The costs of treating all‐cause dementia among American Indians and Alaska native adults who access services through the Indian Health Service and Tribal health programs
IntroductionLittle is known about treatment costs for American Indian and Alaska Native (AI/AN) adults with dementia who access services through the Indian Health Service (IHS) and Tribal health programs.MethodsWe analyzed fiscal year 2013 IHS/Tribal treatment costs for AI/ANs aged 65+ years with de...
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ftcdlib:oai:escholarship.org:ark:/13030/qt1qf390p4 2023-11-05T03:39:50+01:00 The costs of treating all‐cause dementia among American Indians and Alaska native adults who access services through the Indian Health Service and Tribal health programs O'Connell, Joan Grau, Laura Goins, Turner Perraillon, Marcelo Winchester, Blythe Corrada, Maria Manson, Spero M Jiang, Luohua 2055 - 2066 2022-11-01 application/pdf https://escholarship.org/uc/item/1qf390p4 unknown eScholarship, University of California qt1qf390p4 https://escholarship.org/uc/item/1qf390p4 public Alzheimer's & Dementia, vol 18, iss 11 Biomedical and Clinical Sciences Biological Psychology Clinical Sciences Neurosciences Psychology Brain Disorders Arctic Dementia Aging American Indian or Alaska Native Alzheimer's Disease including Alzheimer's Disease Related Dementias (AD/ADRD) Rural Health Health Services Clinical Research Acquired Cognitive Impairment Neurological Good Health and Well Being Adult Humans Alaskan Natives Health Care Costs Indians North American United States United States Indian Health Service Health Expenditures Morbidity American Indian and Alaska native peoples disparities hospital expenditures morbidity burden Geriatrics article 2022 ftcdlib 2023-10-09T18:04:17Z IntroductionLittle is known about treatment costs for American Indian and Alaska Native (AI/AN) adults with dementia who access services through the Indian Health Service (IHS) and Tribal health programs.MethodsWe analyzed fiscal year 2013 IHS/Tribal treatment costs for AI/ANs aged 65+ years with dementia and a matched sample without dementia (n=1842) to report actual and adjusted total treatment costs and costs by service type. Adjusted costs were estimated using multivariable regressions.ResultsMean total treatment cost for adults with dementia were $13,027, $5400 higher than for adults without dementia ($7627). The difference in adjusted total treatment costs was $2943 (95% confidence interval [CI]: $1505, $4381), the majority of which was due to the difference in hospital inpatient costs ($2902; 95% CI: $1512, $4293).DiscussionKnowing treatment costs for AI/ANs with dementia can guide enhancements to policies and services for treating dementia and effectively using health resources. Article in Journal/Newspaper Arctic Alaska University of California: eScholarship |
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Open Polar |
collection |
University of California: eScholarship |
op_collection_id |
ftcdlib |
language |
unknown |
topic |
Biomedical and Clinical Sciences Biological Psychology Clinical Sciences Neurosciences Psychology Brain Disorders Arctic Dementia Aging American Indian or Alaska Native Alzheimer's Disease including Alzheimer's Disease Related Dementias (AD/ADRD) Rural Health Health Services Clinical Research Acquired Cognitive Impairment Neurological Good Health and Well Being Adult Humans Alaskan Natives Health Care Costs Indians North American United States United States Indian Health Service Health Expenditures Morbidity American Indian and Alaska native peoples disparities hospital expenditures morbidity burden Geriatrics |
spellingShingle |
Biomedical and Clinical Sciences Biological Psychology Clinical Sciences Neurosciences Psychology Brain Disorders Arctic Dementia Aging American Indian or Alaska Native Alzheimer's Disease including Alzheimer's Disease Related Dementias (AD/ADRD) Rural Health Health Services Clinical Research Acquired Cognitive Impairment Neurological Good Health and Well Being Adult Humans Alaskan Natives Health Care Costs Indians North American United States United States Indian Health Service Health Expenditures Morbidity American Indian and Alaska native peoples disparities hospital expenditures morbidity burden Geriatrics O'Connell, Joan Grau, Laura Goins, Turner Perraillon, Marcelo Winchester, Blythe Corrada, Maria Manson, Spero M Jiang, Luohua The costs of treating all‐cause dementia among American Indians and Alaska native adults who access services through the Indian Health Service and Tribal health programs |
topic_facet |
Biomedical and Clinical Sciences Biological Psychology Clinical Sciences Neurosciences Psychology Brain Disorders Arctic Dementia Aging American Indian or Alaska Native Alzheimer's Disease including Alzheimer's Disease Related Dementias (AD/ADRD) Rural Health Health Services Clinical Research Acquired Cognitive Impairment Neurological Good Health and Well Being Adult Humans Alaskan Natives Health Care Costs Indians North American United States United States Indian Health Service Health Expenditures Morbidity American Indian and Alaska native peoples disparities hospital expenditures morbidity burden Geriatrics |
description |
IntroductionLittle is known about treatment costs for American Indian and Alaska Native (AI/AN) adults with dementia who access services through the Indian Health Service (IHS) and Tribal health programs.MethodsWe analyzed fiscal year 2013 IHS/Tribal treatment costs for AI/ANs aged 65+ years with dementia and a matched sample without dementia (n=1842) to report actual and adjusted total treatment costs and costs by service type. Adjusted costs were estimated using multivariable regressions.ResultsMean total treatment cost for adults with dementia were $13,027, $5400 higher than for adults without dementia ($7627). The difference in adjusted total treatment costs was $2943 (95% confidence interval [CI]: $1505, $4381), the majority of which was due to the difference in hospital inpatient costs ($2902; 95% CI: $1512, $4293).DiscussionKnowing treatment costs for AI/ANs with dementia can guide enhancements to policies and services for treating dementia and effectively using health resources. |
format |
Article in Journal/Newspaper |
author |
O'Connell, Joan Grau, Laura Goins, Turner Perraillon, Marcelo Winchester, Blythe Corrada, Maria Manson, Spero M Jiang, Luohua |
author_facet |
O'Connell, Joan Grau, Laura Goins, Turner Perraillon, Marcelo Winchester, Blythe Corrada, Maria Manson, Spero M Jiang, Luohua |
author_sort |
O'Connell, Joan |
title |
The costs of treating all‐cause dementia among American Indians and Alaska native adults who access services through the Indian Health Service and Tribal health programs |
title_short |
The costs of treating all‐cause dementia among American Indians and Alaska native adults who access services through the Indian Health Service and Tribal health programs |
title_full |
The costs of treating all‐cause dementia among American Indians and Alaska native adults who access services through the Indian Health Service and Tribal health programs |
title_fullStr |
The costs of treating all‐cause dementia among American Indians and Alaska native adults who access services through the Indian Health Service and Tribal health programs |
title_full_unstemmed |
The costs of treating all‐cause dementia among American Indians and Alaska native adults who access services through the Indian Health Service and Tribal health programs |
title_sort |
costs of treating all‐cause dementia among american indians and alaska native adults who access services through the indian health service and tribal health programs |
publisher |
eScholarship, University of California |
publishDate |
2022 |
url |
https://escholarship.org/uc/item/1qf390p4 |
op_coverage |
2055 - 2066 |
genre |
Arctic Alaska |
genre_facet |
Arctic Alaska |
op_source |
Alzheimer's & Dementia, vol 18, iss 11 |
op_relation |
qt1qf390p4 https://escholarship.org/uc/item/1qf390p4 |
op_rights |
public |
_version_ |
1781695754041032704 |