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What is the potential for improving care and lowering cost for persons with dementia?

Published online by Cambridge University Press:  18 February 2016

Karen Davis ,
Amber Willink  and
Halima Amjad
Karen Davis*
Affiliation:
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
Amber Willink
Affiliation:
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
Halima Amjad
Affiliation:
Division of Geriatric Medicine and Gerontology, Johns Hopkins University School of Medicine, Baltimore, MD, USA
*
Email: karen.davis@jhu.edu
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Extract

The increasing prevalence of dementia with population aging has heightened interest in understanding patterns of utilization and health expenditures in persons with dementia (PWD) among policy officials, practicing physicians, and health system. While a substantial part of this interest is concerned with the high costs of care for people diagnosed with dementia (Kelley et al., 2015), less attention has been focused on the costs and consequences of missed or delayed diagnosis in those who screen positive for dementia. The article on “Healthcare resource utilization and cost in dementia: are there differences between patients screened positive for dementia with and those without a formal diagnosis of dementia in primary care in Germany?” by Michalowsky and colleagues (Michalowsky et al., 2015) in this issue makes a particularly important contribution in this regard.

Type
Commentary paper of the month
Information
International Psychogeriatrics , Volume 28 , Issue 3 , March 2016 , pp. 357 - 358
Copyright
Copyright © International Psychogeriatric Association 2016 

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References

Davis, K. and Ballreich, J. (2014). Equitable access to care—how the United States ranks. New England Journal of Medicine, 371, 1567–1570.CrossRefGoogle ScholarPubMed
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German Association of Psychiatry Psychotherapy and Psychosomatics and German Association for Neurology (2009). S-3 Leitlinie “Demenzen.” Available at: http://www.dgppn.de/fileadmin/user_upload/_medien/; last accessed 18 November 2015.Google Scholar
Kelley, A. S., McGarry, K., Fahle, S., Marshall, S. M., Du, Q. and Skinner, J. S. (2015). The burden of health care costs for patients with dementia in the last 5 years of life. Annals of Internal Medicine, 163, 729–736.CrossRefGoogle ScholarPubMed
Michalowsky, B., Eichler, T., Thyrian, J. R., Wucherer, D., Hoffmann, W. and Flessa, S. (2015). Healthcare resource utilization and cost in dementia: are there differences between patients screened positive for dementia with and those without a formal diagnosis of dementia in primary care in Germany? International Psychogeriatrics, 851, pp.1–11. Available at: http://www.journals.cambridge.org/abstract_S1041610215001453.Google Scholar