ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2026
Continuity of primary care and end-of-life care costs in dementia: a retrospective cohort study.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Closing the gap in health care for older people.The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
- Continuity of care in primary care: is it time to demand it?The British journal of general practice : the journal of the Royal College of General Practitioners · 2026Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEnd-of-life dementia care costs are expected to rise as populations age. Higher continuity of care with GPs is associated with reduced hospital admissions at the end of life, but the impact on costs is not known.
aimTo explore the association of continuity of primary care on hospital and general practice costs in the last year of life among people with dementia. DESIGN AND
settingA retrospective cohort study using a primary care dataset linked with national hospital and mortality records. Adults (aged >18 years) who died in England between 2009 and 2018 with a diagnosis of dementia were included.
methodThe Continuity of Care Index (COCI) of GP contacts in the last year of life was calculated, which measures patterns of care across GPs. Hospital and general practice costs were calculated using average national tariffs. Costs were modelled using a multivariable generalised linear model, estimating the average marginal effect of perfect continuity over non-continuity of care.
resultsIn total, 32 799 people were included. The mean age at death was 86.60 years (standard deviation [SD] 8.04 years), 64.2% (
conclusionContinuity of care with GPs is associated with lower total costs and might contribute to reduce hospital admissions and costs among people with dementia in their last year of life.
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