ASSESSMENT OF INFORMAL CARE PROVIDED TO PATIENTS WITH MULTIPLE SCLEROSIS AND LIMITATION OF PERSONAL AUTONOMY

Author(s)

Aranda I1, Oliva J1, Hidalgo A1, González A2, Vilaplana C3, Polanco C41Castilla-La Mancha University, Toledo, Spain, 2Instituto Max Weber, Majadahonda, Madrid, Spain, 3Universidad Católica San Antonio de Murcia, Guadalupe, Murcia, Spain, 4Merck SL, Madrid, Spain

OBJECTIVES: To estimate economic value of informal care provided to patients in situation of dependence with multiple sclerosis (MS). METHODS: Patients with MS and their caregivers were identified through EDAD survey. The number of hours of informal care provided was estimated. The method of cost replacement was used to assess the economic value of this care. Two assessment scenarios were considered using “The Elderly in Spain” report (IMSERSO, 2008): the first one considered the mean wage per hour of public service for home help of the 3 Autonomous Regions of lower value, whereas the second scenario took into account the national mean wage in order to estimate cost per hour.     RESULTS: EDAD survey identified 368 patients with MS and some kind of disability. Average age was 64.26 years (SD: 16.82) and 73.91% were female. Average daily hours of care provided to people with MS amounted to 10.27 (95% CI: 9.46 – 11.07). On an annual basis, average informal care at home equalled 3,860 hours per MS patient. According to the assessment scenarios considered, total mean costs of informal care at home ranged between 29,604 and 49,057 € per patient and year. When only the main informal carer at home is considered, estimations yield 3,585 hours per MS patient and year, whereas valuation ranged between 27,493 and 45,559 €.  CONCLUSIONS: Informal care of MS represents a high social burden. Dependence grade influences the need to provide personal care. According to 2008 values, value of informal care provided to people with MS is estimated at 29,604 – 49,057 € per patient and year.

Conference/Value in Health Info

2012-11, ISPOR Europe 2012, Berlin, Germany

Value in Health, Vol. 15, No. 7 (November 2012)

Code

PND27

Topic

Economic Evaluation

Topic Subcategory

Cost/Cost of Illness/Resource Use Studies

Disease

Neurological Disorders, Respiratory-Related Disorders

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