Predictors of Societal Costs of Older Care-Dependent Adults Living in the Community in 11 European Countries

Lisanne I van Lier, Henriëtte G van der Roest, Babette Sh Oosten, Vjenka Garms-Homolová, Graziano Onder, Harriet Finne-Soveri, Pálmi V Jónsson, Gunnar Ljunggren, Jean-Claude Henrard, Eva Topinkova, Liv Wergeland Sørbye, Roberto Bernabei, Hein Pj van Hout, Judith E Bosmans

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background: The objective was to identify predictors of societal costs covering formal and informal care utilization by older home care clients in 11 European countries.

Methods: Societal costs of 1907 older clients receiving home care for 12 months from the Aged in Home care (AdHoc) study were estimated using the InterRAI Minimum Data Set for Home Care's (MDS-HC) resource use items. Predictors (medical, functional, and psychosocial domains) of societal costs were identified by performing univariate and multivariate generalized linear model analyses.

Results: Mean societal costs per participant were €36 442, ranging from €14 865 in Denmark to €78 836 in the United Kingdom. In the final multivariate model, country, being married, activities of daily living (ADL) dependency, cognitive impairment, limitations of going out, oral conditions, number of medications, arthritis, and cerebro vascular accident (CVA) were significantly associated with societal costs.

Conclusions: Of the predictors, ADL dependency and limitations of going out may be modifiable. Developing interventions targeted at improving these conditions may create opportunities to curtail societal costs.

Original languageEnglish
Pages (from-to)1178632918820947
JournalHealth services insights
Volume12
DOIs
Publication statusPublished - 2019

Cite this

van Lier, L. I., van der Roest, H. G., Oosten, B. S., Garms-Homolová, V., Onder, G., Finne-Soveri, H., ... Bosmans, J. E. (2019). Predictors of Societal Costs of Older Care-Dependent Adults Living in the Community in 11 European Countries. Health services insights, 12, 1178632918820947. https://doi.org/10.1177/1178632918820947
van Lier, Lisanne I ; van der Roest, Henriëtte G ; Oosten, Babette Sh ; Garms-Homolová, Vjenka ; Onder, Graziano ; Finne-Soveri, Harriet ; V Jónsson, Pálmi ; Ljunggren, Gunnar ; Henrard, Jean-Claude ; Topinkova, Eva ; Sørbye, Liv Wergeland ; Bernabei, Roberto ; van Hout, Hein Pj ; Bosmans, Judith E. / Predictors of Societal Costs of Older Care-Dependent Adults Living in the Community in 11 European Countries. In: Health services insights. 2019 ; Vol. 12. pp. 1178632918820947.
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title = "Predictors of Societal Costs of Older Care-Dependent Adults Living in the Community in 11 European Countries",
abstract = "Background: The objective was to identify predictors of societal costs covering formal and informal care utilization by older home care clients in 11 European countries.Methods: Societal costs of 1907 older clients receiving home care for 12 months from the Aged in Home care (AdHoc) study were estimated using the InterRAI Minimum Data Set for Home Care's (MDS-HC) resource use items. Predictors (medical, functional, and psychosocial domains) of societal costs were identified by performing univariate and multivariate generalized linear model analyses.Results: Mean societal costs per participant were €36 442, ranging from €14 865 in Denmark to €78 836 in the United Kingdom. In the final multivariate model, country, being married, activities of daily living (ADL) dependency, cognitive impairment, limitations of going out, oral conditions, number of medications, arthritis, and cerebro vascular accident (CVA) were significantly associated with societal costs.Conclusions: Of the predictors, ADL dependency and limitations of going out may be modifiable. Developing interventions targeted at improving these conditions may create opportunities to curtail societal costs.",
author = "{van Lier}, {Lisanne I} and {van der Roest}, {Henri{\"e}tte G} and Oosten, {Babette Sh} and Vjenka Garms-Homolov{\'a} and Graziano Onder and Harriet Finne-Soveri and {V J{\'o}nsson}, P{\'a}lmi and Gunnar Ljunggren and Jean-Claude Henrard and Eva Topinkova and S{\o}rbye, {Liv Wergeland} and Roberto Bernabei and {van Hout}, {Hein Pj} and Bosmans, {Judith E}",
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van Lier, LI, van der Roest, HG, Oosten, BS, Garms-Homolová, V, Onder, G, Finne-Soveri, H, V Jónsson, P, Ljunggren, G, Henrard, J-C, Topinkova, E, Sørbye, LW, Bernabei, R, van Hout, HP & Bosmans, JE 2019, 'Predictors of Societal Costs of Older Care-Dependent Adults Living in the Community in 11 European Countries' Health services insights, vol. 12, pp. 1178632918820947. https://doi.org/10.1177/1178632918820947

Predictors of Societal Costs of Older Care-Dependent Adults Living in the Community in 11 European Countries. / van Lier, Lisanne I; van der Roest, Henriëtte G; Oosten, Babette Sh; Garms-Homolová, Vjenka; Onder, Graziano; Finne-Soveri, Harriet; V Jónsson, Pálmi; Ljunggren, Gunnar; Henrard, Jean-Claude; Topinkova, Eva; Sørbye, Liv Wergeland; Bernabei, Roberto; van Hout, Hein Pj; Bosmans, Judith E.

In: Health services insights, Vol. 12, 2019, p. 1178632918820947.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Predictors of Societal Costs of Older Care-Dependent Adults Living in the Community in 11 European Countries

AU - van Lier, Lisanne I

AU - van der Roest, Henriëtte G

AU - Oosten, Babette Sh

AU - Garms-Homolová, Vjenka

AU - Onder, Graziano

AU - Finne-Soveri, Harriet

AU - V Jónsson, Pálmi

AU - Ljunggren, Gunnar

AU - Henrard, Jean-Claude

AU - Topinkova, Eva

AU - Sørbye, Liv Wergeland

AU - Bernabei, Roberto

AU - van Hout, Hein Pj

AU - Bosmans, Judith E

PY - 2019

Y1 - 2019

N2 - Background: The objective was to identify predictors of societal costs covering formal and informal care utilization by older home care clients in 11 European countries.Methods: Societal costs of 1907 older clients receiving home care for 12 months from the Aged in Home care (AdHoc) study were estimated using the InterRAI Minimum Data Set for Home Care's (MDS-HC) resource use items. Predictors (medical, functional, and psychosocial domains) of societal costs were identified by performing univariate and multivariate generalized linear model analyses.Results: Mean societal costs per participant were €36 442, ranging from €14 865 in Denmark to €78 836 in the United Kingdom. In the final multivariate model, country, being married, activities of daily living (ADL) dependency, cognitive impairment, limitations of going out, oral conditions, number of medications, arthritis, and cerebro vascular accident (CVA) were significantly associated with societal costs.Conclusions: Of the predictors, ADL dependency and limitations of going out may be modifiable. Developing interventions targeted at improving these conditions may create opportunities to curtail societal costs.

AB - Background: The objective was to identify predictors of societal costs covering formal and informal care utilization by older home care clients in 11 European countries.Methods: Societal costs of 1907 older clients receiving home care for 12 months from the Aged in Home care (AdHoc) study were estimated using the InterRAI Minimum Data Set for Home Care's (MDS-HC) resource use items. Predictors (medical, functional, and psychosocial domains) of societal costs were identified by performing univariate and multivariate generalized linear model analyses.Results: Mean societal costs per participant were €36 442, ranging from €14 865 in Denmark to €78 836 in the United Kingdom. In the final multivariate model, country, being married, activities of daily living (ADL) dependency, cognitive impairment, limitations of going out, oral conditions, number of medications, arthritis, and cerebro vascular accident (CVA) were significantly associated with societal costs.Conclusions: Of the predictors, ADL dependency and limitations of going out may be modifiable. Developing interventions targeted at improving these conditions may create opportunities to curtail societal costs.

U2 - 10.1177/1178632918820947

DO - 10.1177/1178632918820947

M3 - Article

VL - 12

SP - 1178632918820947

JO - Health services insights

JF - Health services insights

SN - 1178-6329

ER -