Prolonged Wait Time Prior to Entry to Home Care Packages Increases the Risk of Mortality and Transition to Permanent Residential Aged Care Services: Findings from the Registry of Older South Australians (ROSA)

The Journal of Nutrition, Health & Aging
R VisvanathanM C Inacio

Abstract

Older Australians prefer to live in their own homes for longer and reforms have attempted to increase the volume of home care packages (HCPs) accordingly but there remains a queue with the longer-term consequences unclear. This study aims to characterise older Australians according to their wait times for a home care package (HCP), evaluate the association between wait time and mortality and evaluate the association between wait time and transition to permanent residential aged care services after HCP. A retrospective cohort study using data from the National Historical cohort (2003-2014) of the Registry of Older South Australians (ROSA) was conducted. Home based aged care services, national cohort. Wait time was estimated from approval date to date of receiving a HCP. Descriptive, survival estimates (95% confidence intervals (CIs)), and multivariable survival analyses (Cox-regression) were conducted to evaluate the risk of mortality and transition to permanent residential aged care services by quartiles of wait time for HCP. The cohort was followed for 4.0 years (interquartile range IQR (1.8-7.2)) and 38% were alive at the end of the study period with a median wait time for HCP of 62 (21-187) days. From 178,924 older people wh...Continue Reading

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Citations

May 6, 2019·Australasian Journal on Ageing·Serena Yu, Julie Byles
Aug 10, 2019·Australasian Journal on Ageing·Norma B BulamuJulie Ratcliffe
Jan 18, 2020·Journal of the American Medical Informatics Association : JAMIA·Max MoldovanMaria C Inacio
May 28, 2020·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Janet K SluggettMaria C Inacio
Nov 2, 2019·Journal of the American Medical Directors Association·Stephanie L HarrisonMaria C Inacio
Feb 5, 2021·BMC Geriatrics·Agathe Daria JadczakUNKNOWN FIRST Study Collaborators
Jul 6, 2021·Frontiers in Public Health·Julie E BylesMd Mijanur Rahman
Feb 6, 2020·Journal of the American Medical Directors Association·Heidi J WelberryLouisa R Jorm
Nov 2, 2019·Journal of the American Medical Directors Association·Md Mijanur Rahman, Julie E Byles
May 4, 2021·Australian Health Review : a Publication of the Australian Hospital Association·Mark Cooper-Stanbury, Anna L Howe

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