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Determinants of time to institutionalisation and related healthcare and societal costs in a community-based cohort of patients with Alzheimer’s disease dementia

Author

Listed:
  • Mark Belger

    (Eli Lilly and Company Limited)

  • Josep Maria Haro

    (Universitat de Barcelona)

  • Catherine Reed

    (Eli Lilly and Company Limited)

  • Michael Happich

    (Eli Lilly and Company Limited)

  • Josep Maria Argimon

    (Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS))

  • Giuseppe Bruno

    (Sapienza University of Rome)

  • Richard Dodel

    (Essen University Hospital)

  • Roy W. Jones

    (Royal United Hospital)

  • Bruno Vellas

    (INSERM 1027)

  • Anders Wimo

    (Karolinska Institutet
    Uppsala University/County Council of Gävleborg)

Abstract

Objectives To examine the costs of caring for community-dwelling patients with Alzheimer’s disease (AD) dementia in relation to the time to institutionalisation. Methods GERAS was a prospective, non-interventional cohort study in community-dwelling patients with AD dementia and their caregivers in three European countries. Using identified factors associated with time to institutionalisation, models were developed to estimate the time to institutionalisation for all patients. Estimates of monthly total societal costs, patient healthcare costs and total patient costs (healthcare and social care together) prior to institutionalisation were developed as a function of the time to institutionalisation. Results Of the 1495 patients assessed at baseline, 307 (20.5%) were institutionalised over 36 months. Disease severity at baseline [based on Mini-Mental State Examination (MMSE) scores] was associated with risk of being institutionalised during follow up (p

Suggested Citation

  • Mark Belger & Josep Maria Haro & Catherine Reed & Michael Happich & Josep Maria Argimon & Giuseppe Bruno & Richard Dodel & Roy W. Jones & Bruno Vellas & Anders Wimo, 2019. "Determinants of time to institutionalisation and related healthcare and societal costs in a community-based cohort of patients with Alzheimer’s disease dementia," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 20(3), pages 343-355, April.
    • Handle: RePEc:spr:eujhec:v:20:y:2019:i:3:d:10.1007_s10198-018-1001-3
    DOI: 10.1007/s10198-018-1001-3
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    References listed on IDEAS

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    1. Jacques Touchon & Jean Lachaine & Catherine Beauchemin & Anna Granghaud & Benoit Rive & Sébastien Bineau, 2014. "The impact of memantine in combination with acetylcholinesterase inhibitors on admission of patients with Alzheimer’s disease to nursing homes: cost-effectiveness analysis in France," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 15(8), pages 791-800, November.
    2. Ansgar Wübker & Sandra Zwakhalen & David Challis & Riitta Suhonen & Staffan Karlsson & Adelaida Zabalegui & Maria Soto & Kai Saks & Dirk Sauerland, 2015. "Costs of care for people with dementia just before and after nursing home placement: primary data from eight European countries," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 16(7), pages 689-707, September.
    3. McKee J. McClendon & Kathleen A. Smyth & Marcia M. Neundorfer, 2006. "Long-Term-Care Placement and Survival of Persons With Alzheimer's Disease," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 61(4), pages 220-227.
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    Cited by:

    1. Weicong Li & Zhaoming Du & Doris Hooi Chyee Toe & Yueling Liu & Kum Weng Yong & Haopai Lin, 2022. "Study on the Design Strategy of Rehabilitation Space for Patients with Cognitive Disorders Based on the Environmental Adaptation of Disease Symptoms," Sustainability, MDPI, vol. 14(19), pages 1-22, October.

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    More about this item

    Keywords

    Alzheimer’s disease; Societal costs; Institutionalisation; Predictors; Caregiver;
    All these keywords.

    JEL classification:

    • I00 - Health, Education, and Welfare - - General - - - General
    • I10 - Health, Education, and Welfare - - Health - - - General
    • I19 - Health, Education, and Welfare - - Health - - - Other

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