美国阿尔茨海默病及相关痴呆症的护理成本:2016 年至 2060 年。

IF 4.1 Q2 GERIATRICS & GERONTOLOGY npj aging Pub Date : 2024-02-08 DOI:10.1038/s41514-024-00136-6
Arindam Nandi, Nathaniel Counts, Janina Bröker, Sabrina Malik, Simiao Chen, Rachael Han, Jessica Klusty, Benjamin Seligman, Daniel Tortorice, Daniel Vigo, David E Bloom
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摘要

阿尔茨海默病和相关痴呆症(ADRDs)的医疗和长期护理会给个人和社会带来巨大的经济负担。我们估算了 2016 年美国 ADRDs 的人均护理成本,并预测了 2020-2060 年间未来的护理总成本。根据之前公布的方法,我们使用了美国健康与退休调查(2010-2016 年)的纵向数据来估算正规和非正规护理成本。2016 年,每位患者的正规护理成本估计为 28,078 美元(95% 置信区间 [CI]:25,893-30,433 美元),而以替代成本和放弃工资估算的非正规护理成本分别为 36,667 美元(34,025-39,473 美元)和 15,792 美元(12,980-18,713 美元)。采用替代成本法和放弃工资法计算的 2020 年正规护理成本和正规加非正规护理成本总额分别为 1,960 亿美元(95% 不确定范围 [UR]:1,790 亿美元至 2,130 亿美元)、4,500 亿美元(4,240 亿美元至 4,780 亿美元)和 3,050 亿美元(2,780 亿美元至 3,330 亿美元)。预计到 2060 年将分别增至 1.4 万亿美元(8,370 亿-2.2 万亿美元)、3.3 万亿美元(1.9-5.1 万亿美元)和 2.2 万亿美元(1.3-3.5 万亿美元)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Cost of care for Alzheimer's disease and related dementias in the United States: 2016 to 2060.

Medical and long-term care for Alzheimer's disease and related dementias (ADRDs) can impose a large economic burden on individuals and societies. We estimated the per capita cost of ADRDs care in the in the United States in 2016 and projected future aggregate care costs during 2020-2060. Based on a previously published methodology, we used U.S. Health and Retirement Survey (2010-2016) longitudinal data to estimate formal and informal care costs. In 2016, the estimated per patient cost of formal care was $28,078 (95% confidence interval [CI]: $25,893-$30,433), and informal care cost valued in terms of replacement cost and forgone wages was $36,667 ($34,025-$39,473) and $15,792 ($12,980-$18,713), respectively. Aggregate formal care cost and formal plus informal care cost using replacement cost and forgone wage methods were $196 billion (95% uncertainty range [UR]: $179-$213 billion), $450 billion ($424-$478 billion), and $305 billion ($278-$333 billion), respectively, in 2020. These were projected to increase to $1.4 trillion ($837 billion-$2.2 trillion), $3.3 trillion ($1.9-$5.1 trillion), and $2.2 trillion ($1.3-$3.5 trillion), respectively, in 2060.

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