...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The American journal of geriatric psychiatry: official journal of the American Association for Geriatric Psychiatry >The use and costs of formal care in newly diagnosed dementia: A three-year prospective follow-up study
【24h】

The use and costs of formal care in newly diagnosed dementia: A three-year prospective follow-up study

机译：新诊断的痴呆症中正规护理的使用和费用：一项为期三年的前瞻性随访研究

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Objective: To investigate the use of formal care during the first three years after diagnosis of mild dementia and identify cost-predicting factors. Design: Prospective longitudinal study over three years. Setting: An incidence-based bottomeup cost-ofillness study where information about formal health care services was drawn from the municipalities' registers during the first three years after the diagnosis of mild dementia. Participants: 109 patients with mild dementia at baseline, diagnosed according to consensus criteria based on standardized assessments. Measurement: The use of formal care as registered by the municipalities' registration systems. Costs were estimated by applying unit costs, including municipal expenses and out-ofpocket contributions. Clinical data were collected at baseline to identify costpredicting factors. Results: Costs for formal care were increasing from ? 535 per month of survival (MOS) at baseline to ? 3,611 per MOS during the third year, with a mean of ? 2,420 during the whole observation period. The major cost driver (74%) was institutional care. The costs for people with dementia with Lewy bodies (? 3,247 per MOS) were significantly higher than for people with Alzheimer disease (? 1,855 per MOS). The most important cost-predicting factors we identified were the living situation, a diagnosis of non-Alzheimer disease, comorbidity, and daily living functioning. The use of cholinesterase inhibitors was related to lower costs. Conclusion: Formal care costs increased significantly over time with institutional care being the heaviest cost driver. Studies with longer observation periods will be necessary to evaluate the complete socioeconomic impact of the course of dementia.
机译：目的：调查轻度痴呆症诊断后的头三年中正式护理的使用情况，并确定成本预测因素。设计：为期三年的前瞻性纵向研究。地点：一项基于发病率的自下而上的费用－充实度研究，其中在轻度痴呆症诊断后的头三年中，从市政当局的登记册中获取有关正规医疗服务的信息。研究对象：基线时有109例轻度痴呆患者，根据标准化评估的共识标准诊断。度量：使用市政当局注册系统注册的正式护理。通过应用单位成本（包括市政支出和自付费用）估算成本。在基线时收集临床数据以鉴定成本预测因素。结果：正规护理的费用从？增加。基线时的每月生存（MOS）535为？第三年每个MOS 3,611，平均值为？在整个观察期间为2,420。主要的成本动因（74％）是机构护理。路易氏体痴呆患者的费用（每个MOS 3247欧元）比阿尔茨海默氏病患者（每个MOS 1855欧元）高得多。我们确定的最重要的成本预测因素是生活状况，对非阿尔茨海默病的诊断，合并症和日常生活功能。胆碱酯酶抑制剂的使用与降低成本有关。结论：随着时间的流逝，正式护理费用显着增加，其中机构护理是最大的费用动因。观察期较长的研究对于评估痴呆症的完整社会经济影响将是必要的。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号