Scandinavian Working Papers in Economics

Working Papers,
Lund University, Department of Economics

No 2018:41: Economic Evaluation of Management of Dementia Patients - A Systematic Literature Review

Sanjib Saha (), Ulf-G. Gerdtham (), Håkan Toresson (), Lennart Minthon () and Johan Jarl ()
Additional contact information
Sanjib Saha: Health Economics Unit, Department of Clinical Science, Lund University
Ulf-G. Gerdtham: Department of Economics, Lund University, Postal: Department of Economics, School of Economics and Management, Lund University, Box 7082, S-220 07 Lund, Sweden
Håkan Toresson: Clinical Memory Research Unit, Department of Clinical Science, Lund University
Lennart Minthon: Clinical Memory Research Unit, Department of Clinical Science, Lund University, Sweden
Johan Jarl: Health Economics Unit, Department of Clinical Science, Lund University

Abstract: Objective: The objective is to systematically review the literature on economic evaluations of the interventions for the management of dementia and Alzheimer patients in home, hospital or institutional care. Methods: A systematic search of published economic evaluation studies in English was conducted using specified key words in relevant databased and websites. Data extracted included methods and empirical evidence (costs, effects, incremental cost-effectiveness ratio) and we assessed if the conclusions made in terms of cost-effectiveness were supported by the reported evidence. The included studies were also assessed for reporting quality using the Consolidated Health Economic Evaluation Reporting Standards (CHEERS) checklist. Results: Twelve studies were identified and there was a considerable heterogeneity in methodological approaches, target populations, study time frames, and perspectives as well as types of interventions. Interventions for the management of dementia patients are in general, not cost-effective. Interventions at the community and home setting for managing both the dementia patients and caregivers on a large scale may have the potential to save societal resources. Conclusion: More effectiveness studies as well as good quality economic evaluations are required before implementation decisions on management strategies can be made based on cost-effectiveness.

Keywords: Dementia; nursing home care; community care; residential care; economic evaluation

JEL-codes: H43; I10; I18

34 pages, December 13, 2018

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