Socioeconomic costs of dementia based on utilization of health care and long-term-care services: A retrospective cohort study

Eun Jeong Han, Jung Suk Lee, Eunhee Cho, Hyejin Kim

Research output: Contribution to journalArticlepeer-review

Abstract

This study examined the socioeconomic costs of dementia based on the utilization of healthcare and long-term care services in South Korea. Using 2016 data from two national insurance databases and a survey study, persons with dementia were categorized into six groups based on healthcare and long-term care services used: Long-term care insurance users with home- and community- based services (n = 93,346), nursing home services (n = 69,895), and combined services (n = 16,068); and long-term care insurance non-users cared for by family at home (n = 192,713), living alone (n = 19,526), and admitted to long-term-care hospitals (n = 65,976). Their direct and indirect costs were estimated. The total socioeconomic cost of dementia was an estimated US$10.9 billion for 457,524 participants in 2016 (US$23,877 per person). Among the six groups, the annual per-person socioeconomic cost of dementia was lowest for long-term care insurance users who received homeand community-based services (US$21,391). It was highest for long-term care insurance non-users admitted to long-term care hospitals (US$26,978). Effective strategies are necessary to promote longterm care insurance with home- and community-based services to enable persons with dementia to remain in their communities as long as possible while receiving cost-efficient, quality care.

Original languageEnglish
Article number376
Pages (from-to)1-11
Number of pages11
JournalInternational journal of environmental research and public health
Volume18
Issue number2
DOIs
Publication statusPublished - 2021 Jan 2

Bibliographical note

Funding Information:
Funding: This research was supported by the Chung-Ang University Research Grants in 2019.

Publisher Copyright:
© 2021 by the authors Licensee MDPI, Basel, Switzerland.

All Science Journal Classification (ASJC) codes

  • Pollution
  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

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