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: 3119598
• 负责人: DOROTHY P. RICE
• 金额: $ 1.37万
• 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/3119598
• 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费用， 老年痴呆症的危害。 这些估计将基于 关于医疗服务利用和费用的纵向数据， 社会和非正式服务， 老年痴呆症患者 具体地说，这 研究建议收集、分析和估计：1）正规医疗 和卫生保健支出（即，医生费用 服务、实验室检查和其他诊断程序、药物 和处方，家庭保健，其他医务人员， 医院和疗养院护理等）; 2)正规社会服务 支出（即，老年中心服务，成人日托， 营养方案、运输服务等）; 3)非正式 家庭成员和照顾者提供的照顾（即，援助 家庭琐事、流动性和日常基本活动 生活）;以及4）社会成本（例如，两者的生产力损失 受害者和照顾者）。 总的来说，我们预计， 疾病严重程度越高， 护理费用越高，护理费用越高。 因此，我们将研究 轻度、中度和重度患者的护理费用差异 在非机构化的老年痴呆症患者中， 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： 一年的时间，从最低限度：1）100非- 制度化的阿尔茨海默病患者; 2）100名护理人员 非住院患者样本; 3）100 老年痴呆症患者; 4）150 机构化病人样本的照顾者。 非 老年痴呆症患者将被挑选出来 来自加州州两个阿尔茨海默病患者群体 疾病诊断和治疗中心，而 将从一组患者中选择一个住院患者群体， 老年痴呆症患者居住在14个熟练的护理 设施