Transitions from hospital to residential aged care in Australia.
OBJECTIVE
To investigate movement of people from hospital into residential aged care.


METHODS
An innovative record linkage method was implemented to create a national database to investigate transitions from hospital into aged care.


RESULTS
In 2001-2002, 3.2% of hospitalisations for people aged 65+ ended with admission into residential aged care. A further 5.5% were for people already living permanently in care. Nationally, more people were admitted into permanent care from hospital than from the community. Factors important in predicting admission to aged care from hospital included length of hospital stay, diagnoses, region of usual residence and hospital jurisdiction.


CONCLUSIONS
Individually, national hospital and aged care datasets do not provide adequate information on movement between the sectors. Linking the data allowed the first national investigation into movement from hospital into aged care. Results indicate the importance of investigating interactions of service provision (both supply and demand driven) at the local level.
Karmel
Rosemary
R
Australian Institute of Health and Welfare; and Faculty of Health, University of Canberra, Bruce, ACT, Australia. rosemary.karmel@aihw.gov.au
Gibson
Diane
D
Lloyd
Jonas
J
Anderson
Phil
P
D000368:Aged; D001315:Australia; D003266:Continuity of Patient Care / Q000458:organization & administration*; D006299:Health Services for the Aged; D006707:Homes for the Aged; D006761:Hospitals; D006801:Humans; D007902:Length of Stay; D008498:Medical Record Linkage / Q000379:methods*