10. Health Economics, Healthcare Funding and Service Evaluation: International and Australian Perspectives

  1. Hugo de Waal MD, FRCPsych, FHEA4,
  2. Constantine Lyketsos MD, MHS5,
  3. David Ames BA, MD, FRCPsych, FRANZCP6 and
  4. John O'Brien BA, BM BCh, MA, FRCPsych, MD7
  1. Julie Ratcliffe1,
  2. Lynne Pezzullo2 and
  3. Colleen Doyle3

Published Online: 7 JUL 2013

DOI: 10.1002/9781118378663.ch10

Designing and Delivering Dementia Services

Designing and Delivering Dementia Services

How to Cite

Ratcliffe, J., Pezzullo, L. and Doyle, C. (2013) Health Economics, Healthcare Funding and Service Evaluation: International and Australian Perspectives, in Designing and Delivering Dementia Services (eds H. de Waal, C. Lyketsos, D. Ames and J. O'Brien), John Wiley & Sons, Ltd, Oxford, UK. doi: 10.1002/9781118378663.ch10

Editor Information

  1. 4

    Lead Consultant, Norfolk Dementia Care Academy, Norwich, UK

  2. 5

    Associate Postgraduate Dean, East of England Deanery, Cambridge, UK

  3. 6

    Elizabeth Plank Althouse Professor, Director of the Johns Hopkins Memory and Alzheimer's Treatment Center, Johns Hopkins Medicine, Maryland, USA

  4. 7

    Director, National Ageing Research Institute, University of Melbourne Professor of Ageing and Health, Victoria, Australia

Author Information

  1. 1

    School of Medicine, Flinders University, Repatriation General Hospital, Daw Park, Australia

  2. 2

    Health Economics and Social Policy, Deloitte Access Economics, Deloitte Touche Tohmatsu, Australia

  3. 3

    National Ageing Research Institute, Royal Melbourne Hospital, Australia

Publication History

  1. Published Online: 7 JUL 2013

ISBN Information

Print ISBN: 9781119953494

Online ISBN: 9781118378663

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Keywords:

  • dementia;
  • economic evaluation;
  • cost-effectiveness;
  • cost-utility;
  • quality of life;
  • policy

Summary

People living with dementia have a substantial economic impact on the health system. Costs are incurred because a high proportion of people with dementia need some form of care. This chapter provides an overview of the main types of economic evaluation as they apply to dementia care: cost-effectiveness analysis, cost-utility analysis, cost-benefit analysis and cost-consequence analysis. Examples are given of each type of evaluation as they have been applied in international and Australian contexts. As shown below, the measurement of quality of life is central to the economic evaluation of dementia services. There are now standardised tools to assist with estimating the impact of services on quality of life for people with dementia and their carers. The impact of services can be viewed at an individual level, service level or whole health system level. An example is provided of the evaluation of Australia's latest Dementia Initiative, in which quality of life and other outcome measures were used to estimate the impact of a variety of measures on people living with dementia and their carers.