Supporting community-dwelling older people with cognitive impairment to stay at home: A modelled cost analysis

Suzanne M. Dyer, Lachlan B. Standfield, Nicola Fairhall, Ian D. Cameron, Meredith Gresham, Henry Brodaty, Maria Crotty

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Abstract

Objective: To model the potential financial implications of Australian programs supporting cognitively impaired community-dwelling older people. Methods: Markov cohort models of (a) an observational study of a residential dyadic training program for carers and people with dementia (GTSAH) and (b) a frailty intervention (FIT) in a cognitively impaired subgroup. Direct health and social welfare costs accrued over 5 years (2018 $AUD prices) were captured. GTSAH costs $3755, FIT costs $1834, and permanent residential aged care (P-RAC) costs $237 per day. Results: Modelling predicted costs break even in approximately 5 months for GTSAH and 7 months for FIT, after which these interventions saved funds. The primary driver of savings was the P-RAC cost (discounted at 5%/annum), at $121 030 for GTSAH vs $231 193 for standard care; and $47 857 with FIT vs $111 359 for standard care. Conclusions: Programs supporting cognitively impaired community-dwelling older people could be financially beneficial; further evaluation and implementation would be a worthwhile investment.

Original languageEnglish
Number of pages9
JournalAustralasian Journal on Ageing
Early online date1 Jul 2020
DOIs
Publication statusE-pub ahead of print - 1 Jul 2020

Bibliographical note

This is an open access article under the terms of the Creative Commons Attribution License [CC BY], which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Keywords

  • caregivers
  • dementia
  • health resource
  • home care
  • nursing homes

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