Cost of dementia care in India: Delusion or reality?

Context: In 2010, nearly 37 lakh Indians have been estimated to be suffering from dementia. Estimated costs of care in published literature do not reflect the actual expenses of individual households. Hence, a household budget approach was undertaken to arrive at the costs of dementia care in India....

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Main Authors: Girish N Rao, Srikala Bharath
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:Indian Journal of Public Health
Subjects:
Online Access:http://www.ijph.in/article.asp?issn=0019-557X;year=2013;volume=57;issue=2;spage=71;epage=77;aulast=
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author Girish N Rao
Srikala Bharath
author_facet Girish N Rao
Srikala Bharath
author_sort Girish N Rao
collection DOAJ
description Context: In 2010, nearly 37 lakh Indians have been estimated to be suffering from dementia. Estimated costs of care in published literature do not reflect the actual expenses of individual households. Hence, a household budget approach was undertaken to arrive at the costs of dementia care in India. Materials and Methods: We identified and listed the different components of care, classified the applicability of care for the different components with respect to mild, moderate, and severe cases. This framework was utilized to assign costs of care and arrive at the household costs of care for a Person with Dementia (PwD) in both urban and rural areas. Results: The total expense was similar to that reported by individual households. The annual household cost of caring for a person with dementia in India, depending on the severity of the disease, ranged between INR 45,600 to INR 2,02,450 in urban areas and INR 20,300 to INR 66,025 in rural areas. Costs increased with increasing severity of the disease process. The costs of informal care contributed to nearly half of the total costs either in rural or urban area. With increasing severity, proportion of medical costs decreased while social cost increased. Medical costs in rural areas were nearly one-third of the total costs as against less than one-fifth in urban areas. Conclusion: The household budget model realistically estimated the household costs of care. It is hoped that the comprehensive and generic framework would prompt health professionals, researchers, and policy makers in India to catalyze geriatric health services, particularly for care for PwD.
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spelling doaj.art-b90d54eac9ce4f0d978ed0f1308401522022-12-21T22:52:10ZengWolters Kluwer Medknow PublicationsIndian Journal of Public Health0019-557X2013-01-01572717710.4103/0019-557X.114986Cost of dementia care in India: Delusion or reality?Girish N RaoSrikala BharathContext: In 2010, nearly 37 lakh Indians have been estimated to be suffering from dementia. Estimated costs of care in published literature do not reflect the actual expenses of individual households. Hence, a household budget approach was undertaken to arrive at the costs of dementia care in India. Materials and Methods: We identified and listed the different components of care, classified the applicability of care for the different components with respect to mild, moderate, and severe cases. This framework was utilized to assign costs of care and arrive at the household costs of care for a Person with Dementia (PwD) in both urban and rural areas. Results: The total expense was similar to that reported by individual households. The annual household cost of caring for a person with dementia in India, depending on the severity of the disease, ranged between INR 45,600 to INR 2,02,450 in urban areas and INR 20,300 to INR 66,025 in rural areas. Costs increased with increasing severity of the disease process. The costs of informal care contributed to nearly half of the total costs either in rural or urban area. With increasing severity, proportion of medical costs decreased while social cost increased. Medical costs in rural areas were nearly one-third of the total costs as against less than one-fifth in urban areas. Conclusion: The household budget model realistically estimated the household costs of care. It is hoped that the comprehensive and generic framework would prompt health professionals, researchers, and policy makers in India to catalyze geriatric health services, particularly for care for PwD.http://www.ijph.in/article.asp?issn=0019-557X;year=2013;volume=57;issue=2;spage=71;epage=77;aulast=Alzheimer′s dementiaCosts of careDementiaEconomic analysesHousehold expenses
spellingShingle Girish N Rao
Srikala Bharath
Cost of dementia care in India: Delusion or reality?
Indian Journal of Public Health
Alzheimer′s dementia
Costs of care
Dementia
Economic analyses
Household expenses
title Cost of dementia care in India: Delusion or reality?
title_full Cost of dementia care in India: Delusion or reality?
title_fullStr Cost of dementia care in India: Delusion or reality?
title_full_unstemmed Cost of dementia care in India: Delusion or reality?
title_short Cost of dementia care in India: Delusion or reality?
title_sort cost of dementia care in india delusion or reality
topic Alzheimer′s dementia
Costs of care
Dementia
Economic analyses
Household expenses
url http://www.ijph.in/article.asp?issn=0019-557X;year=2013;volume=57;issue=2;spage=71;epage=77;aulast=
work_keys_str_mv AT girishnrao costofdementiacareinindiadelusionorreality
AT srikalabharath costofdementiacareinindiadelusionorreality