An Economic Analysis of a Community-Based Model for Dementia Care in Ireland: A Balance of Care Approach

This study provides an economic analysis of the cost of care for people with dementia who are receiving supports within the HSE & Genio Dementia Programme and who are on the boundary of care between home care and residential care. In the study, those people at a significant risk of admission to residential care were identified using two criteria, the Institutional Risk Trigger and the Institutional Probability Scale. The costs of a range of formal and informal supports that these people are receiving from the state, the additional supports they availed of through the HSE & Genio Dementia Programme and informal care provided to them were estimated, along with personal consumption and housing costs. A total of 181 were estimated to be on the boundary of care. The results of the economic analysis suggest that significant numbers of people with dementia could potentially be supported to live at home for longer as a result of the HSE & Genio Dementia Programme, resulting in exchequer savings when comparisons are made between public expenditure in the community and in residential care. When personal consumption and housing costs are added, there is a reduction in the overall cost advantage associated with community-based personalised care. Placing a monetary valuation on informal care further increases the cost of community care, making it slightly more costly than residential care, based on an opportunity cost methodology.
Title: 
An Economic Analysis of a Community-Based Model for Dementia Care in Ireland: A Balance of Care Approach
Date: 
2016
References: 
O’Shea, E. and Monaghan, C. (2016) An Economic Analysis of a Community-based Model for Dementia Care in Ireland: A Balance of Care Approach, Galway: National Centre for Social Research on Dementia, National University of Ireland, Galway.