PMID: 29848247Jun 1, 2018Paper

Clustered domestic residential aged care in Australia: fewer hospitalisations and better quality of life

The Medical Journal of Australia
Suzanne M DyerMaria Crotty

Abstract

To compare the outcomes and costs of clustered domestic and standard Australian models of residential aged care. Cross-sectional retrospective analysis of linked health service data, January 2015 - February 2016. 17 aged care facilities in four Australian states providing clustered (four) or standard Australian (13) models of residential aged care. People with or without cognitive impairment residing in a residential aged care facility (RACF) for at least 12 months, not in palliative care, with a family member willing to participate on their behalf if required. 901 residents were eligible; 541 consented to participation (24% self-consent, 76% proxy consent). Quality of life (measured with EQ-5D-5L); medical service use; health and residential care costs. After adjusting for patient- and facility-level factors, individuals residing in clustered models of care had better quality of life (adjusted mean EQ-5D-5L score difference, 0.107; 95% CI, 0.028-0.186; P = 0.008), lower hospitalisation rates (adjusted rate ratio, 0.32; 95% CI, 0.13-0.79; P = 0.010), and lower emergency department presentation rates (adjusted rate ratio, 0.27; 95% CI, 0.14-0.53; P < 0.001) than residents of standard care facilities. Unadjusted facility running ...Continue Reading

References

Jun 1, 2007·Journal of the American Geriatrics Society·Rosalie A KaneTzy-Chyi Yu
Nov 6, 2007·Health Affairs·David C GrabowskiNancy R Barhydt
May 20, 2009·International Journal of Geriatric Psychiatry·Selma te BoekhorstJan A Eefsting
May 19, 2010·International Psychogeriatrics·Richard Fleming, Nitin Purandare
Oct 30, 2010·Journal of the American Medical Directors Association·Hilde VerbeekJan P H Hamers
Dec 17, 2010·Journal of the American Geriatrics Society·Siobhan S SharkeyJessie Howes
Mar 16, 2011·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Natalia HounsomeRhiannon Tudor Edwards
Mar 20, 2012·International Journal of Nursing Studies·Alida H P M de RooijJos M G A Schols
Dec 29, 2015·Health Services Research·Sheryl ZimmermanUNKNOWN THRIVE Research Collaborative
Jan 9, 2016·Health Services Research·Christopher C AfendulisUNKNOWN THRIVE Research Collaborative
Jan 9, 2016·Health Services Research·David C GrabowskiUNKNOWN THRIVE Research Collaborative
May 1, 2016·Journal of the American Medical Directors Association·Dietmar AusserhoferSandra Engberg
Dec 22, 2016·Cost Effectiveness and Resource Allocation : C/E·Tiffany EastonJulie Ratcliffe
Mar 23, 2017·BMC Health Services Research·Tiffany EastonJulie Ratcliffe
Jan 3, 2018·International Journal of Geriatric Psychiatry·Emmanuel S GnanamanickamMaria Crotty

❮ Previous
Next ❯

Citations

Jun 1, 2018·The Medical Journal of Australia·Joseph E Ibrahim
Apr 28, 2020·Health & Social Care in the Community·Allison RowlandsChristopher Poulos
Oct 18, 2018·Applied Health Economics and Health Policy·Simon EckermannRichard Fleming
Sep 22, 2020·Journal of Advanced Nursing·Sarah McgannHolly Farley
Jul 23, 2020·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Maria C InacioSteve Wesselingh
Dec 13, 2019·Cyberpsychology, Behavior and Social Networking·Rachel E BrimelowNadeeka Dissanayaka
Sep 1, 2018·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Emmanuel S GnanamanickamMaria Crotty
Sep 10, 2019·Australasian Journal on Ageing·Stephanie L HarrisonMaria Crotty
Apr 6, 2021·Journal of Alzheimer's Disease : JAD·Nancy L Olson, Benedict C Albensi
Jul 1, 2020·Journal of Aging & Social Policy·Emmanuel Sumithran GnanamanickamMaria Crotty
Jul 18, 2021·Journal of the American Medical Directors Association·Lesley E WilliamsonKatherine E Sleeman
Sep 17, 2021·The Medical Journal of Australia·Julie RatcliffeBillingsley Kaambwa

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.