title: Changes in the profile of Australians in 77 residential aged care facilities across New South Wales and the Australian Capital Territory.
abstract: Objective Government expenditure on and the number of aged care facilities in Australia have increased consistently since 1995. As a result, a range of aged care policy changes have been implemented. Data on demographics and utilisation are important in determining the effects of policy on residential aged care services. Yet, there are surprisingly few statistical summaries in the peer-reviewed literature on the profile of Australian aged care residents or trends in service utilisation. Therefore, the aim of the present study was to characterise the demographic profile and utilisation of a large cohort of residential aged care residents, including trends over a 3-year period. Methods We collected 3 years of data (2011-14) from 77 residential aged care facilities and assessed trends and differences across five demographic and three service utilisation variables. Results The median age at admission over the 3-year period remained constant at 86 years. There were statistically significant decreases in separations to home (z=2.62, P=0.009) and a 1.35% increase in low care admissions. Widowed females made up the majority (44.75%) of permanent residents, were the oldest and had the longest lengths of stay. One-third of permanent residents had resided in aged care for 3 years or longer. Approximately 30% of residents were not born in Australia. Aboriginal residents made up less than 1% of the studied population, were younger and had shorter stays than non-Aboriginal residents. Conclusion The analyses revealed a clear demographic profile and consistent pattern of utilisation of aged care facilities. There have been several changes in aged care policy over the decades. The analyses outlined herein illustrate how community, health services and public health data can be used to inform policy, monitor progress and assess whether intended policy has had the desired effects on aged care services. What is known about the topic? Characterisation of permanent residents and their utilisation of residential aged care facilities is poorly described in the peer-reviewed literature. Further, publicly available government reports are incomplete or characterised using incomplete methods. What does this paper add? The analyses in the present study revealed a clear demographic profile and consistent pattern of utilisation of aged care facilities. The most significant finding of the study is that one-third of permanent residents had resided in an aged care facility for ≥3 years. These findings add to the overall picture of residential aged care utilisation in Australia. What are the implications for practitioners? The analyses outlined herein illustrate how community, health services and public health data can be utilised to inform policy, monitor progress and assess whether or not intended policy has had the desired effects on aged care services.
authors.affiliation: Macquarie University, Faculty of Medicine, Australian Institute for Health Innovation, Centre for Health Systems and Safety Research, Level 6, 75 Talavera Road, NSW 2109, Australia. Email: ;
authors.forename: Robert
authors.initials: R
authors.lastname: Borotkanics
authors.affiliation: Independent Healthcare Consultant, Sydney, NSW 2000, Australia. Email.
authors.forename: Cassandra
authors.initials: C
authors.lastname: Rowe
authors.affiliation: Macquarie University, Faculty of Medicine, Australian Institute for Health Innovation, Centre for Health Systems and Safety Research, Level 6, 75 Talavera Road, NSW 2109, Australia. Email: ;
authors.forename: Andrew
authors.initials: A
authors.lastname: Georgiou
authors.affiliation: Murdoch University Singapore Campus, #06-04 Kings Centre, 390 Havelock Road, Singapore 169662. Email.
authors.forename: Heather
authors.initials: H
authors.lastname: Douglas
authors.affiliation: Macquarie University, Faculty of Medicine, Australian Institute for Health Innovation, Centre for Health Systems and Safety Research, Level 6, 75 Talavera Road, NSW 2109, Australia. Email: ;
authors.forename: Meredith
authors.initials: M
authors.lastname: Makeham
authors.affiliation: Macquarie University, Faculty of Medicine, Australian Institute for Health Innovation, Centre for Health Systems and Safety Research, Level 6, 75 Talavera Road, NSW 2109, Australia. Email: ;
authors.forename: Johanna
authors.initials: J
authors.lastname: Westbrook
mesh_terms: D000367:Age Factors; D000369:Aged, 80 and over; D020958:Australian Capital Territory / Q000453:epidemiology; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data; D005260:Female; D006707:Homes for the Aged / Q000600:supply & distribution*; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D009517:New South Wales / Q000453:epidemiology; D012737:Sex Factors