Related Experiment Video
Updated: Jun 22, 2026

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
[Cost-effectiveness model of a community-based service for dementia caregivers]
M Dietl1, J Kornhuber, O Schöffski
1Interdisziplinäres Zentrum für Public Health der Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen. markus.dietl@uk-erlangen.de
Objective:
The objective of this study was to compare the cost-effectiveness of a psychoeducational concept for dementia caregivers with standard care.
Methods:
A literature search determined the data for the cost-effectiveness model concerning the quality-adjusted life years (QALYs) and costs. The parameters were evaluated using a decision tree. The evaluation of the base case analysis concerning stability was carried out using sensitivity analysis and a Monte Carlo simulation (MCS).
Results:
After the implementation of the psychoeducational concept for caregivers a saving of 750 euro was made and a 0.07 QALY was gained over a one-year time horizon. The results of the sensitivity analysis proved to be stable.
Conclusions:
By using the community-based service, costs can be saved and QALYs of the caregivers can be gained. This results in a decrease of depressive symptoms among caregivers and in a delay of institutionalisation of the dementia patient.
Related Concept Videos
Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic illness...
Continuing Care
Specialized Care Centers and Settings-II
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Dementia
The progression of dementia is generally gradual.