Current and Future Costs of Alzheimer's and Dementia Care

 描述（由申请人提供）：痴呆症护理具有巨大的经济成本，对医疗保健系统以及提供大部分护理的家庭的健康和福利产生影响。有许多关于痴呆症成本的研究，但由于研究时间范围的差异，成本的全面性，所用数据质量的差异以及痴呆症发病定义的差异，导致对成本的估计差异很大。这些因素使得理解文献和描绘阿尔茨海默氏症和痴呆症护理未来成本的一致画面变得更加困难。我们提出的研究在改善目前痴呆症护理的测量和改善对该疾病未来负担的预测方面采取了关键步骤。本研究的具体目的是：（1）估计痴呆症护理的直接医疗保健成本如何随保险和护理提供者而变化;（2）估计痴呆症护理照顾者的直接和间接成本;（3）制作和校准预测模型，以估计痴呆症护理的未来成本，从而为资源分配决策提供信息。

 DESCRIPTION (provided by applicant): Dementia care has substantial economic costs, with consequences for health care systems and for the health and welfare of the families who provide the majority of their care. There are many studies of the costs of dementia, but they lead to widely varying estimates of the costs due to differences in the time-frame studied, the comprehensiveness of the costs included, differences in the quality of the data used, and the differences in the definition of dementia onset. These factors make the understanding the literature and painting a consistent picture of the future costs of Alzheimer's and dementia care more difficult. Our proposed study takes key steps in improving the measurement of current dementia care and improving the projections of the future burden of the disease. The specific aims of this research are to: (1) Estimate how the direct health care costs of dementia care vary with the insurance and care providers; (2) Estimate the direct and indirect costs to caregivers of dementia care; (3) Produce and calibrate a forecasting model to estimate the future costs of dementia care in order to inform resource allocation decisions.