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Long-term cost of spouses informal support for dependent midlife stroke survivors
University of Gothenburg, Sweden; University of Gothenburg, Sweden; University of Gothenburg, Sweden.
Linköping University, Department of Medical and Health Sciences, Division of Health Care Analysis. Linköping University, Faculty of Medicine and Health Sciences. University of Gothenburg, Sweden.
University of Gothenburg, Sweden.
University of Gothenburg, Sweden.
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2017 (English)In: Brain and Behavior, ISSN 2162-3279, E-ISSN 2162-3279, Vol. 7, no 6, e00716Article in journal (Refereed) Published
Abstract [en]

Objectives: Stroke is a major global disease that requires extensive care and support from society and relatives. The aim of this study was to identify and quantify the long-term informal support and to estimate the annual cost of informal support provided by spouses to their stroke surviving partner. Method: Data were based on the 7-year follow-up of the Sahlgrenska Academy Study on Ischemic Stroke. One-third of the spouses stated that they provided support to their stroke surviving partner. The magnitude of the support was assessed with a study-specific time-diary and was estimated for independent and dependent stroke survivors based on the scores of the modified Rankin Scale. To deal with skewed data, a two-part econometric model was used to estimate the annual cost of informal support. Result: Cohabitant dyads of 221 stroke survivors aged amp;lt; 70 at stroke onset were included in the study. Spouses of independent stroke survivors (n = 188) provided on average 0.15 hr/day of practical support and 0.48 hr/day of being available. Corresponding figures for spouses of dependent stroke survivors (n = 33) were 5.00 regarding practical support and 9.51 regarding being available. The mean annual cost of informal support provided for independent stroke survivors was estimated at (sic)991 and (sic)25,127 for dependent stroke survivor. Conclusion: The opportunity cost of informal support provided to dependent midlife stroke survivors is of a major magnitude many years after stroke onset and should be considered in economic evaluations of health care.

Place, publisher, year, edition, pages
WILEY , 2017. Vol. 7, no 6, e00716
Keyword [en]
cost and cost analysis; informal support; opportunity cost; stroke; time costs; time-diary
National Category
Neurology
Identifiers
URN: urn:nbn:se:liu:diva-139189DOI: 10.1002/brb3.716ISI: 000403784700024PubMedID: 28638721OAI: oai:DiVA.org:liu-139189DiVA: diva2:1120182
Note

Funding Agencies|Swedish Research Council [K2014-64X-14605-12-5]; Sahlgrenska University Hospital [ALFGBG-429981, ALFGBG-71890]; Swedish Heart and Lung Foundation [20130315]; Swedish Stroke Association; Rune and Ulla Amlovs Foundation for Neurological Research; John and Brit Wennerstoms Foundation for Neurological Research; Gothenburg Foundation for Neurological Research, region Vastra Gotaland, troke Centrum Vast; Stroke-Riksforbundet

Available from: 2017-07-05 Created: 2017-07-05 Last updated: 2017-08-27

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