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Myocardial infarction: Economic, health, and social impacts on informal caregivers
Published online by Cambridge University Press: 21 April 2020
Abstract
Objectives
The aim of the study was to measure the economic impact of informal care (IC) on caregivers assisting myocardial infarction (MI) survivors in France. Health and social impacts were also described.
Methods
Data from the prospective 2008 Health and Disabilities Households Survey (Enquête Handicap-Santé), carried out among the French general population, were used to obtain information about patients with MI and their informal caregivers. To estimate the approximate monetary value of IC, three methods were used: the proxy good method, opportunity cost method (OCM), and contingent valuation method (CVM). A multivariate analysis was performed to determine the associations of the IC duration and the existence of professional care with the health indicators stated by caregivers.
Results
The analysis included data from 147 caregivers. The mean value of IC ranged from €9,679 per year using the CVM to €11,288 per year using the OCM (p > .05). The mean willingness to pay for an additional hour of IC was €10.9 (SD = 8.3). A total of 46.2 percent of caregivers reported that IC negatively affected theirs physical condition, and 46.3 percent reported that it negatively affected their psychological health. In addition, 40.1 percent declared that caregiving activity made them anxious and 38.8 percent stated they felt alone. Associations were identified between the duration of IC and feeling the need to be replaced, feeling alone and making sacrifices (p < .05).
Conclusions
Informal caregiver burden may be recognized in health technology assessment in order not to underestimate the cost of strategies and to facilitate the comparability of cost-effectiveness outcomes between studies.
- Type
- Assessment
- Information
- International Journal of Technology Assessment in Health Care , Volume 36 , Issue 3 , June 2020 , pp. 245 - 251
- Copyright
- Copyright © Cambridge University Press 2020
References
Oliva-Moreno, J, Peña-Longobardo, LM, Vilaplana-Prieto, C (2015) An estimation of the value of informal care provided to dependent people in Spain. Appl Health Econ Health Policy. 13, 223–31.CrossRefGoogle ScholarPubMed
OCDE (2017) Health at a Glance 2017: OECD Indicators [Internet]; [cited 2019 Aug 5] p. 214–5. (Editions OCDE, Paris). Available from: https://doi.org/10.1787/health_glance-2017-en.Google Scholar
Larbi, K, Roy, D. 4 millions de seniors seraient en perte d'autonomie en 2050. 2019 Juillet [cited 2019 Aug 5]; (1767). Available from: https://www.insee.fr/fr/statistiques/4196949.Google Scholar
Robert-Bobéee, I. Projections de population pour la France métropolitaine à l'horizon 2050. 2007 Juillet [cited 2019 Aug 5]; (1089). Available from: https://www.insee.fr/fr/statistiques/1280826.Google Scholar
Davin, B, Paraponaris, A, Protière, C (2015) Pas de prix mais un coût? Évaluation contingente de l'aide informelle apportée aux personnes âgées en perte d'autonomie. Econ Stat. 475, 51–69.Google Scholar
Oliva-Moreno, J, Peña-Longobardo, LM, Garcia-Mochon, L, del Rio Lozano, M, Mosquera Metcalfe Isabel, I, del Mar Garcia-Calvente, M (2019). The economic value of time of informal care and its determinants (The CUIDARSE Study). PLoS One. 14, e0217016.CrossRefGoogle Scholar
Hoefman, RJ, van Exel, J, Brouwer, W (2013) How to include informal care in economic evaluations. PharmacoEconomics. 31, 1105–19.CrossRefGoogle ScholarPubMed
Giannelli, GC, Mangiavacchi, L, Piccoli, L (2012) GDP And the value of family caretaking: How much does Europe care? Appl Econ. 44, 2111–31.Google Scholar
Van Houtven, CH, Norton, EC (2004) Informal care and health care use of older adults. J Health Econ. 23, 1159–80.CrossRefGoogle ScholarPubMed
Peña-Longobardo, L, Oliva-Moreno, J (2015) Economic valuation and determinants of informal care to people with Alzheimer's disease. Eur J Health Econ. 16, 507–15.CrossRefGoogle ScholarPubMed
Krol, M, Papenburg, J, van Exel, J (2015) Does including informal care in economic evaluations matter? A systematic review of inclusion and impact of informal care in cost-effectiveness studies. PharmacoEconomics. 33, 123–35.CrossRefGoogle Scholar
Van Ryn, M, Sanders, S, Kahn, K, van Houtven, C, Griffin, JM, Martin, M et al. (2011) Objective burden, resources, and other stressors among informal cancer caregivers: A hidden quality issue? Psychooncology. 20, 44–52.Google ScholarPubMed
Pitsenberger, DJ (2006) Juggling work and elder caregiving: Work-life balance for aging American workers. AAOHN J. 54, 181–5; quiz 186–7.CrossRefGoogle ScholarPubMed
Flyckt, L, Fatouros-Bergman, H, Koernig, T (2015) Determinants of subjective and objective burden of informal caregiving of patients with psychotic disorders. Int J Soc Psychiatry. 61, 684–92.CrossRefGoogle ScholarPubMed
Stenberg, U, Ruland, CM, Miaskowski, C (2010) Review of the literature on the effects of caring for a patient with cancer. Psychooncology. 19, 1013–25.CrossRefGoogle ScholarPubMed
Décret no. 2012-1116 du 2 octobre 2012 relatif aux missions médico-économiques de la Haute Autorité de santé. 2012-1116 Oct 2, 2012.Google Scholar
Stone, PW, Chapman, RH, Sandberg, EA, Liljas, B, Neumann, PJ (2000) Measuring costs in cost-utility analyses. Variations in the literature. Int J Technol Assess Health Care. 16, 111–24.CrossRefGoogle ScholarPubMed
Häkkinen, U, Chiarello, P, Cots, F, Peltola, M, Rättö, H, EuroDRG group (2012) Patient classification and hospital costs of care for acute myocardial infarction in nine European countries. Health Econ. 21, 19–29.CrossRefGoogle ScholarPubMed
Gabet, A, Danchin, N, Olié, V (2016) Infarctus du myocarde chez les femmes: Évolutions des taux d'hospitalisation et de mortalité, France, 2002–2013. Bull Épidémiologique Hebd. 7–8, 100–8.Google Scholar
Levine, DA, Davydow, DS, Hough, CL, Langa, KM, Rogers, MAM, Iwashyna, TJ (2014) Functional disability and cognitive impairment after hospitalization for myocardial infarction and stroke. Circ Cardiovasc Qual Outcomes. 7, 863–71.CrossRefGoogle ScholarPubMed
Pierru, F. Le “virage ambulatoire,” de l'incantation à la pratique. Wwwem-Premiumcomdatarevues00380814v61i807S0038081416300846 [Internet]. 2016 Aug 7 [cited 2019 Jul 12]; Available from: https://www.em-premium.com/article/1067255/CrossRefGoogle Scholar
Paraponaris, A, Davin, B, Verger, P (2012) Formal and informal care for disabled elderly living in the community: An appraisal of French care composition and costs. Eur J Health Econ HEPAC Health Econ Prev Care. 13, 327–36.CrossRefGoogle ScholarPubMed
Leal, J, Luengo-Fernández, R, Gray, A, Petersen, S, Rayner, M (2006) Economic burden of cardiovascular diseases in the enlarged European Union. Eur Heart J. 27, 1610–9.CrossRefGoogle ScholarPubMed
Handicap-Santé, volet Ménages (HSM)—2008, INSEE [producteur], ADISP-CMH [diffuseur].Google Scholar
McCabe D (2000) Katz index of independence in activities of daily living. Geriatr Nur (Lond). 21, 109.Google Scholar
Handicap-Santé, volet Aidants informels (HSA)—2008, DREES-Ministère de la Santé [producteur], ADISP-CMH [diffuseur].Google Scholar
van den Berg, B, Brouwer, WBF, Koopmanschap, MA (2004) Economic valuation of informal care. Eur J Health Econ Former HEPAC. 5, 36–45.CrossRefGoogle ScholarPubMed
Oliva-Moreno, J, Trapero-Bertran, M, Peña-Longobardo, LM, del Pozo-Rubio, R (2017) The valuation of informal care in cost-of-illness studies: A systematic review. PharmacoEconomics. 35, 331–45.CrossRefGoogle ScholarPubMed
Van den Berg, B, Brouwer, W, van Exel, J, Koopmanschap, M, van den Bos, GAM, Rutten, F (2006) Economic valuation of informal care: Lessons from the application of the opportunity costs and proxy good methods. Soc Sci Med 1982. 62, 835–45.Google ScholarPubMed
Salaire minimum interprofessionnel de croissance (Smic): Données annuelles de 1980 à 2020. INSEE 2020 [Internet] [cited 2020 Jan 7]. Available from: https://www.insee.fr/fr/statistiques/1375188#tableau-figure2.Google Scholar
Bressé, S (2003) L'enjeu de la professionnalisation du secteur de l'aide à domicile en faveur des personnes âgées. Retraite Société. 39, 119–43.Google Scholar
Évolution du salaire net annuel moyen des salariés à temps complet selon le sexe jusqu'en 2015: Données annuelles de 1951 à 2015. INSEE [Internet] [cited 2020 Jan 7]. Available from: https://www.insee.fr/fr/statistiques/2381334#tableau-Donnes.Google Scholar
Salaire net horaire moyen selon la catégorie socioprofessionnelle, le sexe et l’âge en 2015. INSEE [Internet]. Available from: https://www.insee.fr/fr/statistiques/2021266.Google Scholar
Indice des prix à la consommation/IPC. INSEE [Internet]. [cited 2020 Jan 7]. Available from: https://www.insee.fr/fr/metadonnees/source/indicateur/p1653.Google Scholar
Peña-Longobardo, LM, Oliva-Moreno, J, Hidalgo-Vega, Á, Miravitlles, M (2015) Economic valuation and determinants of informal care to disabled people with chronic obstructive pulmonary disease (COPD). BMC Health Serv Res. 15, 101.CrossRefGoogle Scholar
Philippe, F, Blin, P, Bouée, S, Laurendeau, C, Torreton, E, Gourmelin, J et al. (2017) Costs of healthcare resource consumption after a myocardial infarction in France: An estimate from a medicoadministrative database (GSB). Ann Cardiol Angeiol (Paris). 66, 74–80.Google Scholar
Gervès-Pinquié, C, Bellanger, MM, Ankri, J (2014) Willingness to pay for informal care in France: The value of funding support interventions for caregivers. Health Econ Rev. 4, 34.CrossRefGoogle ScholarPubMed
Jiménez-Martín, S, Prieto, CV (2012) The trade-off between formal and informal care in Spain. Eur J Health Econ. 13, 461–90.CrossRefGoogle ScholarPubMed
Hanly, P, Maguire, R, Balfe, M, Hyland, P, Timmons, A, O'Sullivan, E et al. (2016) Burden and happiness in head and neck cancer carers: The role of supportive care needs. Support Care Cancer. 24, 4283–91.CrossRefGoogle ScholarPubMed
Michael, BR, Brown, SL (2014) Informal caregiving: A reappraisal of effects on caregivers. Soc Issues Policy Rev. 8, 74–102.Google Scholar
López-Bastida, J, Hart, W, García-Pérez, L, Linertová, R (2009) Cost-effectiveness of donepezil in the treatment of mild or moderate Alzheimer's disease. J Alzheimers Dis. 16, 399–407.CrossRefGoogle Scholar
Colombo, F, Llena–Nozal, A, Mercier, J, Tjadens, F. Help Wanted? Providing and paying for long-term care, Paris, OCDE. OECD iLibrary [Internet]. 2011 [cited 2019 Aug 1]. Available from: https://read.oecd-ilibrary.org/social-issues-migration-health/help-wanted_9789264097759-enCrossRefGoogle Scholar
Gervès, C, Bellanger, MM, Ankri, J (2013) Economic analysis of the intangible impacts of informal care for people with Alzheimer's disease and other mental disorders. Value Health. 16, 745–54.CrossRefGoogle Scholar
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