The Cost-Effectiveness of Two Forms of Case Management Compared to a Control Group for Persons with Dementia and Their Informal Caregivers from a Societal Perspective

Autor: Judith E. Bosmans, Karlijn J. Joling, Franka Meiland, Sophia E. de Rooij, Iris Eekhout, Janet MacNeil Vroomen, Lisa D. van Mierlo, Hein P.J. van Hout
Přispěvatelé: Health Economics and Health Technology Assessment, EMGO+ - Mental Health, Biological Psychology, Lifelong Learning, Education & Assessment Research Network (LEARN), Geriatrics, Other Research, Epidemiology and Data Science, General practice, EMGO - Quality of care
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Gerontology
Economics
Cost effectiveness
lcsh:Medicine
Social Sciences
ECONOMIC-EVALUATION
law.invention
Geographical Locations
0302 clinical medicine
DESIGN
Randomized controlled trial
QUALITY-OF-LIFE
law
Health care
Medicine and Health Sciences
Psychology
Medicine
030212 general & internal medicine
lcsh:Science
Netherlands
UTILITY
Multidisciplinary
Cognitive Neurology
3. Good health
Europe
Neurology
Research Article
Cohort study
medicine.medical_specialty
RANDOMIZED CONTROLLED-TRIALS
Cognitive Neuroscience
Cost-Effectiveness Analysis
03 medical and health sciences
Health Economics
Quality of life (healthcare)
MISSING DATA
Neuropsychology
Mental Health and Psychiatry
Journal Article
Psychiatry
Neuropsychological Testing
business.industry
lcsh:R
Biology and Life Sciences
NEED
Economic Analysis
Quality-adjusted life year
Health Care
People and Places
HEALTH-CARE
Economic evaluation
Quality of Life
Cognitive Science
lcsh:Q
Dementia
Observational study
business
030217 neurology & neurosurgery
Neuroscience
Zdroj: PLoS ONE, 11(9). Public Library of Science
PLoS ONE, 11(9):e0160908. PUBLIC LIBRARY SCIENCE
PLoS ONE, 11(9):e0160908. Public Library of Science
PLoS ONE
MacNeil Vroomen, J, Bosmans, J E, Eekhout, I, Joling, K J, van Mierlo, L D, Meiland, F J M, van Hout, H P J & de Rooij, S E 2016, ' The Cost-Effectiveness of Two Forms of Case Management Compared to a Control Group for Persons with Dementia and Their Informal Caregivers from a Societal Perspective ', PLoS ONE, vol. 11, no. 9, e0160908 . https://doi.org/10.1371/journal.pone.0160908
MacNeil Vroomen, J, Bosmans, J E, Eekhout, I, Joling, K J, van Mierlo, L D, Meiland, F J M, van Hout, H P J & de Rooij, S E 2016, ' The Cost-Effectiveness of Two Forms of Case Management Compared to a Control Group for Persons with Dementia and Their Informal Caregivers from a Societal Perspective ', PLoS ONE, vol. 11, no. 9, pp. e0160908 . https://doi.org/10.1371/journal.pone.0160908
PLoS ONE, Vol 11, Iss 9, p e0160908 (2016)
ISSN: 1932-6203
DOI: 10.1371/journal.pone.0160908
Popis: ObjectivesThe objective of this article was to compare the costs and cost-effectiveness of the two most prominent types of case management in the Netherlands (intensive case management and linkage models) against no access to case management (control group) for people with already diagnosed dementia and their informal caregivers.MethodsThe economic evaluation was conducted from a societal perspective embedded within a two year prospective, observational, controlled, cohort study with 521 informal caregivers and community-dwelling persons with dementia. Case management provided within one care organization (intensive case management model, ICMM), case management where care was provided by different care organizations within one region (Linkage model, LM), and a group with no access to case management (control) were compared. The economic evaluation related incremental costs to incremental effects regarding neuropsychiatric symptoms (NPI), psychological health of the informal caregiver (GHQ-12), and quality adjusted life years (QALY) of the person with dementia and informal caregiver.ResultsInverse-propensity-score-weighted models showed no significant differences in clinical or total cost outcomes between the three groups. Informal care costs were significantly lower in the ICMM group compared to both other groups. Day center costs were significantly lower in the ICMM group compared to the control group. For all outcomes, the probability that the ICMM was cost-effective in comparison with LM and the control group was larger than 0.97 at a threshold ratio of 0 (sic)/incremental unit of effect.ConclusionThis study provides preliminary evidence that the ICMM is cost-effective compared to the control group and the LM. However, the findings should be interpreted with caution since this study was not a randomized controlled trial.
Databáze: OpenAIRE
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