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Predictors of Societal Costs of Older Care-Dependent Adults Living in the Community in 11 European Countries

BACKGROUND: The objective was to identify predictors of societal costs covering formal and informal care utilization by older home care clients in 11 European countries. METHODS: Societal costs of 1907 older clients receiving home care for 12 months from the Aged in Home care (AdHoc) study were esti...

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Autores principales: van Lier, Lisanne I, van der Roest, Henriëtte G, Oosten, Babette SH, Garms-Homolová, Vjenka, Onder, Graziano, Finne-Soveri, Harriet, V Jónsson, Pálmi, Ljunggren, Gunnar, Henrard, Jean-Claude, Topinkova, Eva, Sørbye, Liv Wergeland, Bernabei, Roberto, van Hout, Hein PJ, Bosmans, Judith E
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348544/
https://www.ncbi.nlm.nih.gov/pubmed/30718960
http://dx.doi.org/10.1177/1178632918820947
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author van Lier, Lisanne I
van der Roest, Henriëtte G
Oosten, Babette SH
Garms-Homolová, Vjenka
Onder, Graziano
Finne-Soveri, Harriet
V Jónsson, Pálmi
Ljunggren, Gunnar
Henrard, Jean-Claude
Topinkova, Eva
Sørbye, Liv Wergeland
Bernabei, Roberto
van Hout, Hein PJ
Bosmans, Judith E
author_facet van Lier, Lisanne I
van der Roest, Henriëtte G
Oosten, Babette SH
Garms-Homolová, Vjenka
Onder, Graziano
Finne-Soveri, Harriet
V Jónsson, Pálmi
Ljunggren, Gunnar
Henrard, Jean-Claude
Topinkova, Eva
Sørbye, Liv Wergeland
Bernabei, Roberto
van Hout, Hein PJ
Bosmans, Judith E
author_sort van Lier, Lisanne I
collection PubMed
description BACKGROUND: The objective was to identify predictors of societal costs covering formal and informal care utilization by older home care clients in 11 European countries. METHODS: Societal costs of 1907 older clients receiving home care for 12 months from the Aged in Home care (AdHoc) study were estimated using the InterRAI Minimum Data Set for Home Care’s (MDS-HC) resource use items. Predictors (medical, functional, and psychosocial domains) of societal costs were identified by performing univariate and multivariate generalized linear model analyses. RESULTS: Mean societal costs per participant were €36 442, ranging from €14 865 in Denmark to €78 836 in the United Kingdom. In the final multivariate model, country, being married, activities of daily living (ADL) dependency, cognitive impairment, limitations of going out, oral conditions, number of medications, arthritis, and cerebro vascular accident (CVA) were significantly associated with societal costs. CONCLUSIONS: Of the predictors, ADL dependency and limitations of going out may be modifiable. Developing interventions targeted at improving these conditions may create opportunities to curtail societal costs.
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spelling pubmed-63485442019-02-04 Predictors of Societal Costs of Older Care-Dependent Adults Living in the Community in 11 European Countries van Lier, Lisanne I van der Roest, Henriëtte G Oosten, Babette SH Garms-Homolová, Vjenka Onder, Graziano Finne-Soveri, Harriet V Jónsson, Pálmi Ljunggren, Gunnar Henrard, Jean-Claude Topinkova, Eva Sørbye, Liv Wergeland Bernabei, Roberto van Hout, Hein PJ Bosmans, Judith E Health Serv Insights Original Research BACKGROUND: The objective was to identify predictors of societal costs covering formal and informal care utilization by older home care clients in 11 European countries. METHODS: Societal costs of 1907 older clients receiving home care for 12 months from the Aged in Home care (AdHoc) study were estimated using the InterRAI Minimum Data Set for Home Care’s (MDS-HC) resource use items. Predictors (medical, functional, and psychosocial domains) of societal costs were identified by performing univariate and multivariate generalized linear model analyses. RESULTS: Mean societal costs per participant were €36 442, ranging from €14 865 in Denmark to €78 836 in the United Kingdom. In the final multivariate model, country, being married, activities of daily living (ADL) dependency, cognitive impairment, limitations of going out, oral conditions, number of medications, arthritis, and cerebro vascular accident (CVA) were significantly associated with societal costs. CONCLUSIONS: Of the predictors, ADL dependency and limitations of going out may be modifiable. Developing interventions targeted at improving these conditions may create opportunities to curtail societal costs. SAGE Publications 2019-01-23 /pmc/articles/PMC6348544/ /pubmed/30718960 http://dx.doi.org/10.1177/1178632918820947 Text en © The Author(s) 2019 http://www.creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research
van Lier, Lisanne I
van der Roest, Henriëtte G
Oosten, Babette SH
Garms-Homolová, Vjenka
Onder, Graziano
Finne-Soveri, Harriet
V Jónsson, Pálmi
Ljunggren, Gunnar
Henrard, Jean-Claude
Topinkova, Eva
Sørbye, Liv Wergeland
Bernabei, Roberto
van Hout, Hein PJ
Bosmans, Judith E
Predictors of Societal Costs of Older Care-Dependent Adults Living in the Community in 11 European Countries
title Predictors of Societal Costs of Older Care-Dependent Adults Living in the Community in 11 European Countries
title_full Predictors of Societal Costs of Older Care-Dependent Adults Living in the Community in 11 European Countries
title_fullStr Predictors of Societal Costs of Older Care-Dependent Adults Living in the Community in 11 European Countries
title_full_unstemmed Predictors of Societal Costs of Older Care-Dependent Adults Living in the Community in 11 European Countries
title_short Predictors of Societal Costs of Older Care-Dependent Adults Living in the Community in 11 European Countries
title_sort predictors of societal costs of older care-dependent adults living in the community in 11 european countries
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348544/
https://www.ncbi.nlm.nih.gov/pubmed/30718960
http://dx.doi.org/10.1177/1178632918820947
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