@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://doi.org/10.1002/gps.5276}},
  volume       = {{35}},
  year         = {{2020}},
}

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