Residential Setting and the Cumulative Financial Burden of Dementia in the 7 Years Before Death.

ABSTRACT:

Objectives

Care for older adults with dementia during the final years of life is costly, and families shoulder much of this burden. We aimed to assess the financial burden of care for those with and without dementia, and to explore differences across residential settings.

Design

Using the Health and Retirement Study (HRS) and linked claims, we examined total healthcare spending and proportion by payer-Medicare, Medicaid, out-of-pocket, and calculated costs of informal caregiving-over the last 7 years of life, comparing those with and without dementia and stratifying by residential setting.

Setting

The HRS is a nationally representative longitudinal study of older adults in the United States.

Participants

We sampled HRS decedents from 2004 to 2015. To ensure com

SUBMITTER: Kelley AS 

PROVIDER: S-EPMC7957824 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature