Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2019 Oct;15(10):1296-1308.
doi: 10.1016/j.jalz.2019.05.008. Epub 2019 Aug 10.

Cost-effectiveness of a collaborative dementia care management-Results of a cluster-randomized controlled trial

Bernhard Michalowsky  1 , Feng Xie  2 , Tilly Eichler  3 , Johannes Hertel  4 , Anika Kaczynski  3 , Ingo Kilimann  5 , Stefan Teipel  5 , Diana Wucherer  3 , Ina Zwingmann  3 , Jochen René Thyrian  3 , Wolfgang Hoffmann  6
Affiliations
Free article
Randomized Controlled Trial

Cost-effectiveness of a collaborative dementia care management-Results of a cluster-randomized controlled trial

Bernhard Michalowsky et al. Alzheimers Dement. 2019 Oct.
Free article

Abstract

Introduction: The purpose of this study was to determine the cost-effectiveness of collaborative dementia care management (DCM).

Methods: The cost-effectiveness analysis was based on the data of 444 patients of a cluster-randomized, controlled trial, conceptualized to evaluate a collaborative DCM that aimed to optimize treatment and care in dementia. Health-care resource use, costs, quality-adjusted life years (QALYs), and incremental cost per QALY gained were measured over a 24-month time horizon.

Results: DCM increased QALYs (+0.05) and decreased costs (-569€) due to a lower hospitalization and a delayed institutionalization (7 months) compared with usual care. The probability of DCM being cost-effective was 88% at willingness-to-pay thresholds of 40,000€ per QALY gained and higher in patients living alone compared to those not living alone (96% vs. 26%).

Discussion: DCM is likely to be a cost-effective strategy in treating dementia and thus beneficial for public health-care payers and patients, especially for those living alone.

Keywords: Alzheimer's disease; Collaborative care; Cost-effectiveness; Costs; Dementia; Dementia care management; Economic impact; Economics; Formal care; Informal care; Medical treatment; Nonmedical treatment.

PubMed Disclaimer

Publication types