Societal cost of dementia in Tongliao City,Inner Mongolia
10.3969/j.issn.1000-6729.2024.10.004
- VernacularTitle:内蒙古通辽市老年期痴呆的社会成本研究
- Author:
Xiaoyi TIAN
1
;
Yueqin HUANG
;
Dan LI
;
Tingting ZHANG
;
Jinghui DONG
;
Jingming WEI
;
Yongyan DENG
;
Takching TAI
;
Yuanyuan LI
;
Hongmei YU
;
Linfeng ZHANG
;
Zhaorui LIU
Author Information
1. 北京大学第六医院,北京大学精神卫生研究所,国家卫生健康委员会精神卫生学重点实验室(北京大学),国家精神心理疾病临床医学研究中心(北京大学第六医院),北京 100083
- Keywords:
dementia;
cost of illness;
informal care
- From:
Chinese Mental Health Journal
2024;38(10):854-860
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To estimate the costs of dementia from a societal perspective in Tongliao City and ex-plore the influencing factors of these costs.Methods:Dementia was diagnosed using the 10/66 Dementia Research Group assessment instruments.Data on healthcare utilization,caregiver's care time or costs,and the distress due to caregiving were collected.The cost-proportion conversion method was used to estimate the per capita cost of health services based on data from the National Statistical Yearbook.The human capital approach was used to estimate the unit value of informal care time,and the willingness-to-pay method was used to measure the intangible costs of car-egivers.The total societal costs of dementia were calculated based on the reference year 2023,and a two-part model was employed to analyze the factors influencing the societal costs.Results:A total of 390 dementia patients were di-agnosed,with an average societal cost per capita of 117 877 Yuan.The largest cost component was informal care provided by unpaid family members,accounting for 73.1％of the total societal cost.The societal costs for female patients were 61 395 Yuan higher than those for male patients.Patients with comorbid stroke had a higher societal cost of 63 008 Yuan compared to patients without stroke,and each additional chronic disease added 5 868 Yuan to societal costs.Additionally,each non-memory dimension impairment in the Clinical Dementia Rating Scale in-creased the societal costs by 53 997 Yuan.Conclusion:Dementia poses a significant socio-economic burden,with informal care being the major component of this burden.
