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Service utilisation and family support of people with dementia: A cohort study in England

Gage, H, Cheynel, J, Williams, P, Mitchell, K, Stinton, C, Katz, J, Holland, C and Sheehan, B (2015) Service utilisation and family support of people with dementia: A cohort study in England International Journal of Geriatric Psychiatry, 30 (2). pp. 166-177.

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Copyright © 2014 John Wiley & Sons, Ltd.Objectives: This study aimed to compare costs of caring for people with dementia in domiciliary and residential settings, central England. Methods: A cohort of people with dementia was recruited during a hospital stay 2008-2010. Data were collected by interview at baseline, and 6- and 12-month follow-up, covering living situation (own home with or without co-resident carer, care home); cognition, health status and functioning of person with dementia; carer stress; utilisation of health and social services; and informal (unpaid) caring input. Costs of formal services and informal caring (replacement cost method) were calculated. Costs of residential and domiciliary care packages were compared. Results: Data for 109 people with dementia were collected at baseline; 95 (87.2%) entered hospital from their own homes. By 12 months, 40 (36.7%) had died and 85% of the survivors were living in care homes. Over one-half of people with dementia reported social care packages at baseline; those living alone had larger packages than those living with others. Median caring time for co-resident carers was 400 min/day and 10 h/week for non co-resident carers. Residential care was more costly than domiciliary social care for most people. When the value of informal caring was included, the total cost of domiciliary care was higher than residential care, but not significantly so. Carer stress reduced significantly after the person with dementia entered a care home. Conclusions: Caring for people with dementia at home may be more expensive, and more stressful for carers, than care in residential settings.

Item Type: Article
Subjects : Economics
Divisions : Faculty of Arts and Social Sciences > School of Economics
Authors :
Date : 1 January 2015
Identification Number : 10.1002/gps.4118
Copyright Disclaimer : This is the peer reviewed version of the following article: Gage H., Cheynel J., Williams P., Mitchell K., Stinton C., Katz J., Holland C., and Sheehan B. (2015), Service utilisation and family support of people with dementia: a cohort study in England, Int J Geriatr Psychiatry, 30; pages 166–177, doi: 10.1002/gps.4118, which has been published in final form at This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.
Depositing User : Symplectic Elements
Date Deposited : 12 Aug 2016 13:42
Last Modified : 31 Oct 2017 18:34

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