Table 38: Annual Budget Impact (2008 Cdn Dollars).
| Parameter | Unit Cost ($ Cdn) | Unit | Annual Cost ($ Cdn) |
Population* | No. of Patients | Annual Impact ($ Cdn) |
|---|---|---|---|---|---|---|
| Caregiver-Directed Behavioural Techniques† | ||||||
| Occupational Therapist | 120.22 | 1 hour session - 12 total | 1,442.64 | Caregivers of seniors with mild to moderate dementia who are willing to participate | 56,629 | 81,695,125 |
| Nurse | 82.12 | 1 hour session - 12 total | 985.44 | Caregivers of seniors with mild to moderate dementia who are willing to participate | 56,629 | 55,804,389 |
| Patient-Directed Exercise Program‡ | ||||||
| Occupational Therapist | 120.22 | 1 hour session - 32 total | 3,847.04 | Seniors with mild to moderate dementia who are willing to participate | 38,696 | 148,866,672 |
| Physiotherapist | 108.49 | 1 hour session - 32 total | 3,471.68 | Seniors with mild to moderate dementia who are willing to participate | 38,696 | 134,341,585 |
| Personal Support Worker | 30.48 | 1 hour session - 32 total | 975.36 | Seniors with mild to moderate dementia who are willing to participate | 38,696 | 37,742,939 |
| Recreation Therapist | 25.85 | 1 hour session - 32 total | 827.20 | Seniors with mild to moderate dementia who are willing to participate | 38,696 | 32,009,678 |
| Caregiver- and Patient-Directed Behavioural Techniques§ | ||||||
| Occupational Therapist | 120.22 | 1 hour session - 10 total | 1,202.20 | Caregivers and seniors with mild to moderate dementia willing to participate | 56,629 | 68,079,271 |
| Nurse | 82.12 | 1 hour session - 10 total | 821.20 | Caregivers and seniors with mild to moderate dementia willing to participate | 56,629 | 46,503,658 |
Assumed 7% prevalence of dementia aged 65+ in Ontario. (Numbers in Ontario from Statistics Canada and prevalence of dementia from Alzheimer’s Disease International April 1999.) (42)
Assumed 8 weekly sessions plus 4 monthly phone calls. (77)
Assumed 12 weekly sessions plus biweekly sessions thereafter (total of 20).(51)
Assumed 2 sessions per week for first 5 weeks. (35) Assumed 90% of seniors in the community with dementia have mild to moderate disease. (78) Assumed 4.5% of seniors 65+ are in long-term care, and the remainder are in the community. (79) Assumed a rate of participation of 60% for both patients and caregivers (36) and of 41% for patient-directed exercise. (51) Assumed 100% compliance since intervention administered at the home. Cost for trained staff from Ministry of Health and Long-Term Care data source. (Personal communication, June 2008) Assumed cost of personal support worker to be equivalent to in-home support. Cost for recreation therapist from Alberta government Website. (80)
Note: This budget impact analysis was calculated for the first year after introducing the interventions from the Ministry of Health and Long-Term Care perspective using prevalence data only. Prevalence estimates are for seniors in the community with mild to moderate dementia and their respective caregivers who are willing to participate in an interventional session administered at the home setting. Incidence and mortality rates were not factored in. Current expenditures in the province are unknown and therefore were not included in the analysis. Numbers may change based on population trends, rate of intervention uptake, trends in current programs in place in the province, and assumptions on costs. The number of patients was based on patients likely to access these interventions in Ontario based on assumptions stated below from the literature. An expert panel confirmed resource consumption.