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Alzheimers Res Ther. 2016 Nov 18;8(1):59.

The societal costs of dementia in Sweden 2012 - relevance and methodological challenges in valuing informal care.

Author information

1
Aging Research Centre, Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet and Stockholm University, Stockholm, Sweden. anders.wimo@ki.se.
2
Division of Neurogeriatrics, Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet, Huddinge, Stockholm, Sweden. anders.wimo@ki.se.
3
Centre for Research & Development, Uppsala University/County Council of Gävleborg, Gävle, Sweden. anders.wimo@ki.se.
4
Aging Research Centre, Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet and Stockholm University, Stockholm, Sweden.
5
Division of Neurogeriatrics, Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet, Huddinge, Stockholm, Sweden.
6
Division of Caring Sciences, Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institutet, Stockholm, Sweden.
7
Department of Nursing, Umeå University, Umeå, Sweden.
8
Department of Health Sciences, Luleå University of Technology, Luleå, Sweden.
9
Stockholm Gerontology Research Centre, Stockholm, Sweden.

Abstract

BACKGROUND:

In this study, we sought to estimate the societal cost of illness in dementia in Sweden in 2012 using different costing approaches to highlight methodological issues.

METHODS:

We conducted a prevalence-based cost-of-illness study with a societal perspective.

RESULTS:

The societal costs of dementia in Sweden in 2012 were SEK 62.9 billion (approximately €7.2 billion, approximately US$9.0 billion) or SEK 398,000 per person with dementia (approximately €45,000, approximately US$57,000). By far the most important cost item is the cost of institutional care: about 60% of the costs. In the sensitivity analysis, different quantification and costing approaches for informal care resulted in a great variation in the total societal cost, ranging from SEK 60 billion (€6.8 billion, US$8.6 billion) to SEK 124 billion (€14.1 billion, US$17.8 billion).

CONCLUSIONS:

The societal costs of dementia are very high. The cost per person with dementia has decreased somewhat, mainly because of de-institutionalisation. The majority of the costs occur in the social care sector, but the costing of informal care is crucial for the cost estimates.

KEYWORDS:

Alzheimer’s disease; Cost of illness; Costing study; Dementia; Sweden

PMID:
27986093
PMCID:
PMC5162098
DOI:
10.1186/s13195-016-0215-9
[Indexed for MEDLINE]
Free PMC Article

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