scholarly journals The cost of care homes for people with dementia in England: a modelling approach

2016 ◽  
Vol 32 (12) ◽  
pp. 1466-1475 ◽  
Author(s):  
Renee Romeo ◽  
Martin Knapp ◽  
Suzanne Salverda ◽  
Martin Orrell ◽  
Jane Fossey ◽  
...  
Keyword(s):  
Cost Of Care ◽  
Care Homes ◽  
People With Dementia ◽  
The Cost ◽  
Modelling Approach

Factors influencing the cost of care and admission to long-term care for people with dementia in Ireland

2019 ◽  
pp. 1-9
Author(s):  
Sharon Walsh ◽  
Maria Pertl ◽  
Paddy Gillespie ◽  
Brian Lawlor ◽  
Sabina Brennan ◽  
...  
Keyword(s):  
Long Term Care ◽  
Cost Of Care ◽  
Term Care ◽  
Factors Influencing ◽  
People With Dementia ◽  
The Cost

Cost of dementia and the relationship between stage of dementia and cost of care in Greece

2020 ◽  
Vol 26 (6) ◽  
pp. 1-8
Author(s):  
Evangelos Tsampalas ◽  
Konstantina Aravantinou-Fatorou ◽  
Eleutheria Karakatsani ◽  
Eleni Karantali ◽  
Lili Leontiou ◽  
...  
Keyword(s):  
Public Funding ◽  
Cost Of Care ◽  
Total Cost ◽  
People With Dementia ◽  
Private Cost ◽  
Private And Public ◽  
Three Stages ◽  
Severity Of The Disease ◽  
Secondary Hospital ◽  
The Cost

Objective The current study attempts to estimate the cost of dementia in relation to the severity of the disease in Greece. Methods A prospective observational study was conducted in Tripoli, Arcadia at the neurological clinic of a secondary hospital. The study included 110 patients and their main caregivers. The total cost of dementia has been calculated as well as its allocation to private and public funding. The results were correlated with three stages of disease severity (mild–moderate–severe) with a multivariate regression model. Results The average total cost of caring for dementia is €819.89 per month: €710.60 of this is the private cost and €109.29 is the public cost. The cost is positively correlated statistically with the progress of the disease in the three stages of severity. Conclusions The cost of caring for people with dementia in the authors' research appears lower than that in developed Western societies and in relation to other developing societies. The Greek economic crisis seems to be a determining factor in this result. However, it is still a high cost, which is mainly paid by the patient and the family.

An economic analysis of a community-based model for dementia care in Ireland: a balance of care approach

2017 ◽  
Vol 29 (7) ◽  
pp. 1175-1184 ◽  
Author(s):  
Eamon O'Shea ◽  
Christine Monaghan
Keyword(s):  
Residential Care ◽  
Community Care ◽  
Cost Of Care ◽  
Community Based ◽  
People With Dementia ◽  
Care Facilities ◽  
Care Approach ◽  
Balance Of Care ◽  
Care Relationships ◽  
The Cost

ABSTRACTBackground:This study examined resource utilization, cost of care, and balance of care relationships for people with dementia on the boundary of community and residential care in Ireland.Methods:A balance of care approach was used to examine how investment in personalized community care impacted on measured formal and informal costs, care relationships, and potential admission to long-stay care facilities for people with dementia over a three year period.Results:181 people with dementia on the boundary of community and residential care received additional personalized care supports to help them remain living at home in the community. The estimated average weekly cost of community care for these people, including usual formal care provision, new personalized supports, consumption, and housing, was €418 per week, less than half the cost of potential residential care. However, when informal care is valued using an opportunity cost methodology, the social cost of community-based care increased threefold, rising above the cost of alternative residential care.Conclusion:Investment in personalized supports can support family carers to continue caring for longer, thus postponing expensive admission into long-stay care facilities. However, family-care costs remain high, irrespective of the additional supports received.

Early onset dementia: clinical and social aspects

2009 ◽  
Vol 21 (4) ◽  
pp. 631-636 ◽  
Author(s):  
Perla Werner ◽  
Ifat Stein-Shvachman ◽  
Amos D. Korczyn
Keyword(s):  
Young People ◽  
Early Onset ◽  
Cost Of Care ◽  
Social Aspects ◽  
Clinical Aspects ◽  
Early Onset Dementia ◽  
Diagnosis And Management ◽  
People With Dementia ◽  
Effective Diagnosis ◽  
The Cost

ABSTRACTBackground: Increasing efforts are being devoted to the study of early onset dementia (EOD), namely dementia in persons under the age of 65. Until recently, it was assumed that dementia occurs primarily among people aged 65 and over. However, since the number of persons with EOD is increasing, its importance as a clinical and social problem is rising accordingly. The aim of the present paper is to summarize research in this area.Methods: We reviewed the research published to date on EOD, and divided the current body of knowledge into several main sections.Results: The first section focuses on clinical aspects and summarizes findings regarding prevalence, causes, symptoms, diagnosis, and management of persons with EOD. The second section focuses on social aspects related to the cost of care for young people with the disease, the challenges faced by individuals and caregivers, and the services available for this population. Finally, conclusions and future directions are suggested.Conclusions: Research on EOD is still in its early stages. There is an urgent need to expand research that will lead to more effective diagnosis and management of EOD as well as to the allocation of funds and the development of appropriate services suitable for the unique needs of young people with dementia.

GSS 2011 Linked with TIFF: Exploring the Cost of Child Care in Canada and the Use of the Child Care Tax Benefit

2019 ◽  
Vol 12 (1) ◽  
pp. 81-103
Author(s):  
Leanne Findlay ◽  
Dafna Kohen
Keyword(s):  
Child Care ◽  
General Social Survey ◽  
Cost Of Care ◽  
Indigenous Identity ◽  
Social Survey ◽  
The Cost ◽  
Care Costs ◽  
Compare And Contrast ◽  
Employment Characteristics ◽  
Different Sources

Affordability of child care is fundamental to parents’, in particular, women’s decision to work. However, information on the cost of care in Canada is limited. The purpose of the current study was to examine the feasibility of using linked survey and administrative data to compare and contrast parent-reported child care costs based on two different sources of data. The linked file brings together data from the 2011 General Social Survey (GSS) and the annual tax files (TIFF) for the corresponding year (2010). Descriptive analyses were conducted to examine the socio-demographic and employment characteristics of respondents who reported using child care, and child care costs were compared. In 2011, parents who reported currently paying for child care (GSS) spent almost $6700 per year ($7,500 for children age 5 and under). According to the tax files, individuals claimed just over $3900 per year ($4,700). Approximately one in four individuals who reported child care costs on the GSS did not report any amount on their tax file; about four in ten who claimed child care on the tax file did not report any cost on the survey. Multivariate analyses suggested that individuals with a lower education, lower income, with Indigenous identity, and who were self-employed were less likely to make a tax claim despite reporting child care expenses on the GSS. Further examination of child care costs by province and by type of care are necessary, as is research to determine the most accurate way to measure and report child care costs.

scholarly journals Medication Monitoring for People with Dementia in Care Homes: The Feasibility and Clinical Impact of Nurse-Led Monitoring

2014 ◽  
Vol 2014 ◽  
pp. 1-11 ◽  
Author(s):  
Sue Jordan ◽  
Marie Gabe ◽  
Louise Newson ◽  
Sherrill Snelgrove ◽  
Gerwyn Panes ◽  
...  
Keyword(s):  
Mental Health ◽  
Adverse Drug Reaction ◽  
Intervention Study ◽  
Clinical Impact ◽  
Care Homes ◽  
Service Users ◽  
Care Plans ◽  
Medication Monitoring ◽  
People With Dementia ◽  
Before And After

Objectives. People with dementia are susceptible to adverse effects of medicines. However, they are not always closely monitored. We explored (1) feasibility and (2) clinical impact of nurse-led medication monitoring.Design. Feasibility “before-and-after” intervention study.Setting. Three care homes in Wales.Participants. Eleven service users diagnosed with dementia, taking at least one antipsychotic, antidepressant, or antiepileptic medicine.Intervention. West Wales Adverse Drug Reaction (ADR) Profile for Mental Health Medicines.Outcome Measures. (1) Feasibility: recruitment, retention, and implementation. (2) Clinical impact: previously undocumented problems identified and ameliorated, as recorded in participants’ records before and after introduction of the profile, and one month later.Results. Nurses recruited and retained 11 of 29 eligible service users. The profile took 20–25 minutes to implement, caused no harm, and supplemented usual care. Initially, the profile identified previously undocumented problems for all participants (mean 12.7 (SD 4.7)). One month later, some problems had been ameliorated (mean 4.9 (3.6)). Clinical gains included new prescriptions to manage pain (2 participants), psoriasis (1), Parkinsonian symptoms (1), rash (1), dose reduction of benzodiazepines (1), new care plans for oral hygiene, skin problems, and constipation.Conclusions. Participants benefited from structured nurse-led medication monitoring. Clinical trials of our ADR Profile are feasible and necessary.

scholarly journals Budget Impact Analysis of Anticoagulation Clinics in Patients with Atrial Fibrillation under Chronic Therapy with Oral Anticoagulants

2021 ◽  
Vol 12 ◽  
pp. 215013272110002
Author(s):  
William Uribe-Arango ◽  
Juan Manuel Reyes Sánchez ◽  
Natalia Castaño Gamboa
Keyword(s):  
Atrial Fibrillation ◽  
Impact Analysis ◽  
Budget Impact ◽  
Oral Anticoagulants ◽  
Anticoagulation Therapy ◽  
Group Versus ◽  
Cost Of Care ◽  
Chronic Therapy ◽  
Colombian Government ◽  
The Cost

Objectives To assess budget impact of the implementation of an anticoagulation clinic (AC) compared to usual care (UC), in patients with non-valvular atrial fibrillation (NVAF). Method A decision tree was designed to analyze the cost and events rates over a 1-year horizon. The patients were distributed according to treatment, 30% Direct Oral Anticoagulant (DOAC) regimens and the rest to warfarin. The thromboembolism and bleeding were derived from observational studies which demonstrated that ACs had important impact in reducing the frequency of these events compared with UC, due to higher adherence with DOACs and proportion of time in therapeutic range (TTR) with warfarin. Costs were derived from the transactional platform of Colombian government, healthcare authority reimbursement and published studies. The values were expressed in American dollars (USD). The exchanged rate used was COP $3.693 per dollar. Results During 1 year of follow-up, in a cohort of 228 patients there were estimated 48 bleedings, 6 thromboembolisms in AC group versus 84 bleedings, and 12 thromboembolisms events in patients receiving UC. Total costs related to AC were $126 522 compared with $141 514 in UC. The AC had an important reduction in the cost of clinical events versus UC ($52 085 vs $110 749) despite a higher cost of care facilities ($74 436 vs $30 765). A sensibility analysis suggested that in the 83% of estimations, the AC produced savings varied between $27 078 and $135 391. Conclusions This study demonstrated that AC compared with UC, produced an important savings in the oral anticoagulation therapy for patients with NVAF.

scholarly journals 409 - Trends in Involvement, Perceived Role, Role Overload and Self-efficacy of Family Carers of People with Dementia in Care Homes

2020 ◽  
Vol 32 (S1) ◽  
pp. 125-125
Author(s):  
Marleen Prins ◽  
Bernadette Willemse ◽  
Marlous Tuithof ◽  
Henriëtte van der Roest ◽  
Anne Margriet Pot
Keyword(s):  
Self Efficacy ◽  
Care Home ◽  
Care Homes ◽  
Role Overload ◽  
Family Carers ◽  
Change Over Time ◽  
Person Centered Care ◽  
People With Dementia ◽  
Centered Care ◽  
Over Time

IntroductionThe quality of long-term care provided to people with dementia (PwD) in care homes can be improved by implementing person-centered care. Family carers of PwD living in care homes are an important part of person-centered care. However, they often experience high levels of burden, even when a family member with dementia lives in a care home. This study examines trends in the involvement of family carers and their perceived role, role overload and self-efficacy.MethodsData from the Living Arrangements for People with Dementia study, a cross-sectional monitoring study that evaluates developments in care for PwD in care homes in the Netherlands, with four measurement cycles between 2008-2017 was used. Data from the three most current measurement cycles were used, with respectively 144, 47 and 49 participating care homes and 888, 392 and 401 participating family carers. Family involvement was measured by the number of hours per week that family carers visited the PwD and the type of activities they undertook. Perceived caregiving role was measured with the Family Perceptions of Caregiving Role instrument. We used the Self-Perceived Pressure by Informal Care to measure role overload and a 37-item questionnaire was used to measure self-efficacy. We investigated the changes over time (e.g., measurement cycles) of these measures.ResultsThe number of hours that family carers visited the PwD did not change over time. However, there was a trend towards an increase in the variety of activities they undertook. Their perceived caregiving role did not change over time. Self-efficacy of family carers increased over time and they reported more feelings of role overload.ConclusionsDuring the past decade, there has been an increasing trend towards family carers doing more diverse activities with PwD in carer homes. Family carers did feel more competent in their caring role, although their feelings of role overload also increased. Continuing attention is therefore needed for the psychological well-being of family carers after a person with dementia moves to a care home.

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