1. Evaluation of specialised nursing support for carers of people with dementia
Rita Faria
Research fellow at the Centre for Health Economics
16th May 2016 – Keio University

2. Presented with the support of The Great Britain Sasakawa Foundation.

3. Economic evaluation to inform decisions in health
Fixed budget
Multiple alternatives
How to choose?
Opportunity cost
The cost of selecting a particular intervention measured in terms of the benefits that might have been achieved if the next best intervention were chosen
Efficiency
The use of resources to maximise the production of services.

4. Evaluation of complex interventions: support for carers
More information:

5. Specialist nursing support: Admiral nurses
Admiral nurses provide:
Emotional and psychological support.
Single point of contact to help join different health and social care services.
Teach about dementia and skills to better communicate with the dementia patient.
Liaise with other health and social care professionals on your behalf

6. Project team University of York Centre for Health Economics
Social Policy Research Unit
Dementia UK
Develop and provide the specialised nursing service.
TIDE
Association of carers of people with dementia

7. Aims Process evaluation:
How does the service work, what does it do, with whom, etc.
Outcomes
What does the service achieve?
Costs
How much does it cost to fund the service?
Does it deliver any savings?
Engaging carers of people with dementia
Are postal questionnaires feasible?

8. Methods: 6 work packages1
What is the support provided? 2
What outcomes do carers want?
How do we measure these outcomes 3
Survey of carers in areas with (N=270) and without service (N=320)
What are the costs? What are the outcomes? 4
What is the perception about the added value of the service? 5
How can the service improve its routine data collection? 6
Guidance

9. Challenges so far Outcomes
What do carers want from the service? How to measure it?
Resource use and costs
How to obtain information on resource use: health care services, social care services, informal care time and voluntary services.
Feasibility
How to achieve a good response rate?
Analysis
How to control for differences in carers with and without the service?

10. Thank you ありがとうございました