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The financial burden and health care utilization patterns associated with amnestic mild cognitive impairment
Author(s) -
Ton Thanh G.N.,
DeLeire Thomas,
May Suepattra G.,
Hou Ningqi,
Tebeka Mahlet G.,
Chen Er,
Chodosh Joshua
Publication year - 2017
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.2016.08.009
Subject(s) - dementia , cognition , demographics , medicine , cognitive impairment , disease , gerontology , clinical dementia rating , alzheimer's disease , health care , cross sectional study , psychiatry , demography , sociology , economics , economic growth , pathology
Individuals with amnestic mild cognitive impairment (aMCI) are at elevated risk of developing Alzheimer's disease (AD) dementia. Methods With data from the Aging, Demographics, and Memory Study, we used the Clinical Dementia Rating Sum of Boxes classifications to conduct a cross‐sectional analysis assessing the relationship between cognitive state and various direct and indirect costs and health care utilization patterns. Results Patients with aMCI had less medical expenditures than patients with moderate and severe AD dementia ( P < .001) and were also significantly less likely to have been hospitalized ( P = .04) and admitted to nursing home ( P < .001). Compared to individuals with normal cognition, patients with aMCI had significantly less household income ( P = .018). Discussion Patients with aMCI had lower medical expenditures than patients with AD dementia. Poor cognitive status was linearly associated with lower household income, higher medical expenditures, higher likelihood of nursing and home care services, and lower likelihood of outpatient visits.

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