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Willingness-to-pay for reductions in care need
 — estimating the value of informal care in Alzheimer's disease
Author(s)Anders Gustavsson, Linus Jönsson, Rupert McShane
Journal titleInternational Journal of Geriatric Psychiatry, vol 25, no 6, June 2010
Pagespp 622-632
Sourcehttp://www.interscience.wiley.com/journal/gps DOI: 10.1002/gps.2385
KeywordsDementia ; Informal care ; Needs [elderly] ; Attitude ; Costs [care] ; Cost benefit analysis ; Comparison ; United Kingdom ; Spain ; Sweden ; United States of America.
AnnotationA questionnaire was administered to 517 primary carers in four countries (UK, Spain, Sweden, and US), to estimate the value of informal care in Alzheimer's disease (AD) using contingent valuation. Dichotomous choice and bidding game methods were used to elicit their willingness to pay for a reduction in care burden by 1 hour per day, or a total elimination of care needs. Further, the relationship between carer willingness to pay and carer and patient characteristics including disease severity and income was examined. Carers spend on average about 7-9 hrs per day on giving care to their patient, of which 4-5 hrs constituted basic and instrumental ADL tasks. For a 1 hr reduction in need for care per day, carers in the UK, Spain, Sweden, and US said that they were willing to pay £105, £121, £59, and £144 per month respectively. The willingness to pay was higher for carers with higher disposable income, while the influence of other determinants varied across countries. About one-third of carers were not willing to pay anything for a reduction in care. Carers' stated willingness to pay for reductions in caregiving time is substantial and comparable to the prices currently paid for treatments that achieve this benefit. Its determinants seem more directly related to carer status than directly to patient status and may vary by region and by cultural and sociological factors. (KJ/RH).
Accession NumberCPA-100827230 A
ClassmarkEA: P6: IK: DP: QDC: WEA: 48: 8: 76S: 76P: 7T

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