Health Care Use and Out-of-pocket Spending by Persons With Dementia Differ Between Europe and the United States
نویسندگان
چکیده
BACKGROUND Persons with dementia need much care, but what care is used and how the burden of financing divided between persons dementia, caregivers, public programs may differ countries. OBJECTIVE The objective this study was to compare health use out-of-pocket (OOP) spending associated United States Europe, without controlling for background characteristics. RESEARCH DESIGN We prospectively collected survey data from States-based Health Retirement Study (n=48,877) Survey Health, Ageing, in Europe (n=98,971) including all adults over age 70 years. Dementia status imputed using a validated algorithm. After first reporting observed differences use, we analyze multivariate regressions, other conditions RESULTS 50% less formal home per year than living [mean (SD)=236.8 h (1047.4) vs. 463.3 h (1371.2)], more nursing [75.1 d (131.4) 45.5 d (119.4)). higher OOP [4406 USD (95% confidence interval, 3914-4899) 246 USD (73-418)-2017 price levels]. CONCLUSIONS States. far greater reliance on likely causes expenditures people insurance alike.
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ژورنال
عنوان ژورنال: Medical Care
سال: 2021
ISSN: ['1537-1948', '0025-7079']
DOI: https://doi.org/10.1097/mlr.0000000000001539