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Dementia care costs and outcomes: a systematic review
International journal of geriatric psychiatry, 2013-06, Vol.28 (6), p.551-561
Knapp, Martin
Iemmi, Valentina
Romeo, Renee
2013
Details
Autor(en) / Beteiligte
Knapp, Martin
Iemmi, Valentina
Romeo, Renee
Titel
Dementia care costs and outcomes: a systematic review
Ist Teil von
International journal of geriatric psychiatry, 2013-06, Vol.28 (6), p.551-561
Ort / Verlag
Hove: Blackwell Publishing Ltd
Erscheinungsjahr
2013
Link zum Volltext
Quelle
Wiley Online Library All Journals
Beschreibungen/Notizen
Objective We reviewed evidence on the cost‐effectiveness of prevention, care and treatment strategies in relation to dementia. Methods We performed a systematic review of available literature on economic evaluations of dementia care, searching key databases and websites in medicine, social care and economics. Literature reviews were privileged, and other study designs were included only to fill gaps in the evidence base. Narrative analysis was used to synthesise the results. Results We identified 56 literature reviews and 29 single studies offering economic evidence on dementia care. There is more cost‐effectiveness evidence on pharmacological therapies than other interventions. Acetylcholinesterase inhibitors for mild‐to‐moderate disease and memantine for moderate‐to‐severe disease were found to be cost‐effective. Regarding non‐pharmacological treatments, cognitive stimulation therapy, tailored activity programme and occupational therapy were found to be more cost‐effective than usual care. There was some evidence to suggest that respite care in day settings and psychosocial interventions for carers could be cost‐effective. Coordinated care management and personal budgets held by carers have also demonstrated cost‐effectiveness in some studies. Conclusion Five barriers to achieving better value for money in dementia care were identified: the scarcity and low methodological quality of available studies, the difficulty of generalising from available evidence, the narrowness of cost measures, a reluctance to implement evidence and the poor coordination of health and social care provision and financing. Copyright © 2012 John Wiley & Sons, Ltd.
Sprache
Englisch
Identifikatoren
ISSN: 0885-6230
eISSN: 1099-1166
DOI: 10.1002/gps.3864
Titel-ID: cdi_proquest_miscellaneous_1372059367
Format
–
Schlagworte
Biological and medical sciences
,
Clinical outcomes
,
Cognitive therapy
,
Cost-Benefit Analysis
,
cost-effectiveness
,
costs
,
Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
,
Delivery of Health Care - economics
,
Dementia
,
Dementia - economics
,
Dementia - therapy
,
economic evaluation
,
General aspects
,
Geriatric psychiatry
,
Geriatric psychology
,
Geriatrics
,
Health Care Costs
,
Health care expenditures
,
Humans
,
Medical sciences
,
Neurology
,
Preventive Health Services - economics
,
Psychology. Psychoanalysis. Psychiatry
,
Psychopathology. Psychiatry
,
Systematic review
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