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The societal costs of dementia in Sweden 2012-relevance and methodological challenges in valuing informal care
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Medicinska och farmaceutiska vetenskapsområdet, centrumbildningar mm, Centre for Research and Development, Gävleborg. Karolinska Inst, Dept Neurobiol Care Sci & Soc NVS, Aging Res Ctr, Stockholm, Sweden.;Stockholm Univ, Stockholm, Sweden.;Karolinska Inst, Dept Neurobiol Care Sci & Soc NVS, Div Neurogeriatr, Stockholm, Sweden..
Karolinska Inst, Dept Neurobiol Care Sci & Soc NVS, Aging Res Ctr, Stockholm, Sweden.;Stockholm Univ, Stockholm, Sweden..
Karolinska Inst, Dept Neurobiol Care Sci & Soc NVS, Div Neurogeriatr, Stockholm, Sweden..
Karolinska Inst, Dept Neurobiol Care Sci & Soc NVS, Div Caring Sci, Stockholm, Sweden.;Umea Univ, Dept Nursing, Umea, Sweden.;Lulea Univ Technol, Dept Hlth Sci, Lulea, Sweden..
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2016 (English)In: Alzheimer's Research & Therapy, ISSN 0065-6755, E-ISSN 1758-9193, Vol. 8, article id 59Article in journal (Refereed) Published
Abstract [en]

Background: In this study, we sought to estimate the societal cost of illness in dementia in Sweden in 2012 using different costing approaches to highlight methodological issues. Methods: We conducted a prevalence-based cost-of-illness study with a societal perspective. Results: The societal costs of dementia in Sweden in 2012 were SEK 62.9 billion (approximately (sic) 7.2 billion, approximately US$ 9.0 billion) or SEK 398,000 per person with dementia (approximately (sic) 45,000, approximately US$ 57,000). By far the most important cost item is the cost of institutional care: about 60% of the costs. In the sensitivity analysis, different quantification and costing approaches for informal care resulted in a great variation in the total societal cost, ranging from SEK 60 billion ((sic) 6.8 billion, US$ 8.6 billion) to SEK 124 billion ((sic) 14.1 billion, US$ 17.8 billion). Conclusions: The societal costs of dementia are very high. The cost per person with dementia has decreased somewhat, mainly because of de-institutionalisation. The majority of the costs occur in the social care sector, but the costing of informal care is crucial for the cost estimates.

Place, publisher, year, edition, pages
2016. Vol. 8, article id 59
Keywords [en]
Costing study, Cost of illness, Dementia, Alzheimer's disease, Sweden
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Identifiers
URN: urn:nbn:se:uu:diva-315090DOI: 10.1186/s13195-016-0215-9ISI: 000391413900001OAI: oai:DiVA.org:uu-315090DiVA, id: diva2:1073209
Funder
Swedish National Board of Health and Welfare
Note

Erratum in Alzheimer's Research & Therapy. Vol. 9 Article number 12. DOI: 10.1186/s13195-017-0244-z

Available from: 2017-02-09 Created: 2017-02-09 Last updated: 2017-04-27Bibliographically approved

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