Department of Economy, Faculty of Informatics and Management, University of Hradec Kralove, Hradec Kralove, Czech Republic.
Faculty of Informatics and Management, Centre of Basic and Applied Research, University of Hradec Kralove, Hradec Kralove, Czech Republic.
Curr Alzheimer Res. 2018;15(14):1297-1303. doi: 10.2174/1567205015666180831103018.
The importance of the issue of the economic burden of treatment and care for people with dementia is crucial in the developed countries. The European Union and other developed countries are trying to improve the course of aging population which leads to rising costs. Their uniform registration is also one of the objectives of the developed countries' strategic plans to fight dementia. The individual steps of the plans in practical terms so far are mainly directed to the early diagnosis of diseases, records of the associated data are so far in the background.
The aim of this paper is to specify a set of costs that should be constantly monitored at the national level within dementia.
The main method is a literature review focused on Alzheimer's disease. The searched keywords were "Alzheimer's disease" and "costs" incurred after 2010. The studies will specify the monitored costs and determine their minimal penetration, which will then form the basis for recommendations for the monitored group of costs on a national level.
Results of the analysis indicate that the following main cost groups are monitored: medical direct costs (inpatient care, outpatient treatment, medication), non-medical direct costs (day care centres, community health services, respite care, accommodation costs for patients) and indirect costs (time that the carers dedicate to the patient). The issue of different naming and groups of costs calls for a common strategy in this area and defining the minimum items that should be monitored.
在发达国家,治疗和护理痴呆症患者的经济负担问题至关重要。欧盟和其他发达国家正在努力改善人口老龄化的进程,这导致成本上升。他们的统一登记也是发达国家对抗痴呆症战略计划的目标之一。迄今为止,这些计划的具体步骤主要针对疾病的早期诊断,相关数据的记录目前还处于次要地位。
本文旨在明确一组在痴呆症方面应在国家层面上持续监测的费用。
主要方法是对阿尔茨海默病的文献进行综述。搜索的关键词是“阿尔茨海默病”和 2010 年后的“费用”。这些研究将明确监测的费用,并确定其最小的渗透率,然后为国家层面上监测的费用群体提出建议。
分析结果表明,以下是主要监测的费用类别:医疗直接费用(住院治疗、门诊治疗、药物治疗)、非医疗直接费用(日间护理中心、社区卫生服务、暂托护理、患者住宿费用)和间接费用(照顾者为患者投入的时间)。不同的命名和费用类别问题需要在这一领域采取共同的策略,并确定应监测的最小项目。