Please use this identifier to cite or link to this item: https://hdl.handle.net/10419/260270 
Year of Publication: 
2018
Series/Report no.: 
Working Paper No. 2018:41
Publisher: 
Lund University, School of Economics and Management, Department of Economics, Lund
Abstract: 
Objective: The objective is to systematically review the literature on economic evaluations of the interventions for the management of dementia and Alzheimer patients in home, hospital or institutional care. Methods: A systematic search of published economic evaluation studies in English was conducted using specified key words in relevant databased and websites. Data extracted included methods and empirical evidence (costs, effects, incremental cost-effectiveness ratio) and we assessed if the conclusions made in terms of cost-effectiveness were supported by the reported evidence. The included studies were also assessed for reporting quality using the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) checklist. Results: Twelve studies were identified and there was a considerable heterogeneity in methodological approaches, target populations, study time frames, and perspectives as well as types of interventions. Interventions for the management of dementia patients are in general, not cost-effective. Interventions at the community and home setting for managing both the dementia patients and caregivers on a large scale may have the potential to save societal resources. Conclusion: More effectiveness studies as well as good quality economic evaluations are required before implementation decisions on management strategies can be made based on cost-effectiveness.
Subjects: 
Dementia
nursing home care
community care
residential care
economic evaluation
JEL: 
H43
I10
I18
Document Type: 
Working Paper

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