ArticleJournal of the American Geriatrics Society2019
Variations in Costs of a Collaborative Care Model for Dementia.
Article in Journal of the American Geriatrics Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04287738 (Care Ecosystem), which is not on this map. Cited by 13 papers.
What it found
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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.
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.
Care Ecosystem: Navigating Patients and Families Through Stages of Care, Extension Trial
Who cites it
13 citing papers in PubMed.
- Effect of collaborative dementia care on potentially inappropriate medication use: Outcomes from the Care Ecosystem randomized clinical trial.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2023Trial
- Primary care-based post diagnostic dementia care in England: modelling and scaling up evidence-based models for efficient future care.Age and ageing · 2026Article
- Dissemination of the Care Ecosystem Collaborative Care Model for Dementia.Journal of the American Geriatrics Society · 2025Article
- "Out of the clear blue sky she tells me she loves me": Connection experiences between caregivers and people with dementia.Journal of the American Geriatrics Society · 2023Article
- Patient navigation programs for people with dementia, their caregivers, and members of the care team: a scoping review.JBI evidence synthesis · 2023Article
- Article
- "I Didn't Sign Up for This": Perspectives from Persons Living with Dementia and Care Partners on Challenges, Supports, and Opportunities to Add Geriatric Neuropalliative Care to Dementia Specialty Care.Journal of Alzheimer's disease : JAD · 2022Article
- Do assisted living facilities that offer a dementia care program differ from those that do not? A population-level cross-sectional study in Ontario, Canada.BMC geriatrics · 2021Article
- Dementia caregiving across Latin America and the Caribbean and brain health diplomacy.The lancet. Healthy longevity · 2021Review
- Evaluating a Memory Clinic Using the RE-AIM Model. The Experience of the "Memory and Neuropsychiatry Clinic" in Hospital Del Salvador, Chile.Frontiers in neurology · 2021Article
- A RE-AIM Analysis of an Intergenerational Dementia Education Program.Frontiers in public health · 2020Article
- An integrative review of measures of transitions and care coordination for persons living with dementia and their caregivers.Alzheimer's & dementia (New York, N. Y.)Review
- Dementia care navigation: Building toward a common definition, key principles, and outcomes.Alzheimer's & dementia (New York, N. Y.)Review
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
objectivesCare coordination programs can improve patient outcomes and decrease healthcare expenditures; however, implementation costs are poorly understood. We evaluate the direct costs of implementing a collaborative dementia care program.
designWe applied a micro-costing analysis to calculate operational costs per-participant-month between March 2015 and May 2017.
settingThe University of California, San Francisco (UCSF) and the University of Nebraska Medical Center (UNMC).
participantsParticipants diagnosed with dementia, enrolled in Medicare or Medicaid, 45 years of age or older, residents of California, Nebraska or Iowa, and having a caregiver. The sample was 272 (UCSF) and 192 (UNMC) participants.
interventionA collaborative dementia care program provided by care team navigators (CTNs), advanced practice nurses, a social worker, and a pharmacist, focusing on caregiver support and education, medications, advance care planning, and behavior symptom management. MEASUREMENTS: We measured costs (personnel, supplies, equipment, and training costs) during three program periods, Start-up, Early Operations, and Continuing Operations, and estimated the effects of caseload variation on costs.
resultsStart-up and Early Operations costs were, respectively, $581 and $328 (California), and $501 and $219 (Nebraska) per-participant-month. Average costs decreased across phases to $241 (California) and $142 (Nebraska) per-participant-month during Continuing Operations. We estimated that costs would range between $75 (UNMC) and $92 (UCSF) per-participant-month with the highest projected caseloads (90).
conclusionWe found that CTN caseload is an important driver of service cost. We provide strategies for maximizing caseload without sacrificing quality of care. We also discuss current barriers to broad implementation that can inform new reimbursement policies. J Am Geriatr Soc 67:2628-2633, 2019.
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Registered trials
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.