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Cost-Utility Analysis of Group Living in Dementia Care

Published online by Cambridge University Press:  10 March 2009

Anders Wimo
Affiliation:
Umeå University and the Primary Health Care Research Unit of Medelpad
Bengt Mattson
Affiliation:
Umeå University
Ingvar Krakau
Affiliation:
Karolinska Hospital
Tua Eriksson
Affiliation:
The Primary Health Care Research Unit of Medelpad
Anders Nelvig
Affiliation:
The Geriatric Clinic, Sundsvall
Goran Karlsson
Affiliation:
Linköping University

Abstract

A cost-utility analysis (CUA) was applied to group living for dementia patients. A Markov-model of an expected life-length of 8 years was used. Forty-six patients in group living were compared to 39 patients living at home by inclusion and 23 institutionalized patients. When the cost per gained quality-adjusted life-year (QALY) was calculated, the group living alternative was the most favorable for the patients, giving a cost per paired QALY of US dollars > 0. In the extensive sensitivity analysis the main result was consistent but methodological problems were indicated.

Type
General Essays
Copyright
Copyright © Cambridge University Press 1995

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