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Time use and costs of institutionalised elderly persons with or without dementia
 — results from Nordanstig cohort in the Kungsholmen Project - a population based study in Sweden
Author(s)Gunilla Nordberg, Anders Wimo, Linus Jönsson
Journal titleInternational Journal of Geriatric Psychiatry, vol 22, no 7, July 2007
Pagespp 639-648
Sourcehttp://www.interscience.wiley.com
KeywordsDementia ; Residents [care homes] ; Care homes ; Nursing homes ; Costs [care] ; Sweden.
Annotation176 institutionalised inhabitants aged 75+ living in Nordanstig, a rural community in Sweden, were clinically examined by physicians and interviewed by nurses. Staff and informal care-giving time was examined with the RUD (Resource Utilization in Dementia) instrument. Tobit regression analyses showed that having dementia increased the amount of activities of daily living (ADL) care time with 0.9 h when compared to those not having dementia, whereas each loss of an ADL function (0-6) added 0.6 h to ADL care time. Analysing the total care time use, the presence of dementia added more than 9 h, while each loss of one ADL function added 2.9 h. There were some informal care contributions, however, with no correlation to severity in dependency. The estimated cost for institutional care increased with more than 85% for people being independent in 5-6 ADL activities compared to those with no functional dependency, and with 30% for those with dementia compared to the non-demented. There is a variation in time use in institutional settings due to differences in ADL dependency, but also whether dementia is present or not. This variation has implications for costs of institutional care. (RH).
Accession NumberCPA-071113207 A
ClassmarkEA: KX: KW: LHB: QDC: 76P

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