荷兰养老院中痴呆患者的费用。
Costs of Persons with Dementia Living in Nursing Homes in The Netherlands.
机构信息
Institute for Medical Technology Assessment, Erasmus University of Rotterdam, Erasmus School of Health, Policy & Management, Rotterdam, The Netherlands.
Alzheimer Centre Limburg, Maastricht University Medical Centre+; Faculty of Health, Medicine and Life Sciences; School for Mental Health and Neuroscience, Department of Psychiatry and Neuropsychology, Maastricht, The Netherlands.
出版信息
J Alzheimers Dis. 2022;89(1):359-366. doi: 10.3233/JAD-220416.
BACKGROUND
Disease modifying treatments (DMTs) currently under development for Alzheimer's disease, have the potential to prevent or postpone institutionalization and more expensive care and might delay institutionalization of persons with dementia.
OBJECTIVE
The current study estimates costs of living in a nursing home for persons with dementia in the Netherlands to help inform economic evaluations of future DMTs.
METHODS
Data were collected during semi-structured interviews with healthcare professionals and from the financial administration of a healthcare organization with several nursing homes. Personnel costs were calculated using a bottom-up approach by valuing the time estimates. Non-personnel costs were calculated using information from the financial administration of the healthcare organization.
RESULTS
Total costs of a person with dementia per 24 hours, including both care staff and other healthcare providers, were € 151 for small-scale living wards and € 147 for independent living wards. Non-personnel costs were € 37 per day.
CONCLUSION
This study provides Dutch estimates for total healthcare costs per day for institutionalized persons with dementia. These cost estimates can be used in cost-effectiveness analyses for future DMTs in dementia.
背景
目前正在开发用于治疗阿尔茨海默病的疾病修正疗法（DMT）有可能预防或推迟患者入住疗养院及接受更昂贵的护理，并可能延迟痴呆患者的入院时间。
目的
本研究旨在评估荷兰疗养院中痴呆患者的生活费用，以帮助为未来 DMT 的经济评估提供信息。
方法
数据通过对医疗保健专业人员的半结构化访谈以及从一家拥有多家疗养院的医疗保健组织的财务管理部门收集。人员成本通过评估时间估算值采用自下而上的方法进行计算。非人员成本使用医疗保健组织财务管理部门的信息进行计算。
结果
包括护理人员和其他医疗保健提供者在内，每 24 小时入住小型生活病房的痴呆患者总成本为 151 欧元，入住独立生活病房的总成本为 147 欧元。非人员成本为每天 37 欧元。
结论
本研究提供了荷兰疗养院中痴呆患者每天的总医疗保健成本的估计值。这些成本估计值可用于痴呆症未来 DMT 的成本效益分析。
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