Caring For The Frail Elderly: An International Review

Merlis, Mark

doi:10.4324/9781315240046-36

Cited by 1 publication

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“…Adding to an already overburdened healthcare system, the need for formal care is anticipated to increase until the year 2050 (Wouterse et al 2015). Debate exists on how to best provide long-term care for an ageing population and ways to address this complex policy issue (Francesca et al 2011;Merlis 2000).…”

Section: Introductionmentioning

confidence: 99%

Patterns of home and community care use among older participants in the Australian Longitudinal Study of Women’s Health

et al. 2019

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The aims of this study were to investigate patterns of home and community care (HACC) use and to identify factors influencing first HACC use among older Australian women. Our analysis included 11,133 participants from the Australian Longitudinal Study of Women's Health (1921-1926 birth cohort) linked with HACC use and mortality data from 2001 to 2011. Patterns of HACC use were analysed using a k-median cluster approach. A multivariable competing risk analysis was used to estimate the risk of first HACC use. Approximately 54% of clients used a minimum volume and number of HACC services; 25% belonged to three complex care use clusters (referring to higher volume and number of services), while the remainder were intermediate users. The initiation of HACC use was significantly associated with (1) living in remote/inner/ regional areas, (2) being widowed or divorced, (3) having difficulty in managing income, (4) not receiving Veterans' Affairs benefits, (5) having chronic conditions, (6) reporting lower scores on the SF-36 health-related quality of life, and (7) poor/ fair self-rated health. Our findings highlight the importance of providing a range of services to meet the diverse care needs of older women, especially in the community setting.

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Section: Introductionmentioning

confidence: 99%