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Economics of the Iceberg: Informal Care Provided to French Elderly with Dementia

Author

Listed:
  • Alain Paraponaris

    (ORS PACA, GREQAM - Groupement de Recherche en Économie Quantitative d'Aix-Marseille - EHESS - École des hautes études en sciences sociales - AMU - Aix Marseille Université - ECM - École Centrale de Marseille - CNRS - Centre National de la Recherche Scientifique)

  • Bérengère Davin

Abstract

OBJECTIVES: Dementia has a substantial effect on patients and their relatives, who have to cope with medical, social, and economic changes. In France, most elderly people with dementia live in the community and receive informal care, which has not been well characterized. METHODS: Using a sample of 4680 people aged 75 years and older collected in 2008 through a national comprehensive survey on health and disability, we compared the economic value of the care received by 513 elderly people with dementia to that received by a propensity score- matched set of older people without dementia. RESULTS: More than 85% of elderly people with dementia receive informal care; the estimation of its economic value ranges from €4.9 billion (proxy good method) to €6.7 billion (opportunity cost method) per year. CONCLUSIONS: The informal care provided to people with dementia has substantial annual costs; further work should be done to examine the social and economic roles foregone as a result of this care. Copyright © 2015 International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc. All rights reserved.

Suggested Citation

  • Alain Paraponaris & Bérengère Davin, 2015. "Economics of the Iceberg: Informal Care Provided to French Elderly with Dementia," Post-Print hal-01456120, HAL.
    • Handle: RePEc:hal:journl:hal-01456120
    DOI: 10.1016/j.jval.2015.01.002
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    Citations

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    Cited by:

    1. Wilfried Guets & Hareth Al-Janabi & Lionel Perrier, 2020. "Cost–Utility Analyses of Interventions for Informal Carers: A Systematic and Critical Review," PharmacoEconomics, Springer, vol. 38(4), pages 341-356, April.
    2. Neubert, Lydia & König, Hans-Helmut & Löbner, Margrit & Luppa, Melanie & Pentzek, Michael & Fuchs, Angela & Weeg, Dagmar & Bickel, Horst & Oey, Anke & Wiese, Birgitt & Weyerer, Siegfried & Werle, Joch, 2021. "Excess costs of dementia in old age (85+) in Germany: Results from the AgeCoDe-AgeQualiDe study," The Journal of the Economics of Ageing, Elsevier, vol. 20(C).
    3. Arrighi, Yves & Davin, Bérengère & Trannoy, Alain & Ventelou, Bruno, 2015. "The non-take up of long-term care benefit in France: A pecuniary motive?," Health Policy, Elsevier, vol. 119(10), pages 1338-1348.
    4. Linus Jönsson & Ashley Tate & Oskar Frisell & Anders Wimo, 2023. "The Costs of Dementia in Europe: An Updated Review and Meta-analysis," PharmacoEconomics, Springer, vol. 41(1), pages 59-75, January.

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    Keywords

    Economie quantitative;

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