Dementia care: Is community care really cheaper than nursing home care?

In Germany, taking care of your demented loved one at home may not be more cost effective than nursing home care. Comparing 128 community-dwelling dementia patients to 48 nursing home (NH) dementia patients, upon first glance home care seems less costly ($43,997/yr home vs $49,218/yr NH). However, after controlling for age, sex, deficits in basic and instrumental activities of daily living, and comorbidity it was shown that living in the community increased costs by $16,676/yr compared with NH living. (Free abstract only.)

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Journal of the American Medical Directors Association

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