Classification tree model of the personal economic burden of dementia care by related factors of both people with dementia and caregivers in Japan: a cross-sectional online survey.
Activities of Daily Living
Adult
Aged
Aged, 80 and over
Caregivers
/ economics
Cost of Illness
Cross-Sectional Studies
Dementia
/ economics
Employment
/ economics
Family Leave
/ economics
Female
Health Care Costs
/ statistics & numerical data
Health Care Surveys
Humans
Japan
Long-Term Care
/ economics
Male
Middle Aged
Models, Economic
Patient Care
/ economics
Japan
classification
cost
informal care
rud
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
09 07 2019
09 07 2019
Historique:
entrez:
11
7
2019
pubmed:
11
7
2019
medline:
8
7
2020
Statut:
epublish
Résumé
The purpose of this study was to clarify the microlevel determinants of the economic burden of dementia care at home in Japanese community settings by classifying them into subgroups of factors related to people with dementia and their caregivers. A cross-sectional online survey. 4313 panels of Japanese research company who fulfilled the following criteria: (1) aged 30 years or older, (2) non-professional caregiver of someone with dementia, (3) caring for only one person with dementia and (4) having no conflicts of interest with advertising or marketing research entities. Informal care costs and out-of-pocket payments for long-term care (LTC) services. From 4313 respondents, only 1383 caregivers in community-settings were included in this analysis. We conducted a χ² automatic interaction detection analysis to identify the factors related to each cost (informal care costs and out-of-pocket payments for LTC services) divided into subcategories. In the resultant classifications, informal care cost was mainly related to caregivers' employment status. When caregivers acquired family care leave, informal care costs were the highest. On the other hand, out-of-pocket payments for LTC were related to care-need levels and family economic status. Activities of Daily Living and Instrumental Activities of Daily Living functions such as bathing, toileting and cleaning were related to all costs. This study clarified the difference in dementia care costs between classified subgroups by considering the combination of the situations of both people with dementia and their caregivers. Informal care costs were related to caregivers' employment and cohabitation status rather to the situations of people with dementia. On the other hand, out-of-pocket payments for LTC services were related to care-need levels and family economic status. These classifications will be useful in understanding which situation represents a greater economic burden and helpful in improving the sustainability of the dementia care system in Japan.
Identifiants
pubmed: 31289069
pii: bmjopen-2018-026733
doi: 10.1136/bmjopen-2018-026733
pmc: PMC6629423
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e026733Informations de copyright
© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
Alzheimers Dement. 2011 May;7(3):318-27
pubmed: 21575872
J Med Internet Res. 2002 Apr-Nov;4(2):E13
pubmed: 12554560
Acta Psychiatr Scand. 2010 Apr;121(4):243-59
pubmed: 19694634
Alzheimers Dement. 2015 Aug;11(8):946-54
pubmed: 25614127
Int Psychogeriatr. 2011 Feb;23(1):73-85
pubmed: 20619068
Medicine (Baltimore). 2015 Feb;94(7):e525
pubmed: 25700313
Alzheimers Dement. 2017 Jan;13(1):1-7
pubmed: 27583652
Int J Geriatr Psychiatry. 2015 Feb;30(2):111-29
pubmed: 25320002
J Med Internet Res. 2004 Sep 29;6(3):e34
pubmed: 15471760
PLoS One. 2016 Feb 09;11(2):e0148779
pubmed: 26859891
Alzheimers Dement. 2017 Mar;13(3):201-204
pubmed: 28232007
Int J Nurs Stud. 2016 Mar;55:39-49
pubmed: 26632506
Int J Geriatr Psychiatry. 2018 Jun 12;:
pubmed: 29892984
Curr Alzheimer Res. 2010 Jun;7(4):358-67
pubmed: 19939223
J Am Med Dir Assoc. 2014 Feb;15(2):117-26
pubmed: 24321877
Alzheimers Dement. 2013 Jul;9(4):429-435.e17
pubmed: 23142433
Health Policy. 2014 May;116(1):114-22
pubmed: 24461717
Eur J Health Econ. 2015 Jun;16(5):507-15
pubmed: 24802240
Aging Ment Health. 2014;18(1):81-91
pubmed: 23631721
Alzheimers Dement. 2015 Aug;11(8):933-45
pubmed: 25846298
N Engl J Med. 2013 Apr 4;368(14):1326-34
pubmed: 23550670
J Nutr Health Aging. 2010 Oct;14(8):685-90
pubmed: 20922346
Int J Behav Med. 2019 Apr;26(2):125-135
pubmed: 30397858
Acta Psychiatr Scand. 2011 Nov;124(5):384-95
pubmed: 21838738
Soc Psychiatry Psychiatr Epidemiol. 2016 Apr;51(4):607-16
pubmed: 26498751
Health Policy. 2002 Sep;61(3):255-68
pubmed: 12098519
Alzheimers Dement. 2007 Apr;3(2):81-91
pubmed: 19595921
Biomed Res Int. 2013;2013:852368
pubmed: 23509789
BMC Geriatr. 2017 Aug 15;17(1):182
pubmed: 28814271
Alzheimers Res Ther. 2016 Nov 18;8(1):59
pubmed: 27986093
Am J Alzheimers Dis Other Demen. 2011 Jun;26(4):298-309
pubmed: 21561991
PLoS One. 2013 Jul 18;8(7):e70018
pubmed: 23875017
Am J Epidemiol. 2010 Dec 1;172(11):1292-8
pubmed: 20880962
J Aging Health. 2016 Dec;28(8):1448-1464
pubmed: 26818587
Health Policy. 1991 Jul;18(2):141-50
pubmed: 10112585
Alzheimers Dement. 2013 Jan;9(1):1-11.e3
pubmed: 23305821