Skip to main content Accessibility help
×
Home

Cost-Utility Analysis of Group Living in Dementia Care

  • Anders Wimo (a1), Bengt Mattson (a2), Ingvar Krakau (a3), Tua Eriksson (a4), Anders Nelvig (a5) and Goran Karlsson (a6)...

Abstract

A cost-utility analysis (CUA) was applied to group living for dementia patients. A Markov-model of an expected life-length of 8 years was used. Forty-six patients in group living were compared to 39 patients living at home by inclusion and 23 institutionalized patients. When the cost per gained quality-adjusted life-year (QALY) was calculated, the group living alternative was the most favorable for the patients, giving a cost per paired QALY of US dollars > 0. In the extensive sensitivity analysis the main result was consistent but methodological problems were indicated.

Copyright

References

Hide All
1.Asplund, K., Adolfsson, R., Lundgren, K., et al. Gruppboende för aldersdementa-erfarenheter efter 2 ar. Lakartidningen, 1988, 85, 734–37.
2.Asplund, K., Wimo, A.Aggressivitet och motoriska problem tvingar dementa lämna gruppboende. Läkartidningen, 1990; 87, 1555–6.
3.Bloom, B. S., Soper, K. A.Health and medical care for the elderly and aged population: The state of evidence. Journal of the American Geriatrics Society, 1980, 28, 451–55.
4.Beck, J. R., Pauker, S. G.The Markov process in medical prognosis. Medical decision making, 1983, 4, 419–58.
5.Brorsson, B., Wall, S.Värdering av medicinsk teknologi. Stockholm: Medicinska Forskningsradet. 1984.
6.Campbell, D. T., Stanley, J. C.Experimental and quasi-experimental designs for research. Chicago: Rand McNally, 1966.
7.Department of Clinical Epidemiology and Biostatistics, McMaster University Health Sciences Centre. How to read clinical journals, VII: To understand an economic evaluation. Canadian Medical Association Journal, 1984, 130, 1428–32.
8.Drummond, M., Stoddart, G. L., Torrance, G. E. W.Methods for the economic evaluation of health care programmes. Oxford: Oxford University Press, 1987.
9.Folstein, M. F., Folstein, S. E., McHugh, P. R.“Mini-mental” state: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 1975, 12, 189–98.
10.Friedman, L. M., Furberg, C. D., DeMets, D. L.Fundamentals of clinical trials, 2nd ed.Littleton, MA: PSG Publishing Company, Inc, 1985.
11.Gudex, C.QALYS and their use by the health service, discussion paper 20. York, UK: Centre for Health Economics, University of York, 10 1986.
12.Gustafsson, L.Quest, ett programsystem för statistisk och epidemiologisk dataanalys. 1987. Umeå, Sweden: Statistiska institutionen, Umeå Universitet, 1987.
13.Johansson, L.Caring for the next of kin. Unpublished dissertation. Uppsala, Sweden: University of Uppsala, 1991.
14.Kaplan, R. M., Busch, J. W., Berry, C. C.Health status: Types of validity and the index of well-being. Health Services Research, 1976, 11:478507.
15.Kaplan, R. M., Bush, J. W., Berry, C. C.Health status index: Category rating versus magnitude estimation for measuring levels of well-being. Medical Care, 1979, 17:501–25.
16.Kwoh, C. K.Cost studies: Caveats to the reader (editorial). Journal of Clinical Epidemiology, 1988, 41:211–13.
17.Reisberg, B., Ferris, S., de Leon, M. J., Crook., T.The global deterioration scale for assessment of primary degenerative dementia. American Journal of Psychiatry, 1982, 139, 1136–39.
18.Reisberg, B., Ferris, S. H., Kluger, A., et al. Symptomatic changes in CNS aging and dementia of the Alzheimer type: Cross-sectional, temporal and remediable concomitants. In Bergener, M., Reisberg, B., (eds). Diagnosis and treatment of senile dementia. Berlin-Heidelberg: Springer Verlag, 1989, 193223.
19.Rosser, R., Kind, P.A scale of valuations of states of illness: Is there a social consensus? International Journal of Epidemiology, 1978, 347–58.
20.Sandman, P. O., Adolfsson, R., Norberg, A., Nyström, L., Winblad, B.The long-time care of the elderly: A descriptive study of 3600 patients living in different institutions in the county of Vasterbotten, Sweden. Comprehensive Gerontology, 1988, 2, 120–32.
21.SPRI (Sjuvårdens planerings och rationaliseringsinstitut). Äldeomsorg och ekonomi. SPRI-rapport 164, 2nd ed.Stockholm: SPRI, 1985.
22.Statistiska Centralbyrån (Official Statistics of Sweden). Statistical Yearbook of Sweden, 1992. Stockholm, Statistiska Centralbyrån, 1992.
23.Torrance, G. W.Measurement of health state utilities for economical appraisal. Journal of Health Economics, 1986, 5, 130.
24.Torrance, G. W.Utility approach to measuring health-related quality of life. Journal of Chronic Diseases, 1987, 40, 593600.
25.Weinstein, M. C.Principles of cost-effective resource allocation in health care organizations. International Journal of Technology Assessment in Health Care, 1990, 6, 83103.
26.Wimo, A., Ineichen, B., Mattsson, B., Kallioinen, M.Assessments of productivity of psycho-geriatric day care. International Journal of Geriatric Psychiatry, 1993, 8, 675–79.
27.Wimo, A., Wallin, J. O., Lundgren, K. et al. Group living, an alternative for dementia patients: A cost analysis. International Journal of Geriatric Psychiatry, 1991, 6, 2129.
28.Wimo, A., Wallin, J. O., Lundgren, K., et al. Dagvard och gruppboende for aldersdementa-en kostnadsanalys. Lakartidningen, 1988, 85, 729–33.

Cost-Utility Analysis of Group Living in Dementia Care

  • Anders Wimo (a1), Bengt Mattson (a2), Ingvar Krakau (a3), Tua Eriksson (a4), Anders Nelvig (a5) and Goran Karlsson (a6)...

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed