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The costs of dementia from the societal perspective: is care provided in the community really cheaper than nursing home care?

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The costs of dementia from the societal perspective: is care provided in the community really cheaper than nursing home care? / König, Hans-Helmut; Leicht, Hanna; Brettschneider, Christian; Bachmann, Cadja; Bickel, Horst; Fuchs, Angela; Jessen, Frank; Köhler, Mirjam; Luppa, Melanie; Mösch, Edelgard; Pentzek, Michael; Werle, Jochen; Weyerer, Siegfried; Wiese, Birgitt; Scherer, Martin; Maier, Wolfgang; Riedel-Heller, Steffi G; AgeCoDe Study Group.

in: J AM MED DIR ASSOC, Jahrgang 15, Nr. 2, 01.02.2014, S. 117-26.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

König, H-H, Leicht, H, Brettschneider, C, Bachmann, C, Bickel, H, Fuchs, A, Jessen, F, Köhler, M, Luppa, M, Mösch, E, Pentzek, M, Werle, J, Weyerer, S, Wiese, B, Scherer, M, Maier, W, Riedel-Heller, SG & AgeCoDe Study Group 2014, 'The costs of dementia from the societal perspective: is care provided in the community really cheaper than nursing home care?', J AM MED DIR ASSOC, Jg. 15, Nr. 2, S. 117-26. https://doi.org/10.1016/j.jamda.2013.10.003

APA

König, H-H., Leicht, H., Brettschneider, C., Bachmann, C., Bickel, H., Fuchs, A., Jessen, F., Köhler, M., Luppa, M., Mösch, E., Pentzek, M., Werle, J., Weyerer, S., Wiese, B., Scherer, M., Maier, W., Riedel-Heller, S. G., & AgeCoDe Study Group (2014). The costs of dementia from the societal perspective: is care provided in the community really cheaper than nursing home care? J AM MED DIR ASSOC, 15(2), 117-26. https://doi.org/10.1016/j.jamda.2013.10.003

Vancouver

König H-H, Leicht H, Brettschneider C, Bachmann C, Bickel H, Fuchs A et al. The costs of dementia from the societal perspective: is care provided in the community really cheaper than nursing home care? J AM MED DIR ASSOC. 2014 Feb 1;15(2):117-26. https://doi.org/10.1016/j.jamda.2013.10.003

Bibtex

@article{2f051e349e1742e38bcd9ff248cb007a,
title = "The costs of dementia from the societal perspective: is care provided in the community really cheaper than nursing home care?",
abstract = "OBJECTIVE: To compare the costs of care for community-dwelling dementia patients with the costs of care for dementia patients living in nursing homes from the societal perspective.DESIGN: Cross-sectional bottom-up cost of illness study nested within the multicenter German AgeCoDe-cohort.SETTING: Community and nursing homes.PARTICIPANTS: One hundred twenty-eight community-dwelling dementia patients and 48 dementia patients living in nursing homes.INTERVENTION: None.MEASUREMENTS: Utilization and costs of medical care and long term care, including formal and informal social and nursing care based on proxy interviews. Informal care was valued using the replacement cost method.RESULTS: Unadjusted mean annual total costs including informal care were €29,930 ($43,997) for community-dwelling patients and €33,482 ($49,218) for patients living in nursing homes. However, multiple regression analysis controlling for age, sex, deficits in basic and instrumental activities of daily living and comorbidity showed that living in the community significantly increased total costs by €11,344 ($16,676; P < .01) compared with living in a nursing home, mainly due to higher costs of informal care (+€20,585; +$30,260; P < .001).CONCLUSION: From the societal perspective care for dementia patients living in the community tends to cost more than care in nursing homes when functional impairment is controlled for.",
author = "Hans-Helmut K{\"o}nig and Hanna Leicht and Christian Brettschneider and Cadja Bachmann and Horst Bickel and Angela Fuchs and Frank Jessen and Mirjam K{\"o}hler and Melanie Luppa and Edelgard M{\"o}sch and Michael Pentzek and Jochen Werle and Siegfried Weyerer and Birgitt Wiese and Martin Scherer and Wolfgang Maier and Riedel-Heller, {Steffi G} and {AgeCoDe Study Group}",
note = "Copyright {\textcopyright} 2014 American Medical Directors Association, Inc. Published by Elsevier Inc. All rights reserved.",
year = "2014",
month = feb,
day = "1",
doi = "10.1016/j.jamda.2013.10.003",
language = "English",
volume = "15",
pages = "117--26",
journal = "J AM MED DIR ASSOC",
issn = "1525-8610",
publisher = "Elsevier Inc.",
number = "2",

}

RIS

TY - JOUR

T1 - The costs of dementia from the societal perspective: is care provided in the community really cheaper than nursing home care?

AU - König, Hans-Helmut

AU - Leicht, Hanna

AU - Brettschneider, Christian

AU - Bachmann, Cadja

AU - Bickel, Horst

AU - Fuchs, Angela

AU - Jessen, Frank

AU - Köhler, Mirjam

AU - Luppa, Melanie

AU - Mösch, Edelgard

AU - Pentzek, Michael

AU - Werle, Jochen

AU - Weyerer, Siegfried

AU - Wiese, Birgitt

AU - Scherer, Martin

AU - Maier, Wolfgang

AU - Riedel-Heller, Steffi G

AU - AgeCoDe Study Group

N1 - Copyright © 2014 American Medical Directors Association, Inc. Published by Elsevier Inc. All rights reserved.

PY - 2014/2/1

Y1 - 2014/2/1

N2 - OBJECTIVE: To compare the costs of care for community-dwelling dementia patients with the costs of care for dementia patients living in nursing homes from the societal perspective.DESIGN: Cross-sectional bottom-up cost of illness study nested within the multicenter German AgeCoDe-cohort.SETTING: Community and nursing homes.PARTICIPANTS: One hundred twenty-eight community-dwelling dementia patients and 48 dementia patients living in nursing homes.INTERVENTION: None.MEASUREMENTS: Utilization and costs of medical care and long term care, including formal and informal social and nursing care based on proxy interviews. Informal care was valued using the replacement cost method.RESULTS: Unadjusted mean annual total costs including informal care were €29,930 ($43,997) for community-dwelling patients and €33,482 ($49,218) for patients living in nursing homes. However, multiple regression analysis controlling for age, sex, deficits in basic and instrumental activities of daily living and comorbidity showed that living in the community significantly increased total costs by €11,344 ($16,676; P < .01) compared with living in a nursing home, mainly due to higher costs of informal care (+€20,585; +$30,260; P < .001).CONCLUSION: From the societal perspective care for dementia patients living in the community tends to cost more than care in nursing homes when functional impairment is controlled for.

AB - OBJECTIVE: To compare the costs of care for community-dwelling dementia patients with the costs of care for dementia patients living in nursing homes from the societal perspective.DESIGN: Cross-sectional bottom-up cost of illness study nested within the multicenter German AgeCoDe-cohort.SETTING: Community and nursing homes.PARTICIPANTS: One hundred twenty-eight community-dwelling dementia patients and 48 dementia patients living in nursing homes.INTERVENTION: None.MEASUREMENTS: Utilization and costs of medical care and long term care, including formal and informal social and nursing care based on proxy interviews. Informal care was valued using the replacement cost method.RESULTS: Unadjusted mean annual total costs including informal care were €29,930 ($43,997) for community-dwelling patients and €33,482 ($49,218) for patients living in nursing homes. However, multiple regression analysis controlling for age, sex, deficits in basic and instrumental activities of daily living and comorbidity showed that living in the community significantly increased total costs by €11,344 ($16,676; P < .01) compared with living in a nursing home, mainly due to higher costs of informal care (+€20,585; +$30,260; P < .001).CONCLUSION: From the societal perspective care for dementia patients living in the community tends to cost more than care in nursing homes when functional impairment is controlled for.

U2 - 10.1016/j.jamda.2013.10.003

DO - 10.1016/j.jamda.2013.10.003

M3 - SCORING: Journal article

C2 - 24321877

VL - 15

SP - 117

EP - 126

JO - J AM MED DIR ASSOC

JF - J AM MED DIR ASSOC

SN - 1525-8610

IS - 2

ER -