Use and costs of services and unpaid care for people with mild-to-moderate dementia: baseline results from the IDEAL cohort study

Henderson, Catherine ORCID: 0000-0003-4340-4702, Knapp, Martin ORCID: 0000-0003-1427-0215, Nelis, Sharon M., Quinn, Catherine, Martyr, Anthony, Wu, Yu-Tzu, Jones, Ian R., Victor, Christina R., Pickett, James A., Hindle, John V., Jones, Roy W., Kopelman, Michael D., Matthews, Fiona E., Morris, Robin G., Rusted, Jennifer M., Thom, Jeanette M. and Clare, Linda (2019) Use and costs of services and unpaid care for people with mild-to-moderate dementia: baseline results from the IDEAL cohort study. Alzheimer's and Dementia: Translational Research and Clinical Interventions, 5. 685 - 696. ISSN 2352-8737

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Abstract

Introduction We examined 3-month service use and costs of care for people with mild-to-moderate dementia in Great Britain. Methods We analyzed Improving the experience of Dementia and Enhancing Active Life cohort study baseline data on paid care, out-of-pocket expenditure, and unpaid care from participants with dementia (N = 1547) and their carers (N = 1283). In regression analyses, we estimated per-group mean costs of diagnostic and sociodemographic subgroups. Results Use of services apart from primary and outpatient hospital care was low. Unpaid care accounted for three-quarters of total costs (mean, £4008 [standard error, £130] per participant). Most participants (87%) received unpaid care equating to 36 hours weekly. Estimated costs for people with Parkinson's dementia were £8609, £4359 for participants with mixed dementia, and £3484 for those with Alzheimer's disease. Total costs were lower for participants with dementia living alone than living with others (£2484 vs. £4360); costs were lower for female than for male participants (£3607 vs. £4272). Discussion Costs varied by dementia subtype, carer status, and living arrangement. Policy makers should recognize the high costs of unpaid care for people with dementia, who do not always get the support that they need or would like to receive.

Item Type:	Article
Official URL:	https://www.sciencedirect.com/journal/alzheimers-a...
Additional Information:	© The Authors
Divisions:	Care Policy and Evaluation Centre Health Policy
Subjects:	R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Date Deposited:	07 Nov 2019 15:27
Last Modified:	29 Nov 2024 19:06
URI:	http://eprints.lse.ac.uk/id/eprint/102417

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