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Care trajectories through community and residential aged care services
 — disease effects
Author(s)Rosemary Karmel, Diane Gibson, Phil Anderson
Journal titleAgeing and Society, vol 32, part 8, November 2012
Pagespp 1428-1445
Sourcehttp://www.journals.cambridge.org/aso
KeywordsDementia ; Musculoskeletal diseases ; Cardiovascular diseases ; Chronic illness ; Community care ; Care homes ; Long term residents ; Usage [services] ; Australia.
AnnotationDementia, musculoskeletal conditions and cardiovascular disease affect a high proportion of older Australians, and the prevalence of these conditions increases significantly with age. People with these conditions may need to access a range of care services over time to enable them to remain living in their homes. Many eventually need to move into a nursing home. This paper explores the effect of disease on use of community care services and nursing homes over time, focusing on people with dementia, cardiovascular disease and musculoskeletal conditions. Care-use transitions are identified using linked administrative client data for a cohort of 33,300 community-living Australians who had an aged care assessment in 2003-04 and who had not previously used aged care services. The different symptoms and courses of diseases meant that the patterns of aged care service use, both in terms of care services accessed and the timing of this access, varied considerably for people with different health conditions. These differences persisted across a range of client characteristics. In particular, people with dementia or cerebrovascular disease as their main health condition were more likely to enter nursing home care than those with heart disease or musculoskeletal conditions. In conclusion, the variation in use of aged care services according to disease group may need to be taken into account in any projections of demand for aged care. Such projections must allow for predictions of disease prevalence, or else they will yield inaccurate predictions of demand for both community and residential care. (JL).
Accession NumberCPA-121102009 A
ClassmarkEA: CL: CQ: CI: PA: KW: KX:4Q: QLD: 7YA

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