of care in community-dwelling persons with dementia from a third party payer and societal perspective : a cross-sectional study,” BMC GERIATRICS, vol. 20, no. 1, 2020.
@article{8646131,
  abstract     = {{Background: Besides the importance of estimating the global economic impact of care for persons with dementia, there is an emerging need to identify the key factors associated with this cost. The aim of this study was to analyze associations between the cost of care in community-dwelling persons with dementia and caregiver characteristics from both the healthcare third party payer perspective and the societal perspective. 

Methods: Several characteristics based on the cross-sectional data of 355 dyads of informal caregivers and persons with dementia living in Belgium were identified to include in a log-gamma generalized linear model and were used in a multiple linear regression model with bootstrapping to test robustness.

Results: The mean monthly cost of care for a community-dwelling person with dementia was estimated at euro 2339 (95% CI euro 2133 - euro 2545) per person from a societal perspective and at euro 968 (95% CI euro 825 - euro 1111) per person from a third party payer viewpoint. Informal care accounted for the majority of the monthly costs from the societal perspective. Community based healthcare resource use represented the largest cost from the third party perspective. According to the regression analyses, a higher level of functional dependency of the person with dementia and a higher educational level of the caregiver were associated with a higher monthly cost from both a third party payer perspective and a societal perspective. In addition, being retired and a higher quality of life in the caregivers were associated with a lower monthly cost of care from the societal perspective.

Conclusions: Several characteristics of the caregiver and the person with dementia were associated with the monthly costs of care from a third party payer and a societal perspective. Despite the lack of clear causal relationships, the results of this study can assist policy makers in planning and financing future dementia care.}},
  articleno    = {{18}},
  author       = {{Vandepitte, Sophie and Van Wilder, Lisa and Putman, K and Van Den Noortgate, Nele and Verhaeghe, Sofie and Trybou, Jeroen and Annemans, Lieven}},
  issn         = {{1471-2318}},
  journal      = {{BMC GERIATRICS}},
  keywords     = {{Healthcare costs,Resource use,Dementia,Community-dwelling,ALZHEIMERS-DISEASE,INFORMAL CARE,RESOURCE UTILIZATION,EUROPEAN COUNTRIES,RUD INSTRUMENT,HEALTH-CARE,DETERMINANTS,PREDICTORS,PEOPLE,TIME}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{13}},
  title        = {{Factors associated with costs of care in community-dwelling persons with dementia from a third party payer and societal perspective : a cross-sectional study}},
  url          = {{http://dx.doi.org/10.1186/s12877-020-1414-6}},
  volume       = {{20}},
  year         = {{2020}},
}

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