定制活动计划的经济分析：改善痴呆患者及其照护者生活质量的非药物干预方法。
Economic Analysis of the Tailored Activity Program: A Nonpharmacological Approach to Improve Quality of Life in People Living With Dementia and their Caregivers.
机构信息
Center for Health Outcomes, Policy, and Economics, Rutgers University, Piscataway, NJ, USA.
Department of Health Services, Policy & Practice, Brown University School of Public Health, Providence, RI, USA.
出版信息
J Appl Gerontol. 2023 Jul;42(7):1433-1444. doi: 10.1177/07334648231158091. Epub 2023 Feb 22.
We investigated costs of delivering the Tailored Activity Program (TAP) and cost savings from two perspectives (health sector and societal) for people living with dementia (PLWD) and their caregivers (dyads) compared to attention control (AC) using data from a randomized controlled trial. The evaluation assessed intervention delivery costs and caregiver reported health care utilization. The total intervention cost of TAP was $1707/dyad versus $864/dyad for AC, and total costs over 6 months for TAP dyads as compared to AC were $1299 (CI: -$10,496, $7898) less from the healthcare perspective, and $761 (CI: -$10,133, $8611) less from the societal perspective. TAP cost savings are driven by lower use of healthcare services among participating dyads, but further analyses with larger samples is warranted to confirm its financial impact.
我们从两个角度（卫生部门和社会）调查了为痴呆症患者（PLWD）及其护理人员（对子）提供定制活动计划（TAP）的成本，以及与注意力控制（AC）相比的成本节约，使用了一项随机对照试验的数据。该评估评估了干预措施的提供成本和护理人员报告的医疗保健利用情况。TAP 的总干预成本为每个对子 1707 美元，而 AC 为 864 美元，从医疗保健角度来看，TAP 对子在 6 个月内的总成本比 AC 少 1299 美元（CI：-$10496，$7898），从社会角度来看，TAP 少 761 美元（CI：-$10133，$8611）。TAP 的成本节约是由于参与对子的医疗服务使用减少所致，但需要进一步进行更大样本的分析以确认其财务影响。
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