| Estimating the quantity and economic value of family caregiving for community-dwelling older persons in the last year of life. | |
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MedLine Citation:
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PMID: 19682115 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To estimate the quantity and economic value of informal care provided to older persons during their final year of life in the community. DESIGN: Retrospective analysis of publicly available nationally representative survey data. SETTING: This retrospective study used data from the Health and Retirement Study, a nationally representative, longitudinal study of community-dwelling older people. PARTICIPANTS: Older people who died between 2000 and 2002. MEASUREMENTS: Data were extracted from the 2002 "exit survey" and linked with characteristics of caregivers from the helper file. Ordinary least squares regression was used to estimate hours of informal caregiving for community-dwelling older people (N=990). Adjusted hours were multiplied by the 2002 national average home aide wage (9.16 USD per hour). Sensitivity tests were performed using the 10th percentile wage rate (6.56 USD) and 90th percentile wage rate (12.34 USD). RESULTS: Older people who died in the community received on average 65.8 hours per week of informal care in the last year of life. The estimated economic value ranges from 22,514 USD to 42,351 USD, which is equivalent to the annual direct replacement cost with a home aide in 2002. CONCLUSION: Family members provide substantial assistance during the last year of life for older people who die in the community. If the informal care provided in the last year of life is replaced with a home aide, the total economic value for the United States would be approximately 1.4 billion USD (in 2002). |
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Authors:
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YongJoo Rhee; Howard B Degenholtz; Anthony T Lo Sasso; Linda L Emanuel |
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Publication Detail:
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Type: Journal Article Date: 2009-07-21 |
Journal Detail:
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Title: Journal of the American Geriatrics Society Volume: 57 ISSN: 1532-5415 ISO Abbreviation: J Am Geriatr Soc Publication Date: 2009 Sep |
Date Detail:
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Created Date: 2009-11-09 Completed Date: 2009-11-30 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7503062 Medline TA: J Am Geriatr Soc Country: United States |
Other Details:
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Languages: eng Pagination: 1654-9 Citation Subset: IM |
Affiliation:
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Mental Health Services and Policy Program, Department of Psychiatry and Behavioral Sciences, Northwestern University, 710 Lake Shore Dr., Chicago, IL 60611, USA. y-rhee@north-western.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Activities of Daily Living Adult Aged Aged, 80 and over Caregivers / economics* Costs and Cost Analysis Disability Evaluation Female Health Surveys Home Health Aides Home Nursing / economics* Humans Independent Living* Male Middle Aged Retrospective Studies Terminal Care / economics* United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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