Nakabe Takayo, Sasaki Noriko, Uematsu Hironori, Kunisawa Susumu, Wimo Anders, Imanaka Yuichi
Department of Healthcare Economics and Quality Management, Graduate School of Medicine, Kyoto University, Yoshida Konoe-cho, Sakyo-ku, Kyoto, Japan.
Aging Research Centre, Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet and Stockholm University, Stockholm, Sweden.
Int J Geriatr Psychiatry. 2018 Jun 12. doi: 10.1002/gps.4916.
We aimed to quantify the personal economic burden of dementia care in Japan according to residence type.
A cross-sectional online survey was conducted on 3841 caregivers of people with dementia. An opportunity cost approach was used to calculate informal care costs. All costs and the observed/expected (OE) ratio of costs were adjusted using patient sex, age, and care-needs levels, and compared among the residence types.
The mean daily informal care time was 8.2 hours, and the mean monthly informal care costs for community-dwelling people with dementia were US$1559. The OE ratio for informal care costs in community-dwelling patients was higher than in institutionalized patients.
The inclusion of informal care costs reduced the differences in total personal costs among the residence types. The economic burden of informal care should be considered when quantifying dementia care costs.
我们旨在根据居住类型对日本痴呆症护理的个人经济负担进行量化。
对3841名痴呆症患者的照料者进行了一项横断面在线调查。采用机会成本法计算非正式护理成本。使用患者的性别、年龄和护理需求水平对所有成本以及成本的观察/预期（OE）比率进行调整，并在不同居住类型之间进行比较。
平均每日非正式护理时间为8.2小时，社区痴呆症患者的平均每月非正式护理成本为1559美元。社区居住患者非正式护理成本的OE比率高于机构化患者。
纳入非正式护理成本减少了不同居住类型之间个人总成本的差异。在量化痴呆症护理成本时应考虑非正式护理的经济负担。
