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Cost‐effectiveness of an in‐home respite care program to support informal caregivers of persons with dementia : a model‐based analysis

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Abstract
Objectives To evaluate cost-effectiveness of an in-home respite care program in addition to standard community-based dementia care to support informal caregivers of persons with dementia compared with standard community-based dementia care. Methods An age-dependent decision-analytic Markov model was applied from a third-party payer and a societal perspective projecting results of a quasi-experimental study over a time horizon of 5 years assuming a repetition of the program every 6 months. Additionally, to deal with uncertainty and to test robustness of the model scenario, one-way and probabilistic sensitivity analyses were conducted. Results Implementing the program resulted in a quality-adjusted life year (QALY) gain of 0.14 in favor of the invention group compared with controls and an incremental cost of 1270euro from the third-party payer perspective and of 1220euro from the societal perspective. Next, an incremental cost-effectiveness ratio of 9042euro/QALY and of 8690euro/QALY was found in the base case, from the third-party payer perspective and the societal perspective, respectively. The scenario, one-way sensitivity, and probabilistic analyses demonstrated robustness of the base-case results. Conclusion This cost-effectiveness analysis suggests that an in-home respite care program in addition to standard community-based dementia care is a cost-effective approach compared with standard community-based dementia care only. These findings provide more insight into the value of such services for the patient, the caregiver, and for society.
Keywords
cost-effectiveness, dementia, informal care, in-home respite care, ALZHEIMERS-DISEASE, RESOURCE UTILIZATION, RUD INSTRUMENT, TIME, PREDICTORS, INSTITUTIONALIZE, DETERMINANTS, PEOPLE, DESIRE, MILD

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MLA
Vandepitte, Sophie, et al. “Cost‐effectiveness of an In‐home Respite Care Program to Support Informal Caregivers of Persons with Dementia : A Model‐based Analysis.” INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, vol. 35, no. 6, 2020, pp. 601–09, doi:10.1002/gps.5276.
APA
Vandepitte, S., Putman, K., Van Den Noortgate, N., Verhaeghe, N., & Annemans, L. (2020). Cost‐effectiveness of an in‐home respite care program to support informal caregivers of persons with dementia : a model‐based analysis. INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, 35(6), 601–609. https://doi.org/10.1002/gps.5276
Chicago author-date
Vandepitte, Sophie, Koen Putman, Nele Van Den Noortgate, Nick Verhaeghe, and Lieven Annemans. 2020. “Cost‐effectiveness of an In‐home Respite Care Program to Support Informal Caregivers of Persons with Dementia : A Model‐based Analysis.” INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY 35 (6): 601–9. https://doi.org/10.1002/gps.5276.
Chicago author-date (all authors)
Vandepitte, Sophie, Koen Putman, Nele Van Den Noortgate, Nick Verhaeghe, and Lieven Annemans. 2020. “Cost‐effectiveness of an In‐home Respite Care Program to Support Informal Caregivers of Persons with Dementia : A Model‐based Analysis.” INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY 35 (6): 601–609. doi:10.1002/gps.5276.
Vancouver
1.
Vandepitte S, Putman K, Van Den Noortgate N, Verhaeghe N, Annemans L. Cost‐effectiveness of an in‐home respite care program to support informal caregivers of persons with dementia : a model‐based analysis. INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY. 2020;35(6):601–9.
IEEE
[1]
S. Vandepitte, K. Putman, N. Van Den Noortgate, N. Verhaeghe, and L. Annemans, “Cost‐effectiveness of an in‐home respite care program to support informal caregivers of persons with dementia : a model‐based analysis,” INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, vol. 35, no. 6, pp. 601–609, 2020.
@article{8653929,
  abstract     = {{Objectives To evaluate cost-effectiveness of an in-home respite care program in addition to standard community-based dementia care to support informal caregivers of persons with dementia compared with standard community-based dementia care.

Methods An age-dependent decision-analytic Markov model was applied from a third-party payer and a societal perspective projecting results of a quasi-experimental study over a time horizon of 5 years assuming a repetition of the program every 6 months. Additionally, to deal with uncertainty and to test robustness of the model scenario, one-way and probabilistic sensitivity analyses were conducted.

Results Implementing the program resulted in a quality-adjusted life year (QALY) gain of 0.14 in favor of the invention group compared with controls and an incremental cost of 1270euro from the third-party payer perspective and of 1220euro from the societal perspective. Next, an incremental cost-effectiveness ratio of 9042euro/QALY and of 8690euro/QALY was found in the base case, from the third-party payer perspective and the societal perspective, respectively. The scenario, one-way sensitivity, and probabilistic analyses demonstrated robustness of the base-case results.

Conclusion This cost-effectiveness analysis suggests that an in-home respite care program in addition to standard community-based dementia care is a cost-effective approach compared with standard community-based dementia care only. These findings provide more insight into the value of such services for the patient, the caregiver, and for society.}},
  author       = {{Vandepitte, Sophie and Putman, Koen and Van Den Noortgate, Nele and Verhaeghe, Nick and Annemans, Lieven}},
  issn         = {{0885-6230}},
  journal      = {{INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY}},
  keywords     = {{cost-effectiveness,dementia,informal care,in-home respite care,ALZHEIMERS-DISEASE,RESOURCE UTILIZATION,RUD INSTRUMENT,TIME,PREDICTORS,INSTITUTIONALIZE,DETERMINANTS,PEOPLE,DESIRE,MILD}},
  language     = {{eng}},
  number       = {{6}},
  pages        = {{601--609}},
  title        = {{Cost‐effectiveness of an in‐home respite care program to support informal caregivers of persons with dementia : a model‐based analysis}},
  url          = {{http://dx.doi.org/10.1002/gps.5276}},
  volume       = {{35}},
  year         = {{2020}},
}

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