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Table 5 Per capita service utilization and expenditures (€) in 2006 across all care levels

From: Are community-living and institutionalized dementia patients cared for differently? Evidence on service utilization and costs of care from German insurance claims data

Service utilization and expenditures (€) per dementia patient across all care levels adjusted for age, gender, comorbidity, mortality and care level

 

Institution (n=2,934)

Community (all) (n=5,584)

Difference

Community (care level) (n=2,159)

Difference

 

Volume

Costs

Volume

Costs

Costs

p-value

Volume

Costs

Costs

p-value

Health insurance*

 

5,693

 

5,466

227

s

 

6,424

−731

s

without home health care*

 

5,678

 

4,759

919

ns

 

5,533

145

ns

 General practitioner (v)

54.3

761

33.2

626

135

s

37.6

705

56

s

 Medical specialist (v)

13.0

327

8.8

310

17

s

7.2

264

63

s

 Medication (p)

38.8

1,636

33.0

1,270

366

ns

41.1

1,569

67

ns

 of which anti-dementia drugs (p)

0.3

49

0.7

129

−80

s

0.6

131

−82

s

 Hospital treatment (d)

6.2

1,904

7.2

1,990

−86

ns

7.5

2,253

−349

s1

 Non-physician services (p)

1.7

295

1.1

189

106

s2

1.7

281

14

s2

 Medical aids (p)

5.3

742

1.5

216

526

s

2.6

303

439

s

 Rehabilitation (d)

0.1

16

1.1

140

−124

s2

0.7

128

−112

s2

 Home health care (p)

not provided

 

2.8

694

−694

./.

4.1

893

−893

./.

Long-term care insurance

 

15,340

 

4,159

11,181

s

 

6,810

8,530

s

 of which transfers to informal care

   

2,082

−2,082

./.

 

3,414

 

./.

Social security system*

 

21,388

 

9,765

11,623

s

 

13,477

7,911

s

  1. v=visits; p=prescriptions; d=days.
  2. s=significant in parts 1 and 2 of the two-part model or in the one-part model; s1=significant in part 1 of the two-part model; s2=significant in part 2 of the two-part model; ns=not significant.
  3. * Results of model estimation; Addition of mean costs per category yields slightly different figures.