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

Table 4 Per capita expenditures on health and long-term care according to care level

Setting-specific expenditures (€) on health care and long-term care services per capita according to care level adjusted for age, gender, comorbidity, mortality and single interactions
	No care level	Care level 1			Care level 2			Care level 3
	Community	Institution	Community	p-value	Institution	Community	p-value	Institution	Community	p-value
	(n=3,325)	(n=705)	(n=1,059)	p-value	(n=1,201)	(n=729)	p-value	(n=1,028)	(n=371)	p-value
Health insurance*	4,018	4,666	5,830	s	6,162	6,395	ns	5,962	7,139	s
without home health care*	*3,593*	*4,681*	*4,888*	ns	*6,159*	*5,425*	s	*5,965*	*6,449*	ns
General practitioner	515	777	634	s	771	701	s	746	805	s
Medical specialist	380	366	350	s1	387	237	s	282	194	s1
Medication	824	1,221	1,195	s	1,638	1,416	s	1,762	2,251	s
of which anti-dementia drugs	125	81	177	s1	15	118	s2	29	90	s
Hospital treatment	1,573	1,751	2,199	s2	2,333	2,425	ns	1,908	2,037	ns
Non-physician services	50	182	127	s	329	281	s2	301	452	s2
Medical aids	85	391	150	s	676	201	s	932	632	s
Rehabilitation	180	28	246	s2	29	128	s2	estimation not possible		./.
Home health care	390	not provided	899	./.	not provided	1,000	./.	not provided	723	./.
Long-term care insurance	0	12,068	3,173	s	14,850	7,168	s	16,714	10,929	s
of which transfers to informal care	not provided	not provided	1,752	./.	not provided	3,370	./.	not provided	5,561	./.
Social security system*	*4,018*	*16,982*	*9,047*	s	*21,208*	*13,795*	s	*22,921*	*18,437*	s

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.
* Results of model estimation; Addition of mean costs per category yields slightly different figures.

ISSN: 1472-6963