与痴呆患者非正规照护者劳动力生产力损失相关的成本和负担：来自西班牙的研究结果。
Costs and Burden Associated With Loss of Labor Productivity in Informal Caregivers of People With Dementia: Results From Spain.
机构信息
Department of Nursing, Hospital Clínic de Barcelona, Universitat de Barcelona (UB) Barcelona, Spain (Farré, Drs Risco, Zabalegui); Transverse Group for Research in Primary Care, IDIBAPS, Barcelona, Spain (Dr Kostov); Parc Santari Sant Joan de Deu, CIBERSAM, Universitat de Barcelona (UB), Dr. Antoni Pujadas, Barcelona, Spain (Dr Haro); School of Health Sciences Tecno Campus, Pompeu Fabra University, Mataró, Spain (Dr Cabrera); Department of Nursing, CAP Borrell, CAPSBE, Primary Care, Comte Borrell, Barcelona, Spain (Dr Alvira); and School of Health Sciences Gimbernat i TomàsCerdà, UAB. Av. de la Generalitat, Barcelona, Spain (Dr Miguel).
出版信息
J Occup Environ Med. 2018 May;60(5):449-456. doi: 10.1097/JOM.0000000000001229.
AIMS
We analyzed indirect costs related to loss of labor productivity (LLP) in informal caregivers (ICs) of people with dementia (PwD) and the associated caregiver burden and patients' clinical variables.
METHODS
Multicenter cohort study of PwD and their ICs (n = 287) focused on two groups: (1) home care and (2) institutional long-term care. The costs of LLP were assessed using the Resource Utilization Dementia instrument and a human capital approach.
RESULTS
The cost for LLP was 378&OV0556;/month or 4.536&OV0556;/year. Greater disease severity increased the likelihood of reducing working hours and missing a working day. There was a significant association between partial absenteeism and burden in employed informal caregiver in both the home and institutional setting.
CONCLUSION
Cognitive impairment contributes to the cost of LLP in IC especially in home-care. LLP has a negative impact on IC burden.
目的
我们分析了与痴呆症患者（PwD）非正规照护者（ICs）劳动力生产力损失（LLP）相关的间接成本，以及相关的照护者负担和患者的临床变量。
方法
对 287 名 PwD 及其 ICs 进行了多中心队列研究，重点关注两个组：（1）家庭护理和（2）机构长期护理。使用资源利用痴呆量表和人力资本方法评估 LLP 的成本。
结果
LLP 的成本为每月 378&OV0556;/或每年 4.536&OV0556;/。疾病严重程度的增加增加了减少工作时间和错过工作日的可能性。在家庭和机构环境中，部分缺勤与有工作的非正规照护者的负担之间存在显著关联。
结论
认知障碍导致 LLP 成为 IC 的成本，特别是在家庭护理中。LLP 对 IC 负担有负面影响。
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