Cost‐effectiveness of a collaborative dementia care management—Results of a cluster‐randomized controlled trial. Issue 10 (10th August 2019)

• Record Type: Journal Article
• Authors: Michalowsky, Bernhard; Xie, Feng; Eichler, Tilly; Hertel, Johannes; Kaczynski, Anika; Kilimann, Ingo; Teipel, Stefan; Wucherer, Diana; Zwingmann, Ina; Thyrian, Jochen René; Hoffmann, Wolfgang
• Is Part Of: Alzheimer's & dementia. Volume 15:Issue 10(2019)
• Page Start: 1296
• Page End: 1308
• Publication Date: 2019-08-10
• Subjects: Dementia -- Alzheimer's disease -- Dementia care management -- Collaborative care -- Cost‐effectiveness -- Economic impact -- Costs -- Economics -- Medical treatment -- Nonmedical treatment -- Formal care -- Informal care; Alzheimer's disease -- Periodicals; Alzheimer Disease -- Periodicals; Dementia -- Periodicals; Démence; Maladie d'Alzheimer; Périodique électronique (Descripteur de forme); Ressource Internet (Descripteur de forme); 616.83
• DOI: 10.1016/j.jalz.2019.05.008
• Languages: English
• ISSNs: 1552-5260

Abstract

Abstract: Introduction: The purpose of this study was to determine the cost‐effectiveness of collaborative dementia care management (DCM). Methods: The cost‐effectiveness analysis was based on the data of 444 patients of a cluster‐randomized, controlled trial, conceptualized to evaluate a collaborative DCM that aimed to optimize treatment and care in dementia. Health‐care resource use, costs, quality‐adjusted life years (QALYs), and incremental cost per QALY gained were measured over a 24‐month time horizon. Results: DCM increased QALYs (+0.05) and decreased costs (−569€) due to a lower hospitalization and a delayed institutionalization (7 months) compared with usual care. The probability of DCM being cost‐effective was 88% at willingness‐to‐pay thresholds of 40, 000€ per QALY gained and higher in patients living alone compared to those not living alone (96% vs. 26%). Discussion: DCM is likely to be a cost‐effective strategy in treating dementia and thus beneficial for public health‐care payers and patients, especially for those living alone.