COSTS OF FORMAL AND INFORMAL CARE--ALZHEIMER'S PATIENTS

正式和非正式护理的费用——阿尔茨海默病患者

• 批准号: 3119600
• 负责人: DOROTHY P. RICE
• 金额: $ 14.1万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 1988
• 资助国家: 美国
• 起止时间: 1988-07-01 至 1992-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3119600
• 关键词: Alzheimer's disease; brain disorder diagnosis; caregivers; diagnosis service; extended care; health care cost /financing; health care service utilization; home health care; hospital patient care; longitudinal human study; nursing homes; patient care management

This study will estimate the current direct and indirect costs of Alzheimer's disease to the nation. These estimates will be based on longitudinal data on the utilization and costs of medical, social and informal services for institutionalized and non- institutionalized Alzheimer's disease patients. Specifically, this study proposes to collect, analyze and estimate: 1) formal medical and health care expenditures (i.e., expenses for physician services, laboratory tests and other diagnostic procedures, drugs and prescriptions, home health care, other medical personnel, hospital and nursing home care, etc.); 2) formal social service expenditures (i.e., senior center services, adult day care, nutrition programs, transportation services, etc.); 3) informal care provided by family members and caregivers (i.e., assistance with household chores, mobility and the basic activities of daily living); and 4) societal costs (e.g., productivity losses of both victims and caregivers). In general, we expect that the greater the level of disease severity and the greater the degree of formal care, the higher the costs of care. We will thus be studying the differences in cost of care for mild, moderate and severely impaired Alzheimer's patients in non-institutionalized and institutionalized settings. To estimate these costs, data will be obtained prospectively for a period of one year from a minimum of: 1) 100 non- institutionalized Alzheimer's disease patients; 2) 100 caregivers of the non-institutionalized patients sample; 3) 100 institutionalized Alzheimer's disease patients; and 4) 150 caregivers of the institutionalized patient sample. Non- institutionalized Alzheimer's disease patients will be selected from the patient population of two State of California Alzheimer's Disease Diagnostic and Treatment Centers, while the institutionalized patient population will be selected from a group of Alzheimer's disease patients residing in 14 skilled nursing facilities.

这项研究将估计目前的直接和间接成本 阿尔茨海默氏症传播到这个国家。这些估计将基于 根据关于医疗服务利用和成本的纵向数据， 为制度化和非制度化的非政府组织提供社会和非正式服务 收容阿尔茨海默病患者。具体地说，这 研究建议收集、分析和评估：1)正规医疗 和医疗保健支出(即医生的费用 服务、实验室测试和其他诊断程序、药物 和处方，家庭保健，其他医务人员， 医院和养老院护理等)；2)正式的社会服务 支出(即老年中心服务、成人日托、 营养计划、交通服务等)；3)非正式 家庭成员和照顾者提供的护理(即援助 有家务，有流动性，有基本的日常活动 生活)；和4)社会成本(例如，两者的生产力损失 受害者和照顾者)。一般而言，我们预计越大 疾病的严重程度和正式程度越高 护理，护理成本越高。因此，我们将研究 轻度、中度和重度患者的护理费用差异 非住院和非住院的阿尔茨海默病患者 制度化的环境。 为了估计这些成本，将前瞻性地获得以下数据 最短一年：1)100非 住院的阿尔茨海默病患者；2)100名照顾者 非住院患者样本的百分比；3)100 收容阿尔茨海默病患者；以及4)150名 住院病人样本的照顾者。非- 将选择住院的阿尔茨海默病患者 来自加利福尼亚州两个州的阿尔茨海默氏症患者 疾病诊断和治疗中心，而 住院病人将从一个小组中挑选出来 阿尔茨海默病患者居住在14个熟练护理 设施。