title: Expenditures in caring for patients with dementia who live at home.
abstract: OBJECTIVE
  Given the national interest in progressive dementia, we estimated expenditures incurred in caring for dementia patients who live at home.
  
  
  METHODS
  Primary caregivers of 264 patients from a university-based memory disorders clinic were interviewed at baseline and asked to keep service use diaries for 6 months; 141 caregivers who returned the diaries are the focus of this report. We examined both formal and informal services (distinguished by whether money was exchanged) and associated expenditures.
  
  
  RESULTS
  Neither caregivers returning diaries nor their patients differed at baseline from those not returning diaries and their patients. Expenditures incurred over 6 months were extensive for both formal ($6986) and informal ($786) services. Out-of-pocket expenditures were high (e.g., in-home companion or sitter, adult day care, visiting nurse). Multivariable analyses indicated that patients with more severe symptoms of dementia and families with higher incomes reported significantly higher expenditures.
  
  
  CONCLUSIONS
  The expense of caring for patients with progressive dementia living at home may be higher than previously estimated and frequently involves expenses paid directly by patients and their families.
authors.affiliation: Center for Health Services Research, Durham Veterans Affairs Medical Center, NC.
authors.forename: M
authors.initials: M
authors.lastname: Weinberger
authors.forename: D T
authors.initials: DT
authors.lastname: Gold
authors.forename: G W
authors.initials: GW
authors.lastname: Divine
authors.forename: P A
authors.initials: PA
authors.lastname: Cowper
authors.forename: L G
authors.initials: LG
authors.lastname: Hodgson
authors.forename: P J
authors.initials: PJ
authors.lastname: Schreiner
authors.forename: L K
authors.initials: LK
authors.lastname: George
mesh_terms: D000368:Aged; D017028:Caregivers; D003704:Dementia / Q000628:therapy*; D005260:Female; D005102:Health Expenditures; D006699:Home Care Services / Q000191:economics*; D006701:Home Nursing / Q000191:economics*; D006801:Humans; D008297:Male; D008875:Middle Aged