Digitalisation of financial management in dementia care

A qualitative study exploring how digital financial systems have changed money management for people living with dementia and their family carers since the COVID-19 pandemic.

Key messages

  • digitalisation has transformed how finances are managed for people living with dementia
  • tools such as direct debits and debit cards can simplify routine payments
  • digital finance systems can also increase complexity and risk for some individuals
  • older people living with dementia face barriers related to usability and digital confidence
  • unpaid carers often take on additional financial management responsibilities as a result.

Policy implications

  • digital financial systems should be designed with cognitive accessibility in mind
  • clearer safeguards are needed to support people living with dementia
  • digital literacy training could support both people with dementia and carers
  • access to appropriate devices and support is necessary to prevent exclusion.

Gaps

  • evidence is qualitative and based on lived experience
  • limited evaluation of specific interventions to support digital financial inclusion
  • lack of research on how financial digitalisation affects different socioeconomic groups.

Commentary
This study illustrates how the digitalisation of financial management brings mixed consequences for people living with dementia and those who support them. While automated payments and card-based systems can reduce day-to-day burden, they can also obscure oversight and increase dependence on others.

The findings show that digital change often shifts responsibility rather than removing it. As systems become harder to navigate, unpaid carers frequently absorb additional financial tasks, adding to existing caring pressures. These dynamics are particularly pronounced where platforms are not designed with cognitive impairment in mind.

Usability emerges as a central issue. Digital finance tools that assume high levels of confidence, memory and comprehension can inadvertently exclude people living with dementia, even when intended to simplify processes.

Overall, the study highlights the need to treat financial digitalisation as part of care infrastructure. Ensuring that systems are accessible, supported and adaptable is essential if technology is to reduce burden rather than redistribute it onto carers.

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