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


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
Publication statusPublished - 2019

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