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Författare |
Josefine Persson Lars-Åke Levin Lukas Holmegaard Petra Redfors Mikael Svensson Katarina Jood Christina Jern Christian Blomstrand Gunilla Forsberg-Wärleby |
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Publicerad i | Brain and Behavior |
Volym | 7 |
Nummer/häfte | 6 |
ISSN | 2162-3279 |
Publiceringsår | 2017 |
Publicerad vid |
Institutionen för biomedicin, avdelningen för medicinsk genetik och klinisk genetik Institutionen för neurovetenskap och fysiologi Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa, enheten för hälsometri |
Språk | en |
Länkar |
dx.doi.org/10.1002/brb3.716 https://gup.ub.gu.se/file/206971 |
Ämnesord | cost and cost analysis, informal support, opportunity cost, stroke, time costs, time-diary |
Ämneskategorier | Neurologi, Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi |
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 <70 at stroke onset were in- cluded 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 €991 and €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.