Determinants of time to institutionalisation and related healthcare and societal costs in a community-based cohort of patients with Alzheimer’s disease dementia

Mark Belger (), Josep Maria Haro, Catherine Reed, Michael Happich, Josep Maria Argimon, Giuseppe Bruno, Richard Dodel, Roy W. Jones, Bruno Vellas and Anders Wimo
Additional contact information
Mark Belger: Eli Lilly and Company Limited
Josep Maria Haro: Universitat de Barcelona
Catherine Reed: Eli Lilly and Company Limited
Michael Happich: Eli Lilly and Company Limited
Josep Maria Argimon: Agència de Qualitat i Avaluació Sanitàries de Catalunya (AQuAS)
Giuseppe Bruno: Sapienza University of Rome
Richard Dodel: Essen University Hospital
Roy W. Jones: Royal United Hospital
Bruno Vellas: INSERM 1027
Anders Wimo: Karolinska Institutet

The European Journal of Health Economics, 2019, vol. 20, issue 3, No 3, 343-355

Abstract: Abstract Objectives To examine the costs of caring for community-dwelling patients with Alzheimer’s disease (AD) dementia in relation to the time to institutionalisation. Methods GERAS was a prospective, non-interventional cohort study in community-dwelling patients with AD dementia and their caregivers in three European countries. Using identified factors associated with time to institutionalisation, models were developed to estimate the time to institutionalisation for all patients. Estimates of monthly total societal costs, patient healthcare costs and total patient costs (healthcare and social care together) prior to institutionalisation were developed as a function of the time to institutionalisation. Results Of the 1495 patients assessed at baseline, 307 (20.5%) were institutionalised over 36 months. Disease severity at baseline [based on Mini-Mental State Examination (MMSE) scores] was associated with risk of being institutionalised during follow up (p

Keywords: Alzheimer’s disease; Societal costs; Institutionalisation; Predictors; Caregiver (search for similar items in EconPapers)
JEL-codes: I00 I10 I19 (search for similar items in EconPapers)
Date: 2019
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Citations: View citations in EconPapers (1)

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DOI: 10.1007/s10198-018-1001-3

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