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P2‐440: Utilization of Health and Community Support Services Among Alzheimer Society Caregivers and Individuals in the Early Stages of Dementia
Author(s) -
McAiney Carrie A.,
Markle-Reid Maureen,
Gafni Amiram,
Fisher Kathryn,
Harvey David,
Burnett Mary
Publication year - 2016
Publication title -
alzheimer's and dementia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 6.713
H-Index - 118
eISSN - 1552-5279
pISSN - 1552-5260
DOI - 10.1016/j.jalz.2016.06.1652
Subject(s) - dementia , spouse , gerontology , medicine , context (archaeology) , depression (economics) , affect (linguistics) , family caregivers , longitudinal study , activities of daily living , health care , psychiatry , psychology , disease , paleontology , macroeconomics , communication , pathology , sociology , anthropology , economics , biology , economic growth
0.05). Although prevalence rates have remained highest among women (97.3 per 1,000 in 2012/13) than men (68.2 per 1,000), the increase in the rate over time was greater among men. Median health system costs associated with one year of health system use were $19,468 (interquartile range (IQR) $4,490 to $47,726) for prevalent cases in 2012/13 and $16,549 (IQR $5,070 to $47,899) for incident cases; the median cost varied over 3-fold across age groups. Long-term care and hospital care accounted for the largest portion of total costs in both groups. Conclusions: The prevalence of ADRD has increased in Ontario, Canada over the past eight years and, given slightly declining incidence rates over this time period, is likely attributable to declining mortality. The skewed distribution of costs associated with one year of health system use by both prevalent and incident cases were dominated by acute and long-term care services and reflect a significant challenge for publically financed health systems.