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

doi:10.1111/ajag.12818

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

College of Medicine and Public Health

Research output: Contribution to journal › Article › peer-review

4 Citations (Scopus)

123 Downloads (Pure)

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 language	English
Pages (from-to)	e506-e514
Number of pages	9
Journal	Australasian Journal on Ageing
Volume	39
Issue number	4
Early online date	1 Jul 2020
DOIs	https://doi.org/10.1111/ajag.12818
Publication status	Published - Dec 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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10.1111/ajag.12818Licence: CC BY

Published versionFinal published version, 526 KBLicence: CC BY

Cite this

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

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.",

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doi = "10.1111/ajag.12818",

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AU - Fairhall, Nicola

AU - Cameron, Ian D.

AU - Gresham, Meredith

AU - Brodaty, Henry

AU - Crotty, Maria

N1 - 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.

PY - 2020/12

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N2 - 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.

AB - 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.

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

Abstract

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Keywords

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