[Costs of Informal Caregiving in Dementia].

Abstract:

INTRODUCTION:From a perspective that considers the costs borne by the informal caregiver and the care-recipient, this study quantifies and values the use of health and social services, and the time dedicated to caregiving in dementia situations. MATERIAL AND METHODS:Sociodemographic information and use of services was obtained from 123 caregiving dyads. Costs with informal care were evaluated and valued considering the Health Sector (health services), Patient/Family Sector (time of caregiving) and Other Sectors (social services, continuous care, other private services). Costs with health and social services considered the paying person; the Patient/Family Sector was valued through the proxy-good method. The costs were calculated per month and the value for 100 dyads. RESULTS:The total cost of informal care was €61 982.2/month per 100 dyads. The Patient/Family Sector value (€44 030.0/month) contributed with 71.0% of the total costs, Other Sectors with 20.8% (€12 887.4/month), and the Health Sector with 8.2% (€5064.8/month). DISCUSSION:The obtained value per dyad (€619.8/month) represents 77.5% of their monthly income (median = €800.0; interquartile range = 679.0), which can limit the decision of continuing the care provision at home. Considering the values presented for this specific sample, it is estimated that the exemption of fees in the Health Sector and/or benefits in social services may contribute to a downward estimate of the costs. CONCLUSION:Regardless of the complexity in estimating the costs associated with informal caregiving in dementia, this paper provides some insights on the burden they can represent for the family income. :Introdução: Sob a perspetiva dos custos assumidos pelo cuidador informal e pessoa cuidada, este estudo pretende quantificar e valorar a utilização de serviços de saúde e sociais, assim como o tempo dedicado aos cuidados prestados em situações de demência.Material e Métodos: Recolheram-se informações sociodemográficas e de utilização de serviços de 123 díades de cuidados. Os custos foram estimados considerando: Setor Saúde (serviços de saúde), Doente/Família (tempo de cuidados) e Outros (serviços sociais, cuidados continuados, outros privados). A avaliação dos custos do Setor Saúde e Outros Setores considerou a pessoa pagadora; para o Setor Doente/Família aplicou-se o método do bem-substituto. Calculou-se o custo mensal para os utilizadores e o valor para 100 díades.Resultados: O custo total dos cuidados informais foi de €61 982,2/mês por 100 díades. O valor do Setor Doente/Família (€44 030,0/mês) contribui com 71,0% do custo total; os Outros Setores com 20,8% (€12 887,4/mês), seguido do Setor da Saúde com 8,2% (€5064,8/mês).Discussão: O valor obtido para cada díade (€619,8/mês) representa 77,5% do seu rendimento mensal (mediana = €800,0; amplitude interquartil = 679,0), o que pode condicionar a continuidade dos cuidados em casa. Em face aos montantes apresentados para estaamostra, estima-se a presença de isenção de taxas moderadoras no Setor Saúde e/ou benefícios na comparticipação das respostas sociais e, como tal, uma estimativa em baixa dos gastos apresentados.Conclusão: Apesar da complexidade na estimação dos custos associados aos cuidados informais na demência, este artigo ilustra o peso significativo que estes podem alcançar para as famílias.

journal_name

Acta Med Port

journal_title

Acta medica portuguesa

authors

Pires CL,Duarte N,Paúl C,Ribeiro O

doi

10.20344/amp.11922

subject

Has Abstract

pub_date

2020-09-01 00:00:00

pages

559-567

issue

9

eissn

0870-399X

issn

1646-0758

journal_volume

33

pub_type

杂志文章
  • Depression and anxiety following deep brain stimulation in Parkinson's disease: systematic review and meta-analysis.

    abstract:INTRODUCTION:Deep brain stimulation (DBS) is effective in advanced Parkinson's disease (PD), improving motor symptoms, fluctuations and quality of life. However, adverse psychiatric outcomes have been reported, albeit variably and in an unstandardized fashion. We aimed to summarize the published evidence on the outcome...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章,meta分析,评审

    doi:10.20344/amp.4928

    authors: Couto MI,Monteiro A,Oliveira A,Lunet N,Massano J

    更新日期:2014-05-01 00:00:00

  • [Prostate cancer].

    abstract::Nowadays, prostate cancer is very frequent in men. The evolution of the possibilities of early diagnosis and the results obtained with radical therapeutics have brought this pathology to our attention. The physicians involved, either general practitioners or specialists in internal medicine or urology, must pay maximu...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:

    authors: Ruah J

    更新日期:1999-01-01 00:00:00

  • [Cerebral-cardiac embolism. Cerebrovascular-cardiac embolic stroke].

    abstract::The diagnosis of cerebral cardioembolism requires, apart from evidence of an embolic cardiopathy, a cause-effect relation to be established between the potential cardioembolic source and the occurrence of ischemic stroke. There are several arguments in favour of this reaction, namely the neurologic aspects put forward...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章,评审

    doi:

    authors: Henriques I

    更新日期:1997-08-01 00:00:00

  • [Familial colorectal cancer type X: clinical, pathological and molecular characterization].

    abstract:BACKGROUND:Some families fulfilling the Amsterdam Criteria (AC) differ from the Lynch syndrome (LS) in that colorectal cancers (CRC) do not present microsatellite instability (MSI) and DNA mismatch repair gene mutations are not found. These families have been designated as Familial Colorectal Cancer type X (XS) and the...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:

    authors: Ferreira S,Lage P,Sousa R,Claro I,Francisco I,Filipe B,Suspiro A,Chaves P,Rodrigues P,Albuquerque C,Nobre Leitão C

    更新日期:2009-05-01 00:00:00

  • Antihypertensive treatment and its implications on lipoprotein metabolism of patients in care by a hypertension and diabetes program in Brazil.

    abstract::Multiple risk factors for cardiovascular disorders, particularly hypercholesterolemia, are often present in hypertensive patients. Several studies have shown that antihypertensive drugs affect the lipid profile, increasing the risk of cardiovascular diseases. Here, it was investigated the lipoprotein metabolism altera...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:

    authors: Martins RD,Alves Rde S,Silva GG,Martins N,Vasconcelos S,Assreuy A,Martins A,Goretti Queiroz M

    更新日期:2008-11-01 00:00:00

  • [Artificial nutrition in children (I): enteral access].

    abstract::Appropriate nutritional support is crucial in the therapeutic approach of multiple conditions, which justifies the frequent and increasing use of specific access routes for enteral and parenteral nutrition. This article reviews the relevant literature concerning indications, procedures, effectiveness and complications...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章,评审

    doi:

    authors: Estevão-Costa J

    更新日期:2014-09-01 00:00:00

  • [Biologicals and Biosimilars: Gaps in the Pharmacovigilance System in Portugal].

    abstract:INTRODUCTION:Biological and biosimilar medicinal products have specific characteristics that call for a closer monitoring of their safety profile. Since the current legal framework stems from both European and national regulations, some gaps in the operational field may be expected. The goal of this paper is to identif...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:10.20344/amp.8079

    authors: Portela MC,Sinogas C,Almeida FA,Baptista-Leite R,Castro-Caldas A

    更新日期:2017-03-31 00:00:00

  • [Hepatitis A virus prevalence: Portuguese first results of low endemicity].

    abstract::The prevalence of the hepatitis A virus in a population determines the degree of morbidity associated with this illness, that is, the higher the morbidity, the lower the prevalence. This study aims to obtain the prevalence of total antibody to the hepatitis A virus in children, 5 and 8 years of age, and in adolescents...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:

    authors: Antunes H,Macedo M,Estrada A

    更新日期:2004-05-01 00:00:00

  • [Epidemiologic study of 1768 burned patients].

    abstract::A retrospective epidemiological study was made based on 1,768 burn patients admitted either to the Burns Unit or the general wards of the Plastic Surgery Department of Prelada Hospital in Oporto, from October 1988 until November 1997, corresponding to almost 8.5% of the overall patients admitted. The average age of th...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:

    authors: Ferraro A

    更新日期:1998-03-01 00:00:00

  • [Statistics and medical decision making].

    abstract::Statistics is the science that studies variability in all its forms and, in essence, is an instrument that allows us to analyze variable phenomena and detect small, but nevertheless important, differences. The instrumental character of this science made Statistics a fundamental tool for the study of biological and cli...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:

    authors: Gouveia-Oliveira A

    更新日期:1996-10-01 00:00:00

  • [Renal dysplasia: clinico-pathologic review].

    abstract::Histology records from 63 nephrectomies were reviewed; 22 patients had unilateral totally dysplastic kidneys and 5 had polar or segmental dysplasia. A clinicopathological study of these cases was undertaken. In the first group, there was a slight male preponderance and 75% of the patients presented were under two year...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:

    authors: Cunha AS,de Sousa JF,Garcia C

    更新日期:1992-05-01 00:00:00

  • [Complications of pediatric renal transplantation].

    abstract:BACKGROUND:Renal transplantation is the treatment of choice for children with end stage renal disease with positive impact on survival and quality of life. However, some complications affect morbidity and mortality. This study examines the renal transplantation complications profile in pediatric patients (<18 y). MATE...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:

    authors: Gonçalves C,Sandes AR,Azevedo S,Stone R,Almeida M

    更新日期:2013-09-01 00:00:00

  • [Cerebellar hematomas in a patient with atrial myxoma].

    abstract::We describe a case report of a 69 year old woman with atrial myxoma, presented as a cerebellar syndrome caused by ischemic infarctions of the posterior circulation. The transthoracic 2D echocardiogram provided the diagnosis of a left atrial myxoma. Seven months after surgical removal of the cardiac tumor, the cerebell...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:

    authors: Marcão I,Teixeira H,Germano I,Bandeira Costa J,Gonçalves C,Magalhães M,Farrajota F

    更新日期:1995-12-01 00:00:00

  • Molecular Staging of Patients with Colon Cancer. The C-Closer-II Study: A Multicentre Study in Portugal.

    abstract:INTRODUCTION:Approximately 20% - 30% of histological lymph node-negative patients with colorectal cancer relapse at five years after surgical treatment. This recurrence is likely due to occult nodal disease undetected by standard histopathological practice which has implications in terms of the clinical management of p...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章,多中心研究

    doi:10.20344/amp.9696

    authors: Brito MJ,Honavar M,Cipriano MA,Lopes J,Coelho H,Silva AR,Silva M,Guimarães S,Frutuoso A,Gomes A,Barbosa E,Carlos S

    更新日期:2018-11-30 00:00:00

  • Venous thromboembolism risk factors and practices of prophylaxis: ENDORSE study results in Portugal.

    abstract:BACKGROUND:Venous thromboembolism (VTE) risk assessment is a cornerstone for the achievement of best practices and outcomes. Epidemiologic data and practices related to venous thromboprophylaxis as considered by the global ENDORSE study, (Epidemiologic International Day for the Evaluation of Patients at Risk for Venous...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:

    authors: França A,Reis A,Paulino A,Lohman C,Cartucho D,Campello G,Morais L,Moreira P,Abreu R,Abreu T,ENDORSE Investigators.

    更新日期:2011-11-01 00:00:00

  • Medical Curricula on Intimate Partner Violence in Mozambique.

    abstract:INTRODUCTION:The aim of the study described in this paper is to screen medical curricula in relation to the attention paid to intimate partner violence, by applying a framework derived from the international literature. MATERIAL AND METHODS:We screened curricula of five Mozambican medical schools based on a state-of-t...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:10.20344/amp.12049

    authors: Manuel B,Roelens K,Tiago A,Keygnaert I,Valcke M

    更新日期:2020-01-03 00:00:00

  • [Automated analysis of cardiotocographic signals].

    abstract::Cardiotocographic signals, used as a perinatal diagnostic tool, comprise fetal heart beat signals (FHR), uterine contractions (UC) and fetal movements (FM). Visual inspection of these three signals is limited, subjective, time consuming and with low reproducibility. The present paper illustrates an application of sign...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:

    authors: de Sá JP,Moura AC,Bernardes J,Leite LP

    更新日期:1992-01-01 00:00:00

  • [The directional axes in the reform of medical teaching. A strategic proposal].

    abstract::The circumstances preceding the future revision of the medical curriculum are analysed, main internal and external stimuli are described, and sources of resistance to changes in medical training require new educational philosophy, privileging oriented training during undergraduation, as a preliminary phase of medical ...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:

    authors: Martins e Silva J

    更新日期:1993-10-01 00:00:00

  • [Teaching human anatomy to the graduation course in Health Sciences of the Lisbon University: five years of a new educational experience].

    abstract:INTRODUCTION/OBJECTIVES:The authors make the balance of the first five years of teaching Anatomy to the Licensure in Health Sciences, of Lisbon University. MATERIALS AND METHODS:Were studied 408 students, enrolled in the Curricular Unit of Anatomy (mandatory subject of the 1st semester) and 29 in the Curricular Unit o...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:

    authors: Furtado IA,Gonçalves Ferreira AD,Gonçalves Ferreira AJ

    更新日期:2013-05-01 00:00:00

  • [Dyslipidemia Secondary to Hypothyroidism and Cholestasis].

    abstract::In about 28% of patients, dyslipidemia has a secondary cause. Many times, the treatment of these causes can lead to the total correction of dyslipidemia. We describe the case of a 50-year-old female patient with class II obesity and primary biliary cirrhosis, evaluated for mixed dyslipidemia with poor control (statins...

    journal_title:Acta medica portuguesa

    pub_type:

    doi:10.20344/amp.9944

    authors: Saavedra A,Rodrigues E,Carvalho D

    更新日期:2020-03-02 00:00:00

  • [Preschool Children's Emotional Understanding of Death: A Forgotten Dimension].

    abstract:INTRODUCTION:Scientific evidence regarding children's understanding of the concept of death is scarce. This has recently been pointed out by the International Children's Palliative Care Network as a priority area of research. In particular, the avoidance of emotion in this area of research is an important shortcoming. ...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:10.20344/amp.12815

    authors: Silva FM,Lopes AF,Carneiro V,Campelo Á

    更新日期:2020-10-01 00:00:00

  • [Hidradenitis Suppurativa: Combined Treatment with Dermal Template, Skin Graft and Negative Pressure Wound Therapy, a Case Study].

    abstract::Hidrosadenitis supurativa is a chronic inflammatory disease with great physical and psychological impact. Although conservative treatments may be effective in mild forms of the disease, extensive surgical resection and reconstruction are necessary in more severe forms of the disease. The purpose of this paper is to de...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:10.20344/amp.8656

    authors: Ribeiro LM,Guerra AS

    更新日期:2018-01-31 00:00:00

  • [Homocysteinemia as a risk factor for cerebrovascular disorders. The role of age and homocysteine levels].

    abstract:PURPOSE:To evaluate importance of homocysteinemia as risk factor of thrombotic cerebrovascular disease, in terms of age and homocysteinemia levels. METHODS:A group of patients under 55 years old (n = 35, 21 males) that had suffered a stroke 3 months to 1 year before the study, defined by clinical criteria and the pres...

    journal_title:Acta medica portuguesa

    pub_type: 临床试验,杂志文章,评审

    doi:

    authors: Reis RP,Azinheira J,Reis HP,Pereira M,Baptista A,Crepo M,Pina JE,Ferreira NC,Luis AS

    更新日期:1996-01-01 00:00:00

  • [Cutaneous infection with the cytomegalovirus virus in AIDS patients].

    abstract::Cutaneous cytomegalovirus (CMV) infection has been observed in a variety of nonspecific skin lesions. Because of this fact, its diagnosis is rare and frequently accidental. The presence of the virus has also been observed in apparently normal skin, from both a clinical and histological point of view. In this context, ...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章,评审

    doi:

    authors: Franca I,Poiares-Baptista A,Pais MJ,Araújo C,Chorão M,Ricardo JL,Mansinho K

    更新日期:1997-06-01 00:00:00

  • [Evaluation of interests, experiences and chemistry knowledge among students admitted to the Lisboa Medical School en 1989/1990].

    abstract::Selected medical students for undergraduate medical courses in Portugal exhibit each year substantial deficiencies in chemistry. The group of students admitted to the Faculty of Medicine of Lisbon in 1989/1990 were selected by admission criteria apparently more restrictive than before. The aim of this study was to eva...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:

    authors: Saldanha C,Moreira C,Pinto Y,Nunes M,Martins e Silva J

    更新日期:1991-01-01 00:00:00

  • [Retroperitoneal laparoscopic nephrectomy in children younger than nine years-old: state of the art].

    abstract:INTRODUCTION AND AIM:In Portugal, there is very few experience in pediatric retroperitoneoscopy. The authors present the first Portuguese series of retroperitoneal laparoscopic nephrectomies (RLN) in children younger than nine years-old, as well as a literature review about the theme. MATERIAL AND METHODS:Retrospectiv...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章,评审

    doi:

    authors: Moreira-Pinto J,Osório A,Pereira J,Enes C,Ribeiro De Castro J,Reis A

    更新日期:2011-12-01 00:00:00

  • [Periarticular Corticosteroid Injection in the Therapeutic Approach of Musculoskeletal Disease in General Practice: A systematic Review].

    abstract:INTRODUCTION:Periarticular corticosteroid injection utilization by General Practitioners treating musculoskeletal disease in primary health care system is internationally acknowledged. This article aims at analyzing this evidence and contributing to the discussion of a potential development of the technique in Portugal...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章,评审

    doi:

    authors: Trindade I

    更新日期:2015-09-01 00:00:00

  • [Spontaneous ileopsoas hematoma: a rare and lethal complication of liver cirrhosis].

    abstract::Spontaneous ileopsoas hematoma is a rare and potentially lethal complication of liver cirrhosis, with exceptional mention in medical literature. In this article we present a clinical case diagnosed in a patient with alcoholic liver cirrhosis. ...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:

    authors: Parente J,Siopa L

    更新日期:2012-01-01 00:00:00

  • [Magnetic Resonance Imaging Conversion Predictors of Clinically Isolated Syndrome to Multiple Sclerosis].

    abstract:INTRODUCTION:Clinically isolated syndrome may be the first manifestation of multiple sclerosis, a chronic demyelinating disease of the central nervous system, and it is defined by a single clinical episode suggestive of demyelination. However, patients with this syndrome, even with long term follow up, may not develop ...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章,评审

    doi:10.20344/amp.7650

    authors: Peixoto S,Abreu P

    更新日期:2016-11-01 00:00:00

  • [Contraception for Adolescents: Knowledge and Practices in Portugal].

    abstract:INTRODUCTION:Adolescents are a target group for reproductive health intervention. Family physicians, gynecologists and pediatricians are the main providers of contraceptive counseling. MATERIAL AND METHODS:Correlational, cross-sectional study, approved by the ethics committee of Leiria Hospital, Portugal. Data was col...

    journal_title:Acta medica portuguesa

    pub_type: 杂志文章

    doi:10.20344/amp.11088

    authors: Miranda P,Moleiro P,Gaspar P,Luz A

    更新日期:2019-08-01 00:00:00