Informal Cost of Dementia Care – A Proxy-Good Valuation in Ireland
This paper values the informal costs of dementia care in Ireland based on recently agreed national costing framework. Drawing on a survey of 270 Irish dementia caregivers, the hours of informal care per day are estimated using variables of individual characteristics, functional limitations and behavioural problems. This estimation finds that an interlinked workcohabitation effect significantly predicts the total informal care available and suggests that increasing burden on carers may alter overall welfare. Given conflict in carers’ personal priorities, this paper calculates the market value of formal services to inform equitable distribution of dementia care required. By associating “proxy-good’ market values to dementia symptoms requiring specific types of care, the per diem costs of care are estimated to range from €240.96 (early-stage) to €570.04 (late-stage). As burnout is a major risk factor in prolonged care, this paper indicates the formal value of the output of care from a public health service perspective. Policy initiatives to improve technical and allocative efficiency of formal dementia services are required to reduce reliance on informal care.
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Drummond, Michael F. & Sculpher, Mark J. & Torrance, George W. & O'Brien, Bernie J. & Stoddart, Greg L., 2005. "Methods for the Economic Evaluation of Health Care Programmes," OUP Catalogue, Oxford University Press, edition 3, number 9780198529453.
- K. Bolin & B. Lindgren & P. Lundborg, 2008.
"Informal and formal care among single-living elderly in Europe,"
John Wiley & Sons, Ltd., vol. 17(3), pages 393-409.
- K. Bolin & B. Lindgren & P. Lundborg, 2007. "Informal and Formal Care among Single-living Elderly in Europe," Tinbergen Institute Discussion Papers 07-031/3, Tinbergen Institute.
- Koopmanschap, Marc A. & Rutten, Frans F. H. & van Ineveld, B. Martin & van Roijen, Leona, 1995. "The friction cost method for measuring indirect costs of disease," Journal of Health Economics, Elsevier, vol. 14(2), pages 171-189, June.
- Netten, Ann & Davies, Bleddyn, 1990. "The Social Production of Welfare and Consumption of Social Services," Journal of Public Policy, Cambridge University Press, vol. 10(03), pages 331-347, July.
- Allison, R. Andrew & Foster, James E., 2004. "Measuring health inequality using qualitative data," Journal of Health Economics, Elsevier, vol. 23(3), pages 505-524, May.
- Brouwer, Werner B.F. & Exel, N. Job A. van & Berg, Bernard van den & Bos, Geertruidis A.M. van den & Koopmanschap, Marc A., 2005. "Process utility from providing informal care: the benefit of caring," Health Policy, Elsevier, vol. 74(1), pages 85-99, September. Full references (including those not matched with items on IDEAS)
When requesting a correction, please mention this item's handle: RePEc:eso:journl:v:42:y:2011:i:4:p:479-503. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Martina Lawless)
If references are entirely missing, you can add them using this form.