Renee Romeo1, Martin Knapp2, Suzanne Salverda3, Martin Orrell4, Jane Fossey5,6, Clive Ballard7. 1. Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK. 2. London School of Economics and Political Science, London, UK. 3. Department of Health Economics (Modelling and Simulation), Evidera, London, UK. 4. Institute of Mental Health, Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham, UK. 5. Oxford Health NHS Foundation Trust, Fulbrook Centre, Oxford, UK. 6. Department of Psychiatry, University of Oxford, UK. 7. Executive Dean of Medicine, University of Exeter, London, UK.
Abstract
OBJECTIVES: To examine the cost of care for people with dementia in institutional care settings, to understand the major cost drivers and to highlight opportunities for service development. METHODS: Data on 277 residents with dementia in 16 UK residential or nursing homes were collected. We estimated care and support costs and fitted models to the data. Sensitivity analyses were also conducted. RESULTS: Care home residents cost £792 weekly: 95% of the costs accounted for by direct fees. Hospital contacts contributed the largest proportion of the additional costs. Having an established diagnosis of dementia (b = 0.070; p < 0.05) was associated with higher costs. No association was found between cost and needs (b = -0.002; p = 0.818). CONCLUSION: The absence of an association between cost and needs emphasizes the importance of a more needs-based costing system which could result in clinical and economic advantages.
OBJECTIVES: To examine the cost of care for people with dementia in institutional care settings, to understand the major cost drivers and to highlight opportunities for service development. METHODS: Data on 277 residents with dementia in 16 UK residential or nursing homes were collected. We estimated care and support costs and fitted models to the data. Sensitivity analyses were also conducted. RESULTS: Care home residents cost £792 weekly: 95% of the costs accounted for by direct fees. Hospital contacts contributed the largest proportion of the additional costs. Having an established diagnosis of dementia (b = 0.070; p < 0.05) was associated with higher costs. No association was found between cost and needs (b = -0.002; p = 0.818). CONCLUSION: The absence of an association between cost and needs emphasizes the importance of a more needs-based costing system which could result in clinical and economic advantages.
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