The costs of dementia in England.


Journal

International journal of geriatric psychiatry
ISSN: 1099-1166
Titre abrégé: Int J Geriatr Psychiatry
Pays: England
ID NLM: 8710629

Informations de publication

Date de publication:
07 2019
Historique:
received: 11 10 2018
accepted: 25 03 2019
pubmed: 6 4 2019
medline: 1 2 2020
entrez: 6 4 2019
Statut: ppublish

Résumé

This study measures the average per person and annual total costs of dementia in England in 2015. Up-to-date data for England were drawn from multiple sources to identify prevalence of dementia by severity, patterns of health and social care service utilisation and their unit costs, levels of unpaid care and its economic impacts, and other costs of dementia. These data were used in a refined macrosimulation model to estimate annual per-person and aggregate costs of dementia. There are around 690 000 people with dementia in England, of whom 565 000 receive unpaid care or community care or live in a care home. Total annual cost of dementia in England is estimated to be £24.2 billion in 2015, of which 42% (£10.1 billion) is attributable to unpaid care. Social care costs (£10.2 billion) are three times larger than health care costs (£3.8 billion). £6.2 billion of the total social care costs are met by users themselves and their families, with £4.0 billion (39.4%) funded by government. Total annual costs of mild, moderate, and severe dementia are £3.2 billion, £6.9 billion, and £14.1 billion, respectively. Average costs of mild, moderate, and severe dementia are £24 400, £27 450, and £46 050, respectively, per person per year. Dementia has huge economic impacts on people living with the illness, their carers, and society as a whole. Better support for people with dementia and their carers, as well as fair and efficient financing of social care services, are essential to address the current and future challenges of dementia.

Identifiants

pubmed: 30950106
doi: 10.1002/gps.5113
pmc: PMC6618309
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

1095-1103

Subventions

Organisme : Department of Health
Pays : United Kingdom

Informations de copyright

© 2019 The Authors International Journal of Geriatric Psychiatry Published by John Wiley & Sons Ltd.

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Auteurs

Raphael Wittenberg (R)

Personal Social Services Research Unit (PSSRU), Department of Health Policy, London School of Economics and Political Science, London, UK.

Martin Knapp (M)

Personal Social Services Research Unit (PSSRU), Department of Health Policy, London School of Economics and Political Science, London, UK.

Bo Hu (B)

Personal Social Services Research Unit (PSSRU), Department of Health Policy, London School of Economics and Political Science, London, UK.

Adelina Comas-Herrera (A)

Personal Social Services Research Unit (PSSRU), Department of Health Policy, London School of Economics and Political Science, London, UK.

Derek King (D)

Personal Social Services Research Unit (PSSRU), Department of Health Policy, London School of Economics and Political Science, London, UK.

Amritpal Rehill (A)

Personal Social Services Research Unit (PSSRU), Department of Health Policy, London School of Economics and Political Science, London, UK.

Cheng Shi (C)

Personal Social Services Research Unit (PSSRU), Department of Health Policy, London School of Economics and Political Science, London, UK.
China Social Security Research Centre, School of Labour and Human Resources, Renmin University of China, Beijing, China.

Sube Banerjee (S)

Centre for Dementia Studies, Brighton and Sussex Medical School, University of Sussex, Brighton, UK.

Anita Patel (A)

Anita Patel Health Economics Consulting Ltd, London, UK.

Carol Jagger (C)

Institute for Ageing, Newcastle University, Newcastle upon Tyne, UK.

Andrew Kingston (A)

Institute for Ageing, Newcastle University, Newcastle upon Tyne, UK.

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Classifications MeSH