Economic Analysis of the Intangible Impacts of Informal Care for People with Alzheimer’s Disease and Other Mental Disorders

Jul 1, 2013, 00:00 AM
10.1016/j.jval.2013.03.1629
https://www.valueinhealthjournal.com/article/S1098-3015(13)01795-6/fulltext
Section Title : Economic Evaluation
Section Order : 5
First Page : 745

Objectives

Valuation of the intangible impacts of informal care remains a great challenge for economic evaluation, especially in the framework of care recipients with cognitive impairment. Our main objective was to explore the influence of intangible impacts of caring on both informal caregivers’ ability to estimate their willingness to pay (WTP) to be replaced and their WTP value.

Methods

We mapped characteristics that influence ability or inability to estimate WTP by using a multiple correspondence analysis. We ran a bivariate probit model with sample selection to further analyze the caregivers’ WTP value conditional on their ability to estimate their WTP.

Results

A distinction exists between the opportunity costs of the caring dimension and those of the intangible costs and benefits of caring. Informal caregivers’ ability to estimate WTP is negatively influenced by both intangible benefits from caring (P 0.01).

Conclusions

Informal caregivers’ WTP and their ability to estimate WTP are both influenced by intangible burden and benefit of caring. These results call into question the relevance of a hypothetical generalized financial compensation system as the optimal way to motivate caregivers to continue providing care.

https://www.valueinhealthjournal.com/action/showCitFormats?pii=S1098-3015(13)01795-6&doi=10.1016/j.jval.2013.03.1629
HEOR Topics :
  • Economic Evaluation
  • Health Policy & Regulatory
  • Reimbursement & Access Policy
  • Work & Home Productivity - Indirect Costs
Tags :
  • Alzheimer
  • cognitive impairment
  • contingent valuation
  • informal care
  • intangible impact of caring
Regions :
  • Africa
  • Eastern and Central Europe
  • Middle East