Dementia care has substantial economic costs, with consequences for health care systems and for the health and welfare of the families who provide the majority of their care. There are many studies of the costs of dementia, but they lead to widely varying estimates of the costs due to differences in the time-frame studied, the comprehensiveness of the costs included, differences in the quality of the data used, and the differences in the definition of dementia onset. These factors make the understanding the literature and painting a consistent picture of the future costs of Alzheimer's and dementia care more difficult. Our proposed study takes key steps in improving the measurement of current dementia care and improving the projections of the future burden of the disease.
The specific aims of this research are to: (1) Estimate how the direct health care costs of dementia care vary with the insurance and care providers; (2) Estimate the direct and indirect costs to caregivers of dementia care; (3) Produce and calibrate a forecasting model to estimate the future costs of dementia care in order to inform resource allocation decisions.

Public Health Relevance

Dementia care has substantial economic costs, with consequences for health care systems and for the health and welfare of the families who provide the majority of their care. Our proposed study takes key steps in improving the measurement of current dementia care and improving the projections of the future burden of the disease. The specific aims of this research are to: (1) Measure how the direct health care costs of dementia care vary with the type of health insurance (HMO vs FFS) and the care arrangement; (2) Estimate the direct and indirect costs to caregivers of dementia care; and (3) Produce and calibrate a forecasting model to estimate the future costs of dementia care that can be used by policy makers to help guide resource allocation decisions.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Research Project (R01)
Project #
5R01AG049815-03
Application #
9271135
Study Section
Health Services Organization and Delivery Study Section (HSOD)
Program Officer
Gerald, Melissa S
Project Start
2015-09-01
Project End
2017-08-31
Budget Start
2017-07-15
Budget End
2017-08-31
Support Year
3
Fiscal Year
2017
Total Cost
Indirect Cost
Name
University of Washington
Department
Administration
Type
Schools of Public Health
DUNS #
605799469
City
Seattle
State
WA
Country
United States
Zip Code
98195
Coe, Norma B; Skira, Meghan M; Larson, Eric B (2018) A Comprehensive Measure of the Costs of Caring for a Parent: Differences According to Functional Status. J Am Geriatr Soc 66:2003-2008