Details

Autor(en) / Beteiligte

• Michalowsky, Bernhard
• Xie, Feng
• Eichler, Tilly
• Hertel, Johannes
• Kaczynski, Anika
• Kilimann, Ingo
• Teipel, Stefan
• Wucherer, Diana
• Zwingmann, Ina
• Thyrian, Jochen René
• Hoffmann, Wolfgang

Titel

Cost-effectiveness of a collaborative dementia care management—Results of a cluster-randomized controlled trial

Ist Teil von

• Alzheimer's & dementia, 2019-10, Vol.15 (10), p.1296-1308

Ort / Verlag

United States: Elsevier Inc

Erscheinungsjahr

2019

Quelle

Wiley Online Library Journals Frontfile Complete

Beschreibungen/Notizen

• The purpose of this study was to determine the cost-effectiveness of collaborative dementia care management (DCM). The cost-effectiveness analysis was based on the data of 444 patients of a cluster-randomized, controlled trial, conceptualized to evaluate a collaborative DCM that aimed to optimize treatment and care in dementia. Health-care resource use, costs, quality-adjusted life years (QALYs), and incremental cost per QALY gained were measured over a 24-month time horizon. DCM increased QALYs (+0.05) and decreased costs (−569€) due to a lower hospitalization and a delayed institutionalization (7 months) compared with usual care. The probability of DCM being cost-effective was 88% at willingness-to-pay thresholds of 40,000€ per QALY gained and higher in patients living alone compared to those not living alone (96% vs. 26%). DCM is likely to be a cost-effective strategy in treating dementia and thus beneficial for public health-care payers and patients, especially for those living alone.