Rice D P, Fox P J, Max W, Webber P A, Lindeman D A, Hauck W W, Segura E
Institute for Health and Aging, University of California, San Francisco (UCSF), School of Nursing.
Health Aff (Millwood). 1993 Summer;12(2):164-76. doi: 10.1377/hlthaff.12.2.164.
This study examines total formal and informal care costs attributable to Alzheimer's disease for persons living in the community and in institutions. The total cost of caring for an Alzheimer's patient in northern California is approximately $47,000 per year whether the patient lives at home or in a nursing home, but the cost breakdown differs in the two settings. For community-resident patients, three-fourths of the total cost represents an imputed value for unpaid informal care compared with 12 percent for institutionalized patients. Formal services are financed primarily by individuals and their families. Over 60 percent of the services provided to patients in either care setting were paid out of pocket. With projected increases in the number of persons at risk of developing Alzheimer's disease, the economic impact of the disease on future long-term care costs will be significant.
本研究调查了社区和机构中阿尔茨海默病患者的正式和非正式护理总成本。在北加利福尼亚州，无论患者是居家还是住在养老院，护理一名阿尔茨海默病患者的每年总成本约为47,000美元，但两种情况下的成本构成有所不同。对于社区居民患者，总成本的四分之三为未支付的非正式护理估算值，而对于机构化患者，这一比例为12%。正式服务主要由个人及其家庭提供资金。在任何一种护理环境中，超过60%的服务都是自掏腰包支付的。随着预计患阿尔茨海默病风险人群数量的增加，该疾病对未来长期护理成本的经济影响将是巨大的。
