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Cost Effective Community Based Dementia Screening: A Markov Model Simulation

Background. Given the dementia epidemic and the increasing cost of healthcare, there is a need to assess the economic benefit of community based dementia screening programs. Materials and Methods. Markov model simulations were generated using data obtained from a community based dementia screening p...

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Autores principales: Saito, Erin, Nakamoto, Beau K., Mendez, Mario F., Mehta, Bijal, McMurtray, Aaron
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3933228/
https://www.ncbi.nlm.nih.gov/pubmed/24649392
http://dx.doi.org/10.1155/2014/103138
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author Saito, Erin
Nakamoto, Beau K.
Mendez, Mario F.
Mehta, Bijal
McMurtray, Aaron
author_facet Saito, Erin
Nakamoto, Beau K.
Mendez, Mario F.
Mehta, Bijal
McMurtray, Aaron
author_sort Saito, Erin
collection PubMed
description Background. Given the dementia epidemic and the increasing cost of healthcare, there is a need to assess the economic benefit of community based dementia screening programs. Materials and Methods. Markov model simulations were generated using data obtained from a community based dementia screening program over a one-year period. The models simulated yearly costs of caring for patients based on clinical transitions beginning in pre dementia and extending for 10 years. Results. A total of 93 individuals (74 female, 19 male) were screened for dementia and 12 meeting clinical criteria for either mild cognitive impairment (n = 7) or dementia (n = 5) were identified. Assuming early therapeutic intervention beginning during the year of dementia detection, Markov model simulations demonstrated 9.8% reduction in cost of dementia care over a ten-year simulation period, primarily through increased duration in mild stages and reduced time in more costly moderate and severe stages. Discussion. Community based dementia screening can reduce healthcare costs associated with caring for demented individuals through earlier detection and treatment, resulting in proportionately reduced time in more costly advanced stages.
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spelling pubmed-39332282014-03-19 Cost Effective Community Based Dementia Screening: A Markov Model Simulation Saito, Erin Nakamoto, Beau K. Mendez, Mario F. Mehta, Bijal McMurtray, Aaron Int J Alzheimers Dis Research Article Background. Given the dementia epidemic and the increasing cost of healthcare, there is a need to assess the economic benefit of community based dementia screening programs. Materials and Methods. Markov model simulations were generated using data obtained from a community based dementia screening program over a one-year period. The models simulated yearly costs of caring for patients based on clinical transitions beginning in pre dementia and extending for 10 years. Results. A total of 93 individuals (74 female, 19 male) were screened for dementia and 12 meeting clinical criteria for either mild cognitive impairment (n = 7) or dementia (n = 5) were identified. Assuming early therapeutic intervention beginning during the year of dementia detection, Markov model simulations demonstrated 9.8% reduction in cost of dementia care over a ten-year simulation period, primarily through increased duration in mild stages and reduced time in more costly moderate and severe stages. Discussion. Community based dementia screening can reduce healthcare costs associated with caring for demented individuals through earlier detection and treatment, resulting in proportionately reduced time in more costly advanced stages. Hindawi Publishing Corporation 2014 2014-02-06 /pmc/articles/PMC3933228/ /pubmed/24649392 http://dx.doi.org/10.1155/2014/103138 Text en Copyright © 2014 Erin Saito et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Saito, Erin
Nakamoto, Beau K.
Mendez, Mario F.
Mehta, Bijal
McMurtray, Aaron
Cost Effective Community Based Dementia Screening: A Markov Model Simulation
title Cost Effective Community Based Dementia Screening: A Markov Model Simulation
title_full Cost Effective Community Based Dementia Screening: A Markov Model Simulation
title_fullStr Cost Effective Community Based Dementia Screening: A Markov Model Simulation
title_full_unstemmed Cost Effective Community Based Dementia Screening: A Markov Model Simulation
title_short Cost Effective Community Based Dementia Screening: A Markov Model Simulation
title_sort cost effective community based dementia screening: a markov model simulation
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3933228/
https://www.ncbi.nlm.nih.gov/pubmed/24649392
http://dx.doi.org/10.1155/2014/103138
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