Evidence map›Paper›PMID 29292541›Full record

ArticleInternational journal of geriatric psychiatry2018

Direct health and residential care costs of people living with dementia in Australian residential aged care.

Emmanuel S Gnanamanickam, Suzanne M Dyer, Rachel Milte, Stephanie L Harrison, Enwu Liu, Tiffany Easton, Clare Bradley, Rebecca Bilton, Wendy Shulver, Julie Ratcliffe and 2 more

Open access · hybridAbstract read
In one paragraph

Article in International journal of geriatric psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
11.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 39 citations in OpenAlex.

  1. Personal and Family Perspectives Regarding Neurodegenerative Disorder Risk.Journal of community medicine & public health · 2026
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  10. Observational
  11. Clustered domestic model of residential care is associated with better consumer rated quality of care.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2019
    Article
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  16. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 1 institution in 1 country.

Emmanuel S GnanamanickamDepartment of Rehabilitation, Aged and Extended Care, Flinders University, Bedford Park, SA, Australia.ORCID 0000-0002-8284-4746
Suzanne M DyerDepartment of Rehabilitation, Aged and Extended Care, Flinders University, Bedford Park, SA, Australia.
Rachel MilteDepartment of Rehabilitation, Aged and Extended Care, Flinders University, Bedford Park, SA, Australia.
Stephanie L HarrisonDepartment of Rehabilitation, Aged and Extended Care, Flinders University, Bedford Park, SA, Australia.
Enwu LiuDepartment of Rehabilitation, Aged and Extended Care, Flinders University, Bedford Park, SA, Australia.
Tiffany EastonDepartment of Rehabilitation, Aged and Extended Care, Flinders University, Bedford Park, SA, Australia.
Clare BradleyDepartment of Rehabilitation, Aged and Extended Care, Flinders University, Bedford Park, SA, Australia.
Rebecca BiltonDepartment of Rehabilitation, Aged and Extended Care, Flinders University, Bedford Park, SA, Australia.
Wendy ShulverDepartment of Rehabilitation, Aged and Extended Care, Flinders University, Bedford Park, SA, Australia.
Julie RatcliffeNHMRC Cognitive Decline Partnership Centre, The University of Sydney, Sydney, NSW, Australia.
Craig WhiteheadDepartment of Rehabilitation, Aged and Extended Care, Flinders University, Bedford Park, SA, Australia.
Maria CrottyDepartment of Rehabilitation, Aged and Extended Care, Flinders University, Bedford Park, SA, Australia.
The University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis analysis estimates the whole-of-system direct costs for people living with dementia in residential care by using a broad health and social care provision perspective and compares it to people without dementia living in residential care.

methodsData were collected from 541 individuals living permanently in 17 care facilities across Australia. The annual cost of health and residential care was determined by using individual resource use data and reported by the dementia status of the individuals.

resultsThe average annual whole-of-system cost for people living with dementia in residential care was approximately AU$88 000 (US$ 67 100) per person in 2016. The cost of residential care constituted 93% of the total costs. The direct health care costs were comprised mainly of hospital admissions (48%), pharmaceuticals (31%) and out-of-hospital attendances (15%). While total costs were not significantly different between those with and without dementia, the cost of residential care was significantly higher and the cost of health care was significantly lower for people living with dementia.

conclusionThis study provides the first estimate of the whole-of-system costs of providing health and residential care for people living with dementia in residential aged care in Australia using individual level health and social care data. This predominantly bottom-up cost estimate indicates the high cost associated with caring for people with dementia living permanently in residential care, which is underestimated when limited cost perspectives or top-down, population costing approaches are taken.

Indexed as

AgedAged, 80 and overAustraliaDelivery of Health CareDementiaFemaleHealth Care CostsHealth Services for the AgedHospitalizationHumansMaleMiddle AgedResidential FacilitiesAustraliacostdementiahealth care utilisationresidential aged care

Identifiers

PMID29292541
PMCPMC6032872
OpenAlexW2781787939

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.