title: The cost of care homes for people with dementia in England: a modelling approach.
abstract: To examine the cost of care for people with dementia in institutional care settings, to understand the major cost drivers and to highlight opportunities for service development.
  
  
  
  Data on 277 residents with dementia in 16 UK residential or nursing homes were collected. We estimated care and support costs and fitted models to the data. Sensitivity analyses were also conducted.
  
  
  
  Care home residents cost £792 weekly: 95% of the costs accounted for by direct fees. Hospital contacts contributed the largest proportion of the additional costs. Having an established diagnosis of dementia (b = 0.070; p < 0.05) was associated with higher costs. No association was found between cost and needs (b = -0.002; p = 0.818).
  
  
  
  The absence of an association between cost and needs emphasizes the importance of a more needs-based costing system which could result in clinical and economic advantages. Copyright © 2016 John Wiley & Sons, Ltd.
authors.affiliation: Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
authors.forename: Renee
authors.initials: R
authors.lastname: Romeo
authors.affiliation: London School of Economics and Political Science, London, UK.
authors.forename: Martin
authors.initials: M
authors.lastname: Knapp
authors.affiliation: Department of Health Economics (Modelling and Simulation), Evidera, London, UK.
authors.forename: Suzanne
authors.initials: S
authors.lastname: Salverda
authors.affiliation: Institute of Mental Health, Faculty of Medicine and Health Sciences, University of Nottingham, Nottingham, UK.
authors.forename: Martin
authors.initials: M
authors.lastname: Orrell
authors.affiliation: Oxford Health NHS Foundation Trust, Fulbrook Centre, Oxford, UK.|Department of Psychiatry, University of Oxford, UK.
authors.forename: Jane
authors.initials: J
authors.lastname: Fossey
authors.affiliation: Executive Dean of Medicine, University of Exeter, London, UK.
authors.forename: Clive
authors.initials: C
authors.lastname: Ballard
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D003156:Community Mental Health Services / Q000191:economics; D003695:Delivery of Health Care / Q000191:economics; D003704:Dementia / Q000191:economics* / Q000451:nursing; D004739:England; D005260:Female; D017048:Health Care Costs; D006801:Humans; D008297:Male; D015999:Multivariate Analysis; D009735:Nursing Homes / Q000191:economics*; D011320:Primary Health Care / Q000191:economics
keywords: Alzheimer; associations; behavioural symptoms; care home; cognition; costs; dementia; needs; nursing home