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Socioeconomic Costs of Dementia Based on Utilization of Health Care and Long-Term-Care Services: A Retrospective Cohort Study

Author

Listed:
  • Eun-Jeong Han

    (Health Insurance Research Institute, National Health Insurance Service, Wonju 26464, Korea)

  • JungSuk Lee

    (Health Insurance Research Institute, National Health Insurance Service, Wonju 26464, Korea)

  • Eunhee Cho

    (Mo-Im Kim Nursing Research Institute, Yonsei University College of Nursing, Seoul 03722, Korea)

  • Hyejin Kim

    (Red Cross College of Nursing, Chung-Ang University, Seoul 06974, Korea)

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 home- and 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 long-term 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.

Suggested Citation

  • Eun-Jeong Han & JungSuk Lee & Eunhee Cho & Hyejin Kim, 2021. "Socioeconomic Costs of Dementia Based on Utilization of Health Care and Long-Term-Care Services: A Retrospective Cohort Study," IJERPH, MDPI, vol. 18(2), pages 1-11, January.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:2:p:376-:d:475528
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    References listed on IDEAS

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    1. Wittenberg, Raphael & Knapp, Martin & Hu, Bo & Comas-Herrera, Adelina & King, Derek & Rehill, Amritpal & Shi, Cheng & Banerjee, Sube & Patel, Anita & Jagger, Carol & Kingston, Andrew, 2019. "The costs of dementia in England," LSE Research Online Documents on Economics 100500, London School of Economics and Political Science, LSE Library.
    2. Li-Jung Elizabeth Ku & Ming-Chyi Pai & Pei-Yu Shih, 2016. "Economic Impact of Dementia by Disease Severity: Exploring the Relationship between Stage of Dementia and Cost of Care in Taiwan," PLOS ONE, Public Library of Science, vol. 11(2), pages 1-12, February.
    3. Rhee, Jong Chul & Done, Nicolae & Anderson, Gerard F., 2015. "Considering long-term care insurance for middle-income countries: comparing South Korea with Japan and Germany," Health Policy, Elsevier, vol. 119(10), pages 1319-1329.
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    Cited by:

    1. Min Shao & Jianwei Chen & Chao Ma, 2022. "Research on the Relationship between Chinese Elderly Health Status, Social Security, and Depression," IJERPH, MDPI, vol. 19(12), pages 1-10, June.

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