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Costs of dementia in the Czech Republic

Holmerová, Iva
Author Holmerová, Iva Faculty of Humanities, Centre of Expertise Longevity and Long Term Care and Centre of Gerontology, Charles University Prague, Prague, Czech Republic
Hort, Jakub
Author Hort, Jakub Department of Neurology, Faculty of Medicine 2, Memory Clinic, Charles University Prague, Prague, Czech Republic
Rusina, Robert
Author Rusina, Robert Department of Neurology, Faculty of Medicine 1, Charles University Prague, Prague, Czech Republic
Wimo, Anders
Author Wimo, Anders Division of Neurogeriatrics, Department of Neurobiology Care Sciences and Society, Center for Alzheimer Research, Karolinska Institutet, Huddinge, Sweden
Šteffl, Michal
Author Šteffl, Michal Faculty of Physical Education and Sport, Charles University Prague, Veleslavin, 16252 6, Prague, Czech Republic. steffl@ftvs.cuni.cz

The European journal of health economics. 2017 Nov ; 18 (8) : 979-986. [epub] 20161026

Eur J Health Econ
ISSN 1618-7601 | 1618-7598
Source

Language English Country Germany Media print-electronic

Document type Journal Article

Persistent link https://www.medvik.cz/link/pmid27785577

PubMed 27785577
DOI 10.1007/s10198-016-0842-x
PII: 10.1007/s10198-016-0842-x
Knihovny.cz E-resources

Keywords
Alzheimer’s disease, Direct medical care, Indirect expenses, Informal care, Social care,
MeSH
Dementia economics therapy MeSH
Humans MeSH
Health Care Costs MeSH
Cost of Illness * MeSH
Caregivers MeSH
Check Tag
Humans MeSH
Publication type
Journal Article MeSH
Geographicals
Czech Republic MeSH

OBJECTIVE: The aim of this study was to estimate the cost of dementia in the Czech Republic. METHODS: One hundred and nineteen patient-caregiver dyads participated in our multicenter observational cost-of-illness study. The modified Resource Utilization in Dementia Questionnaire was used as the main tool to collect data from patients and caregivers. Medical specialists provided additional data from medical records. The average costs of dementia were calculated and patients were then divided by the level of cognitive impairment. A generalized linear model was used to determine if differences were present for selected cost variables. RESULTS: The mean (standard deviation) for direct cost per a patient in a month was estimated to be €243.0 (138.0), €1727.1 (1075.6) for the indirect cost, and €1970.0 (1090.3) for the total cost of dementia in the Czech Republic. All of the costs increased as dementia severity increased. Both the indirect and total costs significantly (p < 0.05) increased if patients were living with their primary caregiver, and if the severity of cognitive impairment was increased. CONCLUSIONS: The indirect cost, which was represented mainly by informal care, comprised the main part of the total cost of care for patients with dementia in the Czech Republic. Both total and indirect care costs increased significantly the cognition declined.

Department of Neurology Faculty of Medicine 1 Charles University Prague Prague Czech Republic

Department of Neurology Faculty of Medicine 2 Memory Clinic Charles University Prague Prague Czech Republic

Division of Neurogeriatrics Department of Neurobiology Care Sciences and Society Center for Alzheimer Research Karolinska Institutet Huddinge Sweden

Faculty of Humanities Centre of Expertise Longevity and Long Term Care and Centre of Gerontology Charles University Prague Prague Czech Republic

Faculty of Physical Education and Sport Charles University Prague Veleslavin 16252 6 Prague Czech Republic

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