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J Occup Environ Med ; 60(5): 449-456, 2018 05.
Article in English | MEDLINE | ID: mdl-29135840

ABSTRACT

AIMS: We analyzed indirect costs related to loss of labor productivity (LLP) in informal caregivers (ICs) of people with dementia (PwD) and the associated caregiver burden and patients' clinical variables. METHODS: Multicenter cohort study of PwD and their ICs (n = 287) focused on two groups: (1) home care and (2) institutional long-term care. The costs of LLP were assessed using the Resource Utilization Dementia instrument and a human capital approach. RESULTS: The cost for LLP was 378&OV0556;/month or 4.536&OV0556;/year. Greater disease severity increased the likelihood of reducing working hours and missing a working day. There was a significant association between partial absenteeism and burden in employed informal caregiver in both the home and institutional setting. CONCLUSION: Cognitive impairment contributes to the cost of LLP in IC especially in home-care. LLP has a negative impact on IC burden.


Subject(s)
Caregivers/psychology , Cost of Illness , Dementia , Home Care Agencies , Nursing Homes , Work Performance , Absenteeism , Aged , Aged, 80 and over , Cohort Studies , Humans , Middle Aged , Spain , Surveys and Questionnaires
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