The costs of dementia in England.
England
cost of illness
costs
dementia
health care
social care
unpaid care
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
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
1095-1103Subventions
Organisme : Department of Health
Pays : United Kingdom
Informations de copyright
© 2019 The Authors International Journal of Geriatric Psychiatry Published by John Wiley & Sons Ltd.
Références
BMJ. 2008 Feb 2;336(7638):258-62
pubmed: 18187696
Acta Psychiatr Scand. 2010 Apr;121(4):243-59
pubmed: 19694634
Age Ageing. 2018 May 01;47(3):374-380
pubmed: 29370339
Int J Geriatr Psychiatry. 2019 Jul;34(7):1095-1103
pubmed: 30950106
Health Policy. 2002 Sep;61(3):255-68
pubmed: 12098519
Lancet. 2013 Oct 26;382(9902):1405-12
pubmed: 23871492
Nat Commun. 2016 Apr 19;7:11398
pubmed: 27092707
Alzheimers Dement. 2013 Jul;9(4):429-435.e17
pubmed: 23142433
Psychol Med. 1986 Feb;16(1):89-99
pubmed: 3515380
BMJ. 2000 May 13;320(7245):1335
pubmed: 10807635
PLoS One. 2017 Mar 7;12(3):e0172204
pubmed: 28267795
Lancet Public Health. 2018 Sep;3(9):e447-e455
pubmed: 30174210
BMC Health Serv Res. 2017 Jan 11;17(1):25
pubmed: 28077155
Age Ageing. 1996 Mar;25(2):113-20
pubmed: 8670538
PLoS One. 2016 Feb 09;11(2):e0148779
pubmed: 26859891
Br J Prev Soc Med. 1976 Jun;30(2):79-85
pubmed: 953380
Int J Geriatr Psychiatry. 2017 Dec;32(12):1466-1475
pubmed: 27911013