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Comparison of Healthcare Utilization and Direct Costs in Three Degenerative Dementias

Received August 14, 2000; revised January 18, 2001; accepted January 30, 2001. From the Departments of Neurology and Ophthalmology (DLM, QC, PMC) and Psychiatry (CCC), Michigan State University, E. Lansing, Michigan, and the Departments of Neurology (DJG) and Health Services Management and Policy (JL), University of Michigan, Ann Arbor, Michigan. Address correspondence to Dr. Murman, Department of Neurology and Ophthalmology, Michigan State University, B-445 Clinical Center, E. Lansing, MI 48824. e-mail: murman{at}pilot.msu.edu

The authors conducted a survey of healthcare utilization in three dementia syndromes to determine whether type of dementia influenced utilization or resulting direct costs. Patients with Alzheimer disease (n=131), dementia with parkinsonism (n=85), and Huntington disease (n=51) were identified from a registry and enrolled. Caregivers completed the mailed survey, and direct costs were estimated. The presence of dementia with parkinsonism resulted in significantly greater utilization of long-term care services and higher total direct costs. In all three groups, long-term care costs accounted for the majority of direct costs. Unique patterns of utilization and costs are seen in specific neurodegenerative dementias.

Key Words: Dementias (general) • Health Care Utilization • Parkinson Disease • Huntington Disease

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