Effects of Cognition, Function, and Behavioral and Psychological Symptoms on Out-of-Pocket Medical and Nursing Home Expenditures and Time Spent Caregiving for Persons with Dementia

Details

• Personal Author:
  Dowd B ; Gaugler JE ; Jutkowitz E ; Kane RL ; Kuntz KM ; MacLehose RF
• Description:
  Introduction: Clinical features of dementia (cognition, function, and behavioral and psychological symptoms) may differentially affect out-of-pocket medical and nursing home (NH) expenditures and informal care received (outcomes). Methods: We used cross-sectional data (Aging, Demographics, and Memory Study) to estimate probabilities of experiencing outcomes by clinical features. For those experiencing an outcome, we estimated effects of clinical features on the amount of the outcome. Results: No clinical feature predicted the probability of having out-of-pocket medical expenditures. For those with medical expenditures, higher cognition and poorer function were associated with more spending. Poorer function predicted having out-of-pocket NH expenditures. For those with NH expenditures, no clinical feature predicted the amount. Poorer function and a greater number of behavioral and psychological symptoms predicted the probability of receiving caregiving. For those receiving care, poorer function was associated with more caregiving. Conclusions: Clinical features differentially impact outcomes with poorer function associated with all types of costs and caregiving received. [Description provided by NIOSH]
• Subjects:
  Aging Behavior Nervous System Occupational Health Safety
• Keywords:
  Alzheimer's Disease Costs Author Keywords: Dementia Care Behavior Patterns Caregiving Clinical Symptoms Cognitive Function Costs Cross Sectional Studies Health Care Out-of-pocket Costs Time Caregiving

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• ISSN:
  1552-5260
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Minnesota ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  13
• Issue:
  7
• NIOSHTIC Number:
  nn:20064314
• Citation:
  Alzheimers Dement 2017 Jul; 13(7):801-809
• Contact Point Address:
  Eric Jutkowitz, Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN, USA
• Email:
  Jutko001@umn.edu
• Federal Fiscal Year:
  2017
• Performing Organization:
  University of Minnesota Twin Cities
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Alzheimer's & Dementia
• End Date:
  20250630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:57ac75efe011a93c8f5f82758786d0e976be51260ad23c472caf28ca2e97854864b4308d60252431fdd25aca86ca131df2c65db28604358dc4dcf13a61fe2b97
• Download URL:
  https://stacks.cdc.gov/view/cdc/222805/cdc_222805_DS1.pdf
• File Type:
  [PDF - 836.44 KB ]