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Cost of informal care for community-dwelling mild-moderate dementia patients in a developed Southeast Asian country
Author(s)Mei Sian Chong
Journal titleInternational Psychogeriatrics, vol 25, no 9, September 2013
PublisherCambridge University Press, September 2013
Pagespp 1475-1483
Sourcejournals.cambridge.org/ipg
KeywordsDementia ; Cognitive impairment ; Living in the community ; Informal care ; Family care ; Costs [care] ; Singapore.
AnnotationCost of informal care constitutes an important component of total dementia care. It also reflects resource utilisation by patients and caregivers. The aim of this Singapore-based study was to quantify the informal cost of care for mild to moderate dementia patients. 165 patient-caregiver dyads with mild to moderate dementia took part. Informal care burden was assessed using the Resource Utilization in Dementia (RUD)-Lite instrument. A generalised linear model was fitted for association between cost of informal care and cognitive impairment, taking into account patient demographics, disease factors and use of paid domestic help. Marginal estimates were obtained from the model for the purpose of illustration and discussion. Total hours of informal care by primary caregiver doubled in moderate dementia patients, with 57.9% having paid domestic help to assist in care. Functional factors and use of paid domestic help were significantly associated with informal care costs. Costs were consistently higher for patients without paid domestic help for mild- and moderate dementia. This study demonstrates the informal care costs of caring for mild-moderate dementia patients in Singapore, with the unique cost savings provided by live-in paid domestic help, and potentially may aid policy-makers in allocation of resources and support to caregivers. (JL).
Accession NumberCPA-130830220 A
ClassmarkEA: E4: K4: P6: P6:SJ: QDC: 7XD

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