Development and Validation of a Prediction Model for 6-Month Societal Costs in Older Community Care-Recipients in Multiple Countries; the IBenC Study
This study aims to develop and validate a prediction model of societal costs during a period of 6-months in older community care-recipients across multiple European countries. Participants were older community care-recipients from 5 European countries. The outcome measure was mean 6-months total soc...
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ftpubmed:oai:pubmedcentral.nih.gov:7768843 2023-05-15T16:50:22+02:00 Development and Validation of a Prediction Model for 6-Month Societal Costs in Older Community Care-Recipients in Multiple Countries; the IBenC Study van Lier, Lisanne I Bosmans, Judith E van der Roest, Henriëtte G Heymans, Martijn W Garms-Homolová, Vjenka Declercq, Anja V Jónsson, Pálmi van Hout, Hein PJ 2020-12-23 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7768843/ https://doi.org/10.1177/1178632920980462 en eng SAGE Publications http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7768843/ http://dx.doi.org/10.1177/1178632920980462 © The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). CC-BY-NC Health Serv Insights Original Research Text 2020 ftpubmed https://doi.org/10.1177/1178632920980462 2021-01-24T01:19:54Z This study aims to develop and validate a prediction model of societal costs during a period of 6-months in older community care-recipients across multiple European countries. Participants were older community care-recipients from 5 European countries. The outcome measure was mean 6-months total societal costs of resource utilisation (healthcare and informal care). Potential predictors included sociodemographic characteristics, functional limitations, clinical conditions, and diseases/disorders. The model was developed by performing Linear Mixed Models with a random intercept for the effect of country and validated by an internal-external validation procedure. Living alone, caregiver distress, (I)ADL impairment, required level of care support, health instability, presence of pain, behavioural problems, urinary incontinence and multimorbidity significantly predicted societal costs during 6 months. The model explained 32% of the variation within societal costs and showed good calibration in Iceland, Finland and Germany. Minor model adaptations improved model performance in The Netherland and Italy. The results can provide a valuable orientation for policymakers to better understand cost development among older community care-recipients. Despite substantial differences of countries’ care systems, a validated cross-national set of key predictors could be identified. Text Iceland PubMed Central (PMC) Health Services Insights 13 117863292098046 |
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Original Research van Lier, Lisanne I Bosmans, Judith E van der Roest, Henriëtte G Heymans, Martijn W Garms-Homolová, Vjenka Declercq, Anja V Jónsson, Pálmi van Hout, Hein PJ Development and Validation of a Prediction Model for 6-Month Societal Costs in Older Community Care-Recipients in Multiple Countries; the IBenC Study |
topic_facet |
Original Research |
description |
This study aims to develop and validate a prediction model of societal costs during a period of 6-months in older community care-recipients across multiple European countries. Participants were older community care-recipients from 5 European countries. The outcome measure was mean 6-months total societal costs of resource utilisation (healthcare and informal care). Potential predictors included sociodemographic characteristics, functional limitations, clinical conditions, and diseases/disorders. The model was developed by performing Linear Mixed Models with a random intercept for the effect of country and validated by an internal-external validation procedure. Living alone, caregiver distress, (I)ADL impairment, required level of care support, health instability, presence of pain, behavioural problems, urinary incontinence and multimorbidity significantly predicted societal costs during 6 months. The model explained 32% of the variation within societal costs and showed good calibration in Iceland, Finland and Germany. Minor model adaptations improved model performance in The Netherland and Italy. The results can provide a valuable orientation for policymakers to better understand cost development among older community care-recipients. Despite substantial differences of countries’ care systems, a validated cross-national set of key predictors could be identified. |
format |
Text |
author |
van Lier, Lisanne I Bosmans, Judith E van der Roest, Henriëtte G Heymans, Martijn W Garms-Homolová, Vjenka Declercq, Anja V Jónsson, Pálmi van Hout, Hein PJ |
author_facet |
van Lier, Lisanne I Bosmans, Judith E van der Roest, Henriëtte G Heymans, Martijn W Garms-Homolová, Vjenka Declercq, Anja V Jónsson, Pálmi van Hout, Hein PJ |
author_sort |
van Lier, Lisanne I |
title |
Development and Validation of a Prediction Model for 6-Month Societal Costs in Older Community Care-Recipients in Multiple Countries; the IBenC Study |
title_short |
Development and Validation of a Prediction Model for 6-Month Societal Costs in Older Community Care-Recipients in Multiple Countries; the IBenC Study |
title_full |
Development and Validation of a Prediction Model for 6-Month Societal Costs in Older Community Care-Recipients in Multiple Countries; the IBenC Study |
title_fullStr |
Development and Validation of a Prediction Model for 6-Month Societal Costs in Older Community Care-Recipients in Multiple Countries; the IBenC Study |
title_full_unstemmed |
Development and Validation of a Prediction Model for 6-Month Societal Costs in Older Community Care-Recipients in Multiple Countries; the IBenC Study |
title_sort |
development and validation of a prediction model for 6-month societal costs in older community care-recipients in multiple countries; the ibenc study |
publisher |
SAGE Publications |
publishDate |
2020 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7768843/ https://doi.org/10.1177/1178632920980462 |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
Health Serv Insights |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7768843/ http://dx.doi.org/10.1177/1178632920980462 |
op_rights |
© The Author(s) 2020 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
op_rightsnorm |
CC-BY-NC |
op_doi |
https://doi.org/10.1177/1178632920980462 |
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Health Services Insights |
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13 |
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117863292098046 |
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