Evidence map›Paper›PMID 41923079›Full record

ReviewInternational journal for equity in health2026

Research on dementia and inequalities in care and support - a map of the terrain and discussion of key issues.

Michael Clark, Louis Compton, Nazak Salehi, Martin Knapp, Adelina Comas-Herrera

Abstract readReview
In one paragraph

Review in International journal for equity in health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Michael ClarkCare Policy & Evaluation Centre, London School of Economics & Political Science, London, UK. M.C.Clark@lse.ac.uk.
Louis ComptonCare Policy & Evaluation Centre, London School of Economics & Political Science, London, UK.
Nazak SalehiCare Policy & Evaluation Centre, London School of Economics & Political Science, London, UK.
Martin KnappCare Policy & Evaluation Centre, London School of Economics & Political Science, London, UK.
Adelina Comas-HerreraCare Policy & Evaluation Centre, London School of Economics & Political Science, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInequalities and inequities in health and social care are a significant focus of attention. We need to understand these issues in dementia care as well, particularly given the projections for increases in the number of people being affected by the condition and the related rise in costs to individuals, families, communities and nations. We provide a map of the terrain of research concerning inequalities in dementia diagnosis, care and support in the United Kingdom (UK), and discussion of key issues.

methodsWe map key literature related to our objective, particularly regarding the characteristics of people protected in law in the UK, plus socioeconomic status and geography (urban/rural) to map contours of the evidence and key issues. We focus on evidence from the UK, but have also drawn on international evidence as insightful for the map.

resultsThe terrain of inequalities in dementia care is complex. Inequality has not tended to be an explicit lens through which researchers have sought to understand dementia care. Literature aligned to the issue chiefly focused on a single characteristic of people, such as ethnicity. Consideration of interactions of people’s characteristics and experiences—an intersectional approach – has not been a significant focus. Consideration has mainly focused on the barriers people face, e.g. obtaining a timely diagnosis and access to appropriate support, with less robust evidence about means of removing these.

conclusionMore should be done to understand the systemic barriers creating inequalities in accessing dementia diagnoses, care and support, particularly understanding the related intersections of people’s characteristics and experiences, and how to remove such impediments to accessing high-quality support. Recommendations for research to build a robust evidence-base to help improve dementia policy and planning to address systemic inequalities are provided, including that a stronger ‘inequalities’ lens is used and one that draws on an intersectional understanding of people.

Indexed as

DementiaHealthcare DisparitiesHealth Services AccessibilityHumansSocioeconomic Disparities in HealthUnited KingdomDementiaInequalitiesInequityIntersectionalityProtected characteristics

Identifiers

PMID41923079
PMCPMC13047769

What OpenQuestion holds

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LicenceCC BY
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.