Evidence map›Paper›PMID 42304471›Full record

ArticleCost effectiveness and resource allocation : C/E2026

Cost-effectiveness of a community-based dementia support model: evidence from a real-world economic evaluation.

Rachel L King, Stuart Warren, Elizabeth Vass, Benjamin T Sharpe, Kian Beaumont, Stewart Seymour, Samuel Bell, Rosana Pacella, Antonina Pereira

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In one paragraph

Article in Cost effectiveness and resource allocation : C/E, 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

9 authors.

Rachel L KingInstitute of Psychology, Business and Human Sciences, University of Chichester, Bishop Otter Campus, College Lane, Chichester, West Sussex, PO19 6PE, UK. R.King@chi.ac.uk.ORCID http://orcid.org/0000-0002-9187-0639
Stuart WarrenInstitute of Psychology, Business and Human Sciences, University of Chichester, Bishop Otter Campus, College Lane, Chichester, West Sussex, PO19 6PE, UK.
Elizabeth VassInstitute of Psychology, Business and Human Sciences, University of Chichester, Bishop Otter Campus, College Lane, Chichester, West Sussex, PO19 6PE, UK.
Benjamin T SharpeInstitute of Psychology, Business and Human Sciences, University of Chichester, Bishop Otter Campus, College Lane, Chichester, West Sussex, PO19 6PE, UK.
Kian BeaumontInstitute of Psychology, Business and Human Sciences, University of Chichester, Bishop Otter Campus, College Lane, Chichester, West Sussex, PO19 6PE, UK.
Stewart SeymourInstitute of Psychology, Business and Human Sciences, University of Chichester, Bishop Otter Campus, College Lane, Chichester, West Sussex, PO19 6PE, UK.
Samuel BellInstitute of Psychology, Business and Human Sciences, University of Chichester, Bishop Otter Campus, College Lane, Chichester, West Sussex, PO19 6PE, UK.
Rosana PacellaInstitute for Lifecourse Development, University of Greenwich, Old Royal Naval College, Park Row, London, SE10 9LS, UK.
Antonina PereiraInstitute of Psychology, Business and Human Sciences, University of Chichester, Bishop Otter Campus, College Lane, Chichester, West Sussex, PO19 6PE, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence of dementia is currently set to rise to 1.7 million by 2040, with associated costs estimated at £90 billion. Given its substantial impact on quality of life (QoL) and the growing societal and financial burden, identifying efficient approaches to dementia support is a key policy priority. Current policy direction emphasises a shift toward community-based models of care; however, economic evidence is required to determine whether such approaches can improve outcomes while representing cost-effective use of limited healthcare resources. This study presents a cost-effectiveness analysis of the Sage House Model, a community-based dementia support intervention integrating NHS diagnostic services, third-sector provision, and local partnerships within a single hub.

methodsA preliminary cost-effectiveness analysis was conducted using a natural experimental design comparing individuals with dementia accessing the Sage House Model (n = 65) to those receiving usual care (n = 153). Health-Related Quality of Life (HRQoL) was assessed using a single measure, alongside health and social care utilisation, over a three-month period. Resource use was valued from a health and social care perspective. Incremental costs and outcomes were estimated to assess cost-effectiveness.

resultsThe Sage House Model was associated with lower incremental costs and higher incremental QALYs compared to usual care over the three-month time horizon and was likely to be cost-effective, with a 72.2% probability at a £20,000 willingness-to-pay threshold and 74.7% at £30,000 per QALY.

conclusionsThese findings provide preliminary evidence that community-based dementia support approaches, such as the Sage House Model, may represent a promising strategy for improving outcomes alongside more efficient use of health and social care resources, and therefore warrants larger scale investigation.

Indexed as

Care partnersCost-effectivenessCostsDementiaMulticomponentQuality of lifeSage House ModelSupportive careWellbeing

Identifiers

PMID42304471
PMCPMC13531959

What Socratic holds

Textmetadata
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 Socratic graph.