Home › Research › Caregiving
Dementia care in a rapidly aging society
Karen N. Eggleston, Dae Jung Kim. Alzheimer s & Dementia, 2025-05-01
Topic: Risk, prevention and care in population studies
Estimates suggest a high social burden from ADRD, with annual costs increasing from 0.9% to 3.8% of gross domestic product between 2019 and 2050. Pilot programs for integrated community care and hospice palliative care reveal the advantages of innovating from a foundation of national health insurance and long-term care insurance, as well as the continuing challenges of appropriately designing programs and incentives for early detection, integrated care, and late-life palliative care. A rigorous analysis of programs addressing uneven quality and a study of the impact of integrated care models for home- and community-based services would be valuable. HIGHLIGHTS: A mixed-method review highlights the challenges of rapid aging in Korea. Universal health and long-term care systems support innovation for dementia care. Dementia costs are projected to increase from 0.9% to 3.8% of gross domestic product in 2019-2050. Pilots of integrated community care and hospice palliative care show promise. Rigorous analysis of programs to address uneven quality would be valuable.
Key findings
- Estimates suggest a high social burden from ADRD, with annual costs increasing from 0.9% to 3.8% of gross domestic product between 2019 and 2050.
- Pilot programs for integrated community care and hospice palliative care reveal the advantages of innovating from a foundation of national health insurance and long-term care insurance, as well as the continuing challenges of appropriately designing programs and incentives for early detection, integrated care, and late-life palliative care.
- A rigorous analysis of programs addressing uneven quality and a study of the impact of integrated care models for home- and community-based services would be valuable.
- HIGHLIGHTS: A mixed-method review highlights the challenges of rapid aging in Korea.
- Universal health and long-term care systems support innovation for dementia care.
Why it matters
This review highlights the challenges of rapid aging in Korea, with dementia costs projected to rise from 0.9% to 3.8% of gross domestic product between 2019 and 2050, and notes that pilot programs for integrated community care and hospice palliative care show promise. It calls for rigorous analysis of programs to address uneven quality, but reports no results on treating, curing or preventing Alzheimer's disease.
New to this subject? Start with our plain-English guide: Caregiving →
Study details
- Effect size0.9% to 3.8%
- Evidence strengthLow
How this study scored 45/100
Published in a peer-reviewed journal. Scored zero for study design, sample size, studied in people and randomised / blinded because the record does not state it.
| Component | Points | Why |
|---|---|---|
| Journal tier | 7 / 10 | Tier 3 — peer-reviewed journal (Alzheimer s & Dementia) |
| Journal's citation record | 2 / 4 | Alzheimer s & Dementia: journal h-index 228 (OpenAlex, 2026-10-29) |
| Study design | 0 / 12 | No study design recorded — scores zero, not guessed (not stated in the record — scored 0) |
| Strength of evidence | 1 / 5 | Rated “low” in our summary |
| Peer-review validation | 10 / 10 | Peer-reviewed. Published as an article in a named peer-reviewed journal. |
| How recent | 4 / 5 | 2025 — within 3 year(s) of the newest study here |
| Sample size | 0 / 4 | Participant count not stated — scores zero (not stated in the record — scored 0) |
| Effect reported | 2 / 3 | Effect reported as a number, without an interval or test |
| Studied in people | 0 / 3 | Not stated whether this was studied in people — scores zero (not stated in the record — scored 0) |
| Randomised / blinded | 0 / 2 | No randomisation or blinding stated — scores zero (not stated in the record — scored 0) |
| Times cited | 2 / 7 | Cited 10 times (OpenAlex, 2026-10-10) |
| Citations per year | 2 / 5 | 3.3 citations a year over 3 year(s) since 2025 |
| Impact for its field and year | 3 / 6 | Cited 6.3× the average for papers of its field and year (OpenAlex FWCI) |
| Cited by studies here | 0 / 6 | No other study in this library cites it |
| Still being cited | 1 / 4 | Cited 10 times in 2024–2026 (2026 still in progress; OpenAlex) |
| Senior author's track record | 3 / 4 | Last-listed author Dae Jung Kim: h-index 62 (OpenAlex, whole career) |
| Institution's track record | 3 / 3 | Stanford University: institution h-index 2,684 (OpenAlex) |
| Multi-centre collaboration | 1 / 3 | OpenAlex lists 2 institution(s) in 2 countries |
| Indexed in PubMed | 2 / 2 | Indexed in PubMed (PMID 40407100) |
| Free to read | 2 / 2 | Free to read |
| Total | 45 / 100 | — |
What each of these 20 components measures, and what this score is not →
Read the original
Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).
Cite this study APA, Vancouver, BibTeX · download .bib or .ris
Built from the record alzhub holds for this paper, not looked up. Volume, issue and page numbers are not held in the record. Check the citation against the original before you use it.
APA 7th
Eggleston, K. N., & Kim, D. J. (2025). Dementia care in a rapidly aging society. Alzheimer s & Dementia. https://doi.org/10.1002/alz.70268
Vancouver
Eggleston KN, Kim DJ. Dementia care in a rapidly aging society. Alzheimer s & Dementia. 2025. doi:10.1002/alz.70268. PMID: 40407100.
BibTeX
@article{eggleston2025-40407100,
author = {Eggleston, Karen N. and Kim, Dae Jung},
title = {{Dementia care in a rapidly aging society}},
journal = {Alzheimer s \& Dementia},
year = {2025},
doi = {10.1002/alz.70268},
pmid = {40407100},
url = {https://doi.org/10.1002/alz.70268}
}
Studies this one cites
Referenced by this study and also in the alzhub library, so you can read them here.