Chloé Gervès1, Pauline Chauvin2, Martine Marie Bellanger3. 1. Département SHSC, Ecole des Hautes Etudes en Santé Publique, Avenue du Pr Leon Bernard, CS 72, Rennes, France; Laboratoire Santé Environnement Vieillissement, Hôpital Sainte Périne, 49 rue Mirabeau, 75016 Paris, France. Electronic address: chloe.gerves@ehesp.fr. 2. Université Paris Descartes-LIRAES (EA4470), 45 rue des Saints-Pères, 75006 Paris, France. Electronic address: pauline.chauvin@parisdescartes.fr. 3. Département SHSC, Ecole des Hautes Etudes en Santé Publique, Avenue du Pr Leon Bernard, CS 72, Rennes, France. Electronic address: martine.bellanger@ehesp.fr.
Abstract
OBJECTIVE: It is crucial that the cost of Alzheimer's disease be evaluated, from a societal perspective, since the number of patients is expected to increase dramatically in the coming decades. This assessment of the full cost of care for community-dwelling patients with Alzheimer's disease in France also addresses the factors associated with informal care, its predominant component. DATA AND METHODS: From 2009 to 2010, 57 patient/informal caregiver pairs were interviewed using the Resource Utilization in Dementia questionnaire, adapted to provide a micro-costing approach of the overall care process. Both the opportunity cost method and the proxy good method were used to value informal care. Ordinary least square regression was performed to determine factors associated with informal care. RESULTS: Average total monthly costs were €2450 with the proxy good method and €3102 with the opportunity cost method. Living with the patient, severity of dementia and hours spent on formal care were significantly associated with informal care time. POLICY IMPLICATIONS: Since French allowance cannot cover all formal and informal non-medical costs, the choice for policy makers is either to spend more on formal care or to develop family care by investing in supportive programmes for informal caregivers.
OBJECTIVE: It is crucial that the cost of Alzheimer's disease be evaluated, from a societal perspective, since the number of patients is expected to increase dramatically in the coming decades. This assessment of the full cost of care for community-dwelling patients with Alzheimer's disease in France also addresses the factors associated with informal care, its predominant component. DATA AND METHODS: From 2009 to 2010, 57 patient/informal caregiver pairs were interviewed using the Resource Utilization in Dementia questionnaire, adapted to provide a micro-costing approach of the overall care process. Both the opportunity cost method and the proxy good method were used to value informal care. Ordinary least square regression was performed to determine factors associated with informal care. RESULTS: Average total monthly costs were €2450 with the proxy good method and €3102 with the opportunity cost method. Living with the patient, severity of dementia and hours spent on formal care were significantly associated with informal care time. POLICY IMPLICATIONS: Since French allowance cannot cover all formal and informal non-medical costs, the choice for policy makers is either to spend more on formal care or to develop family care by investing in supportive programmes for informal caregivers.
Authors: Juan Oliva-Moreno; Marta Trapero-Bertran; Luz Maria Peña-Longobardo; Raúl Del Pozo-Rubio Journal: Pharmacoeconomics Date: 2017-03 Impact factor: 4.981
Authors: Mark Belger; Josep Maria Haro; Catherine Reed; Michael Happich; Kristin Kahle-Wrobleski; Josep Maria Argimon; Giuseppe Bruno; Richard Dodel; Roy W Jones; Bruno Vellas; Anders Wimo Journal: BMC Med Res Methodol Date: 2016-07-18 Impact factor: 4.615