兰德公司：2024认知衰退早期发现的益处研究报告（中译版）（24页）.pdf

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1、MICHAEL D.HURD,PETER HUDOMIET,SUSANN ROHWEDDERBenefits of Seeking Early Detection of Cognitive DeclineDementia profoundly affects individuals and their families.Even in the absence of effective disease-modifying treatments,an individual with an elevated risk of developing demen-tia might be able to

2、take actions that would ameliorate some of the consequences.In this report,we investigate whether individuals and their families take actions following an indi-cation of cognitive decline or a doctors diagnosis of a memory-related disease,and whether those actions have benefits.We consider the value

3、 of information about the likelihood of progression to dementia,not the value of slowing disease progression.The value of the information partially depends on actions that could be taken while the indi-vidual still has substantial control of their cognitive capacities and the results of those action

4、s.Examples of such actions are estate planning,establish-ing a living will,reducing financial responsibili-ties,involving children in financial decisions,moving closer to family making different spending decisions,which could be to enjoy their finances now while possible or reducing their spending t

5、o build up wealth for future health care costs adopting a healthier lifestyle.KEY FINDINGS After receiving information about the onset of cognitive decline,many individuals and their families took action,such as a child helping with finances or establishing a living will.Generally,those with dementi

6、a and their family members who took action subsequently fared worse in the six outcomes we measured(survival,probability of having dementia,life satisfaction,depression,wealth,and being in fair or poor health).But those who took action had worse cognition,health,and finances before the onset of deme