PMID- 19551624
OWN - NLM
STAT- MEDLINE
DCOM- 20100524
LR  - 20181201
IS  - 1439-4421 (Electronic)
IS  - 0941-3790 (Linking)
VI  - 72
IP  - 2
DP  - 2010 Feb
TI  - [Cost-effectiveness model of a community-based service for dementia caregivers].
PG  - 99-105
LID - 10.1055/s-0029-1220758 [doi]
AB  - OBJECTIVE: The objective of this study was to compare the cost-effectiveness of a 
      psychoeducational concept for dementia caregivers with standard care. METHODS: A 
      literature search determined the data for the cost-effectiveness model concerning 
      the quality-adjusted life years (QALYs) and costs. The parameters were evaluated 
      using a decision tree. The evaluation of the base case analysis concerning 
      stability was carried out using sensitivity analysis and a Monte Carlo simulation 
      (MCS). RESULTS: After the implementation of the psychoeducational concept for 
      caregivers a saving of 750 euro was made and a 0.07 QALY was gained over a 
      one-year time horizon. The results of the sensitivity analysis proved to be 
      stable. CONCLUSIONS: By using the community-based service, costs can be saved and 
      QALYs of the caregivers can be gained. This results in a decrease of depressive 
      symptoms among caregivers and in a delay of institutionalisation of the dementia 
      patient.
CI  - Copyright Georg Thieme Verlag KG Stuttgart . New York.
FAU - Dietl, M
AU  - Dietl M
AD  - Interdisziplinares Zentrum fur Public Health der Friedrich-Alexander-Universitat 
      Erlangen-Nurnberg, Erlangen. markus.dietl@uk-erlangen.de
FAU - Kornhuber, J
AU  - Kornhuber J
FAU - Schoffski, O
AU  - Schoffski O
FAU - Grassel, E
AU  - Grassel E
LA  - ger
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
TT  - Kosteneffektivitatsmodell eines ambulanten Hilfeangebotes fur pflegende 
      Angehorige von Demenzkranken.
DEP - 20090623
PL  - Germany
TA  - Gesundheitswesen
JT  - Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes 
      (Germany))
JID - 9204210
SB  - IM
MH  - Aged
MH  - Aged, 80 and over
MH  - Community Health Services/*economics/*statistics & numerical data
MH  - Computer Simulation
MH  - Cost-Benefit Analysis
MH  - Dementia/diagnosis/*economics/*therapy
MH  - Female
MH  - Germany/epidemiology
MH  - Health Care Costs/*statistics & numerical data
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Models, Economic
RF  - 43
EDAT- 2009/06/25 09:00
MHDA- 2010/05/25 06:00
CRDT- 2009/06/25 09:00
PHST- 2009/06/25 09:00 [entrez]
PHST- 2009/06/25 09:00 [pubmed]
PHST- 2010/05/25 06:00 [medline]
AID - 10.1055/s-0029-1220758 [doi]
PST - ppublish
SO  - Gesundheitswesen. 2010 Feb;72(2):99-105. doi: 10.1055/s-0029-1220758. Epub 2009 
      Jun 23.