Hostname: page-component-78c5997874-xbtfd Total loading time: 0 Render date: 2024-11-02T21:26:20.061Z Has data issue: false hasContentIssue false

Alzheimer's Disease and Other Dementia in Nursing Homes: Levels of Management and Cost

Published online by Cambridge University Press:  10 January 2005

Judith A. O'Brien
Affiliation:
Caro Research, Concord, Massachusetts, US
J. Jaime Caro
Affiliation:
Caro Research, Concord, Massachusetts, US Division of General Internal Medicine, McGill University, Montreal, Canada.

Abstract

Objective: To estimate comparative mangement levels and the annual cost of caring for a nursing home resident with and without dementia. Method: Data from the 1995 Massachusetts Medicaid nursing home database were used to examine residents with Alzheimer's disease, other types of dementia, and no dementia to determine care and dependency levels. Massachusetts Medicaid 1997 per-diem rates for each of 10 designated management levels were applied accordingly to residents in each level to estimate annual care costs. Costs from this analysis are reported in 1997 U.S. dollars. Results: Of the 49,724 nursing home residents identified, 26.4% had a documented diagnosis of dementia. On average, a resident with dementia requires 229 more hours of care annually than one without dementia, resulting in a mean additional cost of $3,865 per patient with dementia per year. Conclusions: Dementia increases the care needs and cost of caring for a nursing home resident.

Type
Articles
Copyright
© 2001 International Psychogeriatric Association

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)