Publication

The Cost- Effectiveness of Two Forms of Case Management Compared to a Control Group for Persons with Dementia and Their Informal Caregivers from a Societal Perspective

Vroomen, J. M., Bosmans, J. E., Eekhout, I., Joling, K. J., van Mierlo, L. D., Meiland, F. J. M., van Hout, H. P. J. & de Rooij, S. E., 21-Sep-2016, In : PLoS ONE. 11, 9, 20 p., e0160908.

Research output: Contribution to journalArticleAcademicpeer-review

APA

Vroomen, J. M., Bosmans, J. E., Eekhout, I., Joling, K. J., van Mierlo, L. D., Meiland, F. J. M., van Hout, H. P. J., & de Rooij, S. E. (2016). The Cost- Effectiveness of Two Forms of Case Management Compared to a Control Group for Persons with Dementia and Their Informal Caregivers from a Societal Perspective. PLoS ONE, 11(9), [e0160908]. https://doi.org/10.1371/journal.pone.0160908

Author

Vroomen, Janet MacNeil ; Bosmans, Judith E. ; Eekhout, Iris ; Joling, Karlijn J. ; van Mierlo, Lisa D. ; Meiland, Franka J. M. ; van Hout, Hein P. J. ; de Rooij, Sophia E. / The Cost- Effectiveness of Two Forms of Case Management Compared to a Control Group for Persons with Dementia and Their Informal Caregivers from a Societal Perspective. In: PLoS ONE. 2016 ; Vol. 11, No. 9.

Harvard

Vroomen, JM, Bosmans, JE, Eekhout, I, Joling, KJ, van Mierlo, LD, Meiland, FJM, van Hout, HPJ & de Rooij, SE 2016, 'The Cost- Effectiveness of Two Forms of Case Management Compared to a Control Group for Persons with Dementia and Their Informal Caregivers from a Societal Perspective', PLoS ONE, vol. 11, no. 9, e0160908. https://doi.org/10.1371/journal.pone.0160908

Standard

The Cost- Effectiveness of Two Forms of Case Management Compared to a Control Group for Persons with Dementia and Their Informal Caregivers from a Societal Perspective. / Vroomen, Janet MacNeil; Bosmans, Judith E.; Eekhout, Iris; Joling, Karlijn J.; van Mierlo, Lisa D.; Meiland, Franka J. M.; van Hout, Hein P. J.; de Rooij, Sophia E.

In: PLoS ONE, Vol. 11, No. 9, e0160908, 21.09.2016.

Research output: Contribution to journalArticleAcademicpeer-review

Vancouver

Vroomen JM, Bosmans JE, Eekhout I, Joling KJ, van Mierlo LD, Meiland FJM et al. The Cost- Effectiveness of Two Forms of Case Management Compared to a Control Group for Persons with Dementia and Their Informal Caregivers from a Societal Perspective. PLoS ONE. 2016 Sep 21;11(9). e0160908. https://doi.org/10.1371/journal.pone.0160908


BibTeX

@article{c0708d8ce688407ab849e39a162c05fe,
title = "The Cost- Effectiveness of Two Forms of Case Management Compared to a Control Group for Persons with Dementia and Their Informal Caregivers from a Societal Perspective",
abstract = "ObjectivesThe objective of this article was to compare the costs and cost-effectiveness of the two most prominent types of case management in the Netherlands (intensive case management and linkage models) against no access to case management (control group) for people with already diagnosed dementia and their informal caregivers.MethodsThe economic evaluation was conducted from a societal perspective embedded within a two year prospective, observational, controlled, cohort study with 521 informal caregivers and community-dwelling persons with dementia. Case management provided within one care organization (intensive case management model, ICMM), case management where care was provided by different care organizations within one region (Linkage model, LM), and a group with no access to case management (control) were compared. The economic evaluation related incremental costs to incremental effects regarding neuropsychiatric symptoms (NPI), psychological health of the informal caregiver (GHQ-12), and quality adjusted life years (QALY) of the person with dementia and informal caregiver.ResultsInverse-propensity-score-weighted models showed no significant differences in clinical or total cost outcomes between the three groups. Informal care costs were significantly lower in the ICMM group compared to both other groups. Day center costs were significantly lower in the ICMM group compared to the control group. For all outcomes, the probability that the ICMM was cost-effective in comparison with LM and the control group was larger than 0.97 at a threshold ratio of 0 (sic)/incremental unit of effect.ConclusionThis study provides preliminary evidence that the ICMM is cost-effective compared to the control group and the LM. However, the findings should be interpreted with caution since this study was not a randomized controlled trial.",
keywords = "RANDOMIZED CONTROLLED-TRIALS, QUALITY-OF-LIFE, ECONOMIC-EVALUATION, MISSING DATA, HEALTH-CARE, UTILITY, DESIGN, NEED",
author = "Vroomen, {Janet MacNeil} and Bosmans, {Judith E.} and Iris Eekhout and Joling, {Karlijn J.} and {van Mierlo}, {Lisa D.} and Meiland, {Franka J. M.} and {van Hout}, {Hein P. J.} and {de Rooij}, {Sophia E.}",
year = "2016",
month = sep,
day = "21",
doi = "10.1371/journal.pone.0160908",
language = "English",
volume = "11",
journal = "PLOS-One",
issn = "1932-6203",
publisher = "PUBLIC LIBRARY SCIENCE",
number = "9",

}

RIS

TY - JOUR

T1 - The Cost- Effectiveness of Two Forms of Case Management Compared to a Control Group for Persons with Dementia and Their Informal Caregivers from a Societal Perspective

AU - Vroomen, Janet MacNeil

AU - Bosmans, Judith E.

AU - Eekhout, Iris

AU - Joling, Karlijn J.

AU - van Mierlo, Lisa D.

AU - Meiland, Franka J. M.

AU - van Hout, Hein P. J.

AU - de Rooij, Sophia E.

PY - 2016/9/21

Y1 - 2016/9/21

N2 - ObjectivesThe objective of this article was to compare the costs and cost-effectiveness of the two most prominent types of case management in the Netherlands (intensive case management and linkage models) against no access to case management (control group) for people with already diagnosed dementia and their informal caregivers.MethodsThe economic evaluation was conducted from a societal perspective embedded within a two year prospective, observational, controlled, cohort study with 521 informal caregivers and community-dwelling persons with dementia. Case management provided within one care organization (intensive case management model, ICMM), case management where care was provided by different care organizations within one region (Linkage model, LM), and a group with no access to case management (control) were compared. The economic evaluation related incremental costs to incremental effects regarding neuropsychiatric symptoms (NPI), psychological health of the informal caregiver (GHQ-12), and quality adjusted life years (QALY) of the person with dementia and informal caregiver.ResultsInverse-propensity-score-weighted models showed no significant differences in clinical or total cost outcomes between the three groups. Informal care costs were significantly lower in the ICMM group compared to both other groups. Day center costs were significantly lower in the ICMM group compared to the control group. For all outcomes, the probability that the ICMM was cost-effective in comparison with LM and the control group was larger than 0.97 at a threshold ratio of 0 (sic)/incremental unit of effect.ConclusionThis study provides preliminary evidence that the ICMM is cost-effective compared to the control group and the LM. However, the findings should be interpreted with caution since this study was not a randomized controlled trial.

AB - ObjectivesThe objective of this article was to compare the costs and cost-effectiveness of the two most prominent types of case management in the Netherlands (intensive case management and linkage models) against no access to case management (control group) for people with already diagnosed dementia and their informal caregivers.MethodsThe economic evaluation was conducted from a societal perspective embedded within a two year prospective, observational, controlled, cohort study with 521 informal caregivers and community-dwelling persons with dementia. Case management provided within one care organization (intensive case management model, ICMM), case management where care was provided by different care organizations within one region (Linkage model, LM), and a group with no access to case management (control) were compared. The economic evaluation related incremental costs to incremental effects regarding neuropsychiatric symptoms (NPI), psychological health of the informal caregiver (GHQ-12), and quality adjusted life years (QALY) of the person with dementia and informal caregiver.ResultsInverse-propensity-score-weighted models showed no significant differences in clinical or total cost outcomes between the three groups. Informal care costs were significantly lower in the ICMM group compared to both other groups. Day center costs were significantly lower in the ICMM group compared to the control group. For all outcomes, the probability that the ICMM was cost-effective in comparison with LM and the control group was larger than 0.97 at a threshold ratio of 0 (sic)/incremental unit of effect.ConclusionThis study provides preliminary evidence that the ICMM is cost-effective compared to the control group and the LM. However, the findings should be interpreted with caution since this study was not a randomized controlled trial.

KW - RANDOMIZED CONTROLLED-TRIALS

KW - QUALITY-OF-LIFE

KW - ECONOMIC-EVALUATION

KW - MISSING DATA

KW - HEALTH-CARE

KW - UTILITY

KW - DESIGN

KW - NEED

U2 - 10.1371/journal.pone.0160908

DO - 10.1371/journal.pone.0160908

M3 - Article

C2 - 27655234

VL - 11

JO - PLOS-One

JF - PLOS-One

SN - 1932-6203

IS - 9

M1 - e0160908

ER -

ID: 37619290