Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
Alzheimers Dement. 2024 Apr;20(4):2742-2751. doi: 10.1002/alz.13746. Epub 2024 Feb 27.
Dementia is the fourth largest cause of death for individuals 70 years of age and older in the United States, and it is tremendously costly. Existing estimates of the indirect costs of dementia are dated and do not report on differences across the United States.
We used data from multiple surveys to create cost estimates and projections for informal dementia caregiving at the U.S. state level from 2010 through 2050.
In 2019, the annual replacement cost of informal caregiving was $42,422 per prevalent case, and the forgone wage cost was $10,677 per prevalent case. In 2019, it would have cost $230 billion to hire home health aides to provide all this care. If past trends persist, this cost is expected to grow to $404 billion per year in 2050.
The cost of informal care varied substantially by state and is expected to grow through at least 2050.
In the United States in 2019, foregone wages due to informal dementia care was $58 billion. Replacing informal dementia care with health aides would have cost $230 billion. These costs vary dramatically by state, even when assessed per prevalent case. These costs are expected to nearly double by 2050.
在美国，痴呆症是 70 岁及以上人群的第四大死因，其治疗费用巨大。现有痴呆症间接成本的估计数据已经过时，并且没有报告美国各地的差异。
我们使用来自多个调查的数据，在 2010 年至 2050 年期间，按美国州划分，对非正规痴呆症护理的成本进行了估计和预测。
2019 年，每例现患病例的非正规护理替代成本为 42422 美元，每例现患病例的工资损失成本为 10677 美元。2019 年，要聘请家庭保健助理来提供所有这些护理，需要花费 2300 亿美元。如果延续过去的趋势，到 2050 年，这一成本预计将每年增长到 4040 亿美元。
非正规护理的成本因州而异，预计至少到 2050 年还会继续增长。
2019 年，由于非正规痴呆症护理而损失的工资为 580 亿美元。用健康助理代替非正规痴呆症护理将花费 2300 亿美元。这些成本因州而异，即使按每例现患病例计算也是如此。这些成本预计到 2050 年将几乎翻一番。
