[Cost-effectiveness model of a community-based service for dementia caregivers]

Gesundheitswesen. 2010 Feb;72(2):99-105. doi: 10.1055/s-0029-1220758. Epub 2009 Jun 23.
[Article in German]

Abstract

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.

Publication types

  • Meta-Analysis
  • Review

MeSH terms

  • Aged
  • Aged, 80 and over
  • Community Health Services / economics*
  • Community Health Services / statistics & numerical data*
  • Computer Simulation
  • Cost-Benefit Analysis
  • Dementia / diagnosis
  • Dementia / economics*
  • Dementia / therapy*
  • Female
  • Germany / epidemiology
  • Health Care Costs / statistics & numerical data*
  • Humans
  • Male
  • Middle Aged
  • Models, Economic*