Academic Journal

Economic Evaluation of Healthcare Resource Utilization and Costs for Newly Diagnosed Dementia-Related Psychosis

التفاصيل البيبلوغرافية
العنوان: Economic Evaluation of Healthcare Resource Utilization and Costs for Newly Diagnosed Dementia-Related Psychosis
المؤلفون: Nazia Rashid, James B. Wetmore, Muna Irfan, Victor Abler
المصدر: Geriatrics, Vol 7, Iss 2, p 29 (2022)
بيانات النشر: MDPI AG, 2022.
سنة النشر: 2022
المجموعة: LCC:Geriatrics
مصطلحات موضوعية: dementia, hallucinations, delusions, psychosis, economic burden, Medicare, Geriatrics, RC952-954.6
الوصف: This retrospective cohort study described changes in all-cause healthcare resource utilization (HCRU) and associated costs in dementia patients newly diagnosed with psychosis. Dementia and incident psychosis were identified using diagnostic and pharmacy claims using a Medicare 20% random sample dataset. All-cause HCRU and unweighted and weighted (by person-years of follow-up) HCRU-associated costs were evaluated in the year prior to and the 4 years following diagnosis of psychosis. In 49,509 dementia patients with psychosis, physician visits per patient per year increased from a mean of 26.7 (standard deviation (SD) 20.0) prior to psychosis to 38.4 (SD 41.9) post-psychosis diagnosis. The number of inpatient stay claims increased from 1.0 (SD 1.4) to 1.7 (SD 5.8). Mean unweighted costs for inpatient stays and home healthcare/hospice during 2008–2016 were USD 9989 and USD 3279 prior to a diagnosis of psychosis but increased to USD 25,982 and USD 9901 (weighted: USD 11,779 and USD 6709), respectively, in the year after a psychosis diagnosis. This pattern of a sharp increase in mean costs was also observed in costs adjusted to 2015 USD, and in both unweighted and weighted total and psychosis-related costs. These results indicate the importance of identifying newly diagnosed psychosis in dementia patients as well as the pressing need for management strategies and treatments that can reduce HCRU and costs.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2308-3417
Relation: https://www.mdpi.com/2308-3417/7/2/29; https://doaj.org/toc/2308-3417
DOI: 10.3390/geriatrics7020029
URL الوصول: https://doaj.org/article/7e7b1ae539b94085b46f0f37319b23b5
رقم الانضمام: edsdoj.7e7b1ae539b94085b46f0f37319b23b5
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:23083417
DOI:10.3390/geriatrics7020029