Predictors of Societal Costs of Older Care-Dependent Adults Living in the Community in 11 European Countries.
Minimum Data Set for Home Care
Predictors of costs
home care
older adults
societal costs
Journal
Health services insights
ISSN: 1178-6329
Titre abrégé: Health Serv Insights
Pays: United States
ID NLM: 101624726
Informations de publication
Date de publication:
2019
2019
Historique:
received:
12
11
2018
accepted:
15
11
2018
entrez:
6
2
2019
pubmed:
6
2
2019
medline:
6
2
2019
Statut:
epublish
Résumé
The objective was to identify predictors of societal costs covering formal and informal care utilization by older home care clients in 11 European countries. Societal costs of 1907 older clients receiving home care for 12 months from the Aged in Home care (AdHoc) study were estimated using the InterRAI Minimum Data Set for Home Care's (MDS-HC) resource use items. Predictors (medical, functional, and psychosocial domains) of societal costs were identified by performing univariate and multivariate generalized linear model analyses. Mean societal costs per participant were €36 442, ranging from €14 865 in Denmark to €78 836 in the United Kingdom. In the final multivariate model, country, being married, activities of daily living (ADL) dependency, cognitive impairment, limitations of going out, oral conditions, number of medications, arthritis, and cerebro vascular accident (CVA) were significantly associated with societal costs. Of the predictors, ADL dependency and limitations of going out may be modifiable. Developing interventions targeted at improving these conditions may create opportunities to curtail societal costs.
Sections du résumé
BACKGROUND
BACKGROUND
The objective was to identify predictors of societal costs covering formal and informal care utilization by older home care clients in 11 European countries.
METHODS
METHODS
Societal costs of 1907 older clients receiving home care for 12 months from the Aged in Home care (AdHoc) study were estimated using the InterRAI Minimum Data Set for Home Care's (MDS-HC) resource use items. Predictors (medical, functional, and psychosocial domains) of societal costs were identified by performing univariate and multivariate generalized linear model analyses.
RESULTS
RESULTS
Mean societal costs per participant were €36 442, ranging from €14 865 in Denmark to €78 836 in the United Kingdom. In the final multivariate model, country, being married, activities of daily living (ADL) dependency, cognitive impairment, limitations of going out, oral conditions, number of medications, arthritis, and cerebro vascular accident (CVA) were significantly associated with societal costs.
CONCLUSIONS
CONCLUSIONS
Of the predictors, ADL dependency and limitations of going out may be modifiable. Developing interventions targeted at improving these conditions may create opportunities to curtail societal costs.
Identifiants
pubmed: 30718960
doi: 10.1177/1178632918820947
pii: 10.1177_1178632918820947
pmc: PMC6348544
doi:
Types de publication
Journal Article
Langues
eng
Pagination
1178632918820947Déclaration de conflit d'intérêts
Declaration of conflicting interests:The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
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