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Costs of Care of Ag...
Costs of Care of Agitation Associated With Dementia in 8 European Countries : Results From the RightTimePlaceCare Study
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- Costa, Nadège (författare)
- University of Toulouse,Toulouse University Hospital
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- Wübker, Ansgar (författare)
- Rheinisch-Westfälisches Institut für Wirtschaftsforschung
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- De Mauléon, Adelaïde (författare)
- University of Toulouse,Toulouse University Hospital
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- Zwakhalen, Sandra M.G. (författare)
- Maastricht University
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- Challis, David (författare)
- University of Manchester
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- Leino-Kilpi, Helena (författare)
- University of Turku
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- Rahm Hallberg, Ingalill (författare)
- Lund University,Lunds universitet,Hälsofrämjande komplexa interventioner,Forskargrupper vid Lunds universitet,Health-promoting Complex Interventions,Lund University Research Groups
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- Stephan, Astrid (författare)
- Witten/Herdecke University
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- Zabalegui, Adelaida (författare)
- Hospital Clínic of Barcelona
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- Saks, Kai (författare)
- University of Tartu
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- Molinier, Laurent (författare)
- University of Toulouse,Toulouse University Hospital
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- Wimo, Anders (författare)
- Karolinska Institutet,Karolinska Institute
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Vellas, Bruno (författare)
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Sauerland, Dirk (författare)
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- Binot, Ingrid (författare)
- Toulouse University Hospital,University of Toulouse
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- Soto, Maria E. (författare)
- University of Toulouse,Toulouse University Hospital
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(creator_code:org_t)
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- Elsevier BV, 2018
- 2018
- Engelska.
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Ingår i: Journal of the American Medical Directors Association. - : Elsevier BV. - 1525-8610 .- 1538-9375. ; 19:1, s. 1-95
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Abstract
Ämnesord
Stäng
- Objective To estimate the additional societal costs for people living with dementia (PwD) with agitation in home care (HC) and institutional long-term care (ILTC) settings in 8 European countries. Design Cross-sectional data from the RightTimePlaceCare cohort. Setting HC and ILTC settings from 8 European countries (Estonia, Finland, France, Germany, Netherlands, Spain, Sweden, and England). Participants A total of 1997 PwD (1217 in HC group and 780 lived in an ILTC) and their caregivers. Main Outcome Measures Medical care, community care, and informal care were recorded using the Resource Utilization in Dementia (RUD) questionnaire. Agitation was assessed based on the agitation symptoms cluster defined by the presence of agitation and/or irritability and/or disinhibition and/or aberrant motor behavior items of the Neuropsychiatric Inventory Questionnaire (NPI-Q). Results Total monthly mean cost differences due to agitation were 445€ in the HC setting and 561€ in the ILTC setting (P =.01 and.02, respectively). Informal care costs were the main driver in the HC group (73% of total costs) and institutional care costs were the main driver in the ILTC group (53% of total costs). After adjustments, the log link generalized linear mixed model showed an association between agitation symptoms and an increase of informal care costs by 17% per month in HC setting (P <.05). Conclusion This study found that agitation symptoms have a substantial impact on informal care costs in the community care setting. Future research is needed to evaluate which strategies may be efficient by improving the cost-effectiveness ratio and reducing the burden associated with informal care in the management of agitation in PwD.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Nyckelord
- agitation
- costs
- Dementia
- Europe
- informal care
- long-term care
Publikations- och innehållstyp
- art (ämneskategori)
- ref (ämneskategori)
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Till lärosätets databas
- Av författaren/redakt...
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Costa, Nadège
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Wübker, Ansgar
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De Mauléon, Adel ...
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Zwakhalen, Sandr ...
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Challis, David
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Leino-Kilpi, Hel ...
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visa fler...
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Rahm Hallberg, I ...
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Stephan, Astrid
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Zabalegui, Adela ...
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Saks, Kai
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Molinier, Lauren ...
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Wimo, Anders
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Vellas, Bruno
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Sauerland, Dirk
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Binot, Ingrid
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Soto, Maria E.
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visa färre...
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Lunds universitet
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Karolinska Institutet