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Accepted (AM)Open Access (License Unspecified), Open
Journal article
Cost effectiveness of non-drug interventions that reduce nursing home admissions for people living with dementia
Alzheimer's & dementia
06 Apr 2023
PMID: 37021724
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Six million Americans live with Alzheimer's disease and Alzheimer's disease and related dementias (AD/ADRD), a major health-care cost driver. We evaluated the cost effectiveness of non-pharmacologic interventions that reduce nursing home admissions for people living with AD/ADRD.
We used a person-level microsimulation to model the hazard ratios (HR) on nursing home admission for four evidence-based interventions compared to usual care: Maximizing Independence at Home (MIND), NYU Caregiver (NYU); Alzheimer's and Dementia Care (ADC); and Adult Day Service Plus (ADS Plus). We evaluated societal costs, quality-adjusted life years and incremental cost-effectiveness ratios.
All four interventions cost less and are more effective (i.e., cost savings) than usual care from a societal perspective. Results did not materially change in 1-way, 2-way, structural, and probabilistic sensitivity analyses.
Dementia-care interventions that reduce nursing home admissions save societal costs compared to usual care. Policies should incentivize providers and health systems to implement non-pharmacologic interventions.
Metrics
Details
- Title
- Cost effectiveness of non-drug interventions that reduce nursing home admissions for people living with dementia
- Creators
- Eric Jutkowitz - Providence VA Medical CenterLaura T Pizzi - Rutgers, The State University of New JerseyPeter Shewmaker - Brown UniversityFernando Alarid-Escudero - Stanford UniversityGary Epstein-Lubow - Butler HospitalKatherine M Prioli - Rutgers, The State University of New JerseyJoseph E Gaugler - University of MinnesotaLaura N Gitlin - Drexel University
- Publication Details
- Alzheimer's & dementia
- Publisher
- Wiley
- Grant note
- 1RF1AG069771 / NIA NIH HHS R01 AG049692 / NIA NIH HHS 1R21AG059623-01 / NIA NIH HHS 1R01AG060871-01 / NIA NIH HHS
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Nursing and Health Professions
- Web of Science ID
- WOS:000963751900001
- Scopus ID
- 2-s2.0-85152036876
- Other Identifier
- 991020396490104721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Clinical Neurology