Title: Economic evaluations of diagnostic process and neuropsychological assessment of dementia: a systematic review

Authors: Fiorella Pia Salvatore; Michele Milone; Emanuela Resta; Cristina Di Dio; Giancarlo Logroscino

Addresses: Department of Economics, University of Foggia, 71121, Foggia, Italy ' Department of Economics, University of Foggia, 71121, Foggia, Italy ' Department of Economics, University of Foggia, 71121, Foggia, Italy ' Center for Neurodegenerative Diseases and the Aging Brain, University of Bari 'Aldo Moro' at Pia Fondazione 'Card. G. Panico', Tricase (LE), Department of Basic Medicine Neuroscience and Sense Organs, University of Bari, Italy ' Center for Neurodegenerative Diseases and the Aging Brain, University of Bari 'Aldo Moro' at Pia Fondazione 'Card. G. Panico', Tricase (LE), Department of Basic Medicine Neuroscience and Sense Organs, University of Bari, Italy

Abstract: Alzheimer disease will have a strong growth rate among the adult population. Today, for healthcare managers, it would be extremely important to consider: the prevalence of the disease, and the demands for healthcare services. Adequate models have not yet been developed for estimating the evaluations of diagnostic tests useful for the decision-making process of healthcare managers. A systematic literature review was performed following the PRISMA checklist. The search retrieved 1,831 references. The highest impact of neuropsychological assessment was in France and Sweden. The lowest was in Spain and Netherlands. As for the total indirect costs, values varied from 630 international dollars (IntD$) in the USA, to IntD$956.25 in France for mild ALD patients. As for the moderate ALD, the lower value was in the USA (IntD$825), the medium in the UK (IntD$972.86), and the higher in Spain (IntD$1,123.33). Future research to better manage healthcare resources is recommended.

Keywords: healthcare management; healthcare expenses; diagnostic cost; Alzheimer disease; ALD; review; PRISMA.

DOI: 10.1504/GBER.2022.123273

Global Business and Economics Review, 2022 Vol.26 No.4, pp.365 - 402

Received: 04 May 2021
Accepted: 29 Jul 2021

Published online: 07 Jun 2022 *

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