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Assessing patterns of home and community care service use and client profiles in Australia
 — a cluster analysis approach using linked data
Author(s)Hal Kendig, Nicole Mealing, Rachel Carr
Journal titleHealth and Social Care in the Community, vol 20, no 4, July 2012
PublisherWiley-Blackwell, July 2012
Pagespp 375-387
Sourcewileyonlinelibrary.com/journals/hsc
KeywordsHome care services ; Community care ; Health services ; Usage [services] ; Needs [elderly] ; Planning [admin] ; Australia.
AnnotationThe planning and delivery of care systems require knowledge on the ways in which individuals access available services that are funded by a range of health and community services. The aims of this study were to identify distinct groups of Home and Community Care (HACC) clients in New South Wales, Australia, based on patterns of actual service use, and to understand the health and social needs and resources of client groups that access different mixes of services. Multiple data sets linked at the individual level _ including the 45 and Up Study community survey, the HACC Minimum Data Set and the Admitted Patient Data Collection for hospitals _ provide an innovative basis to investigate the complexity of access to service use. Data were collected between 2006 and 2008. A cluster analysis based on clients' type and volume of community service use was conducted on the 4,890 HACC clients in the linked dataset and nine distinct clusters of clients were identified. Three of these clusters were considered `complex', in terms of the range of community and hospital assistance received, while the others comprised mainly of one or two dominant service types. The analytical approach and findings developed here provide a client-centred approach to monitor and evaluate access to local service systems that are being reformed to better integrate the delivery of health and community services currently funded and managed separately by national and state governments. (JL).
Accession NumberCPA-130405211 A
ClassmarkNH: PA: L: QLD: IK: QA6: 7YA

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