The Societal Cost of Dementia in Singapore: Results from the WiSE Study

被引:26
作者
Abdin, Edimansyah [1 ]
Subramaniam, Mythily [1 ]
Achilla, Evanthia [2 ]
Chong, Siow Ann [1 ]
Vaingankar, Janhavi Ajit [1 ]
Picco, Louisa [1 ]
Sambasivam, Rajeswari [1 ]
Pang, Shirlene [1 ]
Chua, Boon Yiang [1 ]
Ng, Li Ling [3 ]
Chua, Hong Choon [4 ]
Heng, Derrick [5 ]
Prince, Martin [6 ]
McCrone, Paul [2 ]
机构
[1] Inst Mental Hlth, Div Res, Buangkok Green Med Pk,10 Buangkok View, Singapore 539747, Singapore
[2] Kings Coll London, Inst Psychiat, Ctr Econ Mental & Phys Hlth, London WC2R 2LS, England
[3] Changi Gen Hosp, Singapore, Singapore
[4] Inst Mental Hlth, Singapore, Singapore
[5] Minist Hlth, Singapore, Singapore
[6] Kings Coll London, Inst Psychiat, Dept Hlth Serv & Populat Res, London WC2R 2LS, England
关键词
Cost of illness; dementia; elderly; health services; societal cost; CHRONIC DISEASES; LATIN-AMERICA; OLDER-PEOPLE; CARE; DIAGNOSIS; COMMUNITY; COUNTRIES; HEALTH; INDIA; CHINA;
D O I
10.3233/JAD-150930
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Background: There is currently limited evidence on the economic burden that dementia exerts on multi-ethnic Asian populations. Objective: The present study aimed to estimate the economic cost of dementia in Singapore. Methods: We used data from the Well-being of the Singapore Elderly study, a nationally representative survey of the older Singapore Resident population aged 60 years and above. Generalized linear modeling was used to estimate factors associated with costs. Results: The total cost of dementia in 2013 was estimated at S$532 million (95% CI, S$361 million to S$701 million) while the annual cost per person was estimated at S$10,245 per year (95% CI, S$6,954 to S$12,495). Apart from dementia, higher total societal cost were also significantly associated with older age, Indian ethnicity, and those who were diagnosed with heart problems, stroke, diabetes or depression, whereas being divorced/separated, lower education, and those who were diagnosed with hypertension were significantly associated with lower total societal cost. Conclusion: The study provides a rich body of information on healthcare utilization and cost of dementia, which is essential for future planning of services for the elderly population.
引用
收藏
页码:439 / 449
页数:11
相关论文
共 40 条
[1]   Equity in the delivery of community healthcare to older people: findings from 10/66 Dementia Research Group cross-sectional surveys in Latin America, China, India and Nigeria [J].
Albanese, Emiliano ;
Liu, Zhaorui ;
Acosta, Daisy ;
Guerra, Mariella ;
Huang, Yueqin ;
Jacob, K. S. ;
Jimenez-Velazquez, Ivonne Z. ;
Llibre Rodriguez, Juan J. ;
Salas, Aquiles ;
Sosa, Ana L. ;
Uwakwe, Richard ;
Williams, Joseph D. ;
Borges, Guilherme ;
Jotheeswaran, A. T. ;
Klibanski, Milagros G. ;
McCrone, Paul ;
Ferri, Cleusa P. ;
Prince, Martin J. .
BMC HEALTH SERVICES RESEARCH, 2011, 11
[2]  
Alzheimer's Disease International, 2006, DEM AS PAC REG EP IS
[3]  
[Anonymous], 2013, NHS REF COSTS 2012 1
[4]  
[Anonymous], 2014, World Alzheimer report 2014: Dementia and risk reduction
[5]  
[Anonymous], 2013, GLOB WAG DAT
[6]  
Barber Julie, 2004, J Health Serv Res Policy, V9, P197, DOI 10.1258/1355819042250249
[7]  
Beecham J., 1992, MEASURING MENTAL HLT, V2nd
[8]   Adjusting for Unit Non-Response in Surveys Through Weighting [J].
Carkin, Danielle Marie ;
Tracy, Paul E. .
CRIME & DELINQUENCY, 2015, 61 (01) :143-158
[9]   Estimating the economic and social costs of dementia in Ireland [J].
Connolly, Sheelah ;
Gillespie, Paddy ;
O'Shea, Eamon ;
Cahill, Suzanne ;
Pierce, Maria .
DEMENTIA-INTERNATIONAL JOURNAL OF SOCIAL RESEARCH AND PRACTICE, 2014, 13 (01) :5-22
[10]   A COMPUTERIZED PSYCHIATRIC DIAGNOSTIC SYSTEM AND CASE NOMENCLATURE FOR ELDERLY SUBJECTS - GMS AND AGECAT [J].
COPELAND, JRM ;
DEWEY, ME ;
GRIFFITHSJONES, HM .
PSYCHOLOGICAL MEDICINE, 1986, 16 (01) :89-99