Effect of an ageing population on services for the elderly in the Northern Territory

Lowe, Michael; Coffey, Pasqualina

doi:10.1071/ah17068

Cited by 6 publications

(6 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Other community health programs with more limited scope included health visitation and screening programs [38][39][40][41][42][43], mental health service programs [44], vaccination programs [45,46], meal programs [24,25,47], and prevention of specific health problems including falls [48][49][50][51], hypertension [37,52], and suicide [53]. Finally, less comprehensive and timelimited community health programs including education and fitness classes accounted for 18 of the programs evaluated (31.0%).…”

Section: Resultsmentioning

confidence: 99%

Efficacy of Government-Sponsored Community Health Programs for Older Adults: A Systematic Review of Published Evaluation Studies

Chandrashekhar

Thakur

2022

Public Health Rev

View full text Add to dashboard Cite

Objective: Population aging is an ongoing challenge for global health policy and is expected to have an increasing impact on developing economies in years to come. A variety of community health programs have been developed to deliver health services to older adults, and evaluating these programs is crucial to improving service delivery and avoiding barriers to implementation. This systematic review examines published evaluation research relating to public and community health programs aimed at older adults throughout the world.Methods: A literature search using standardized criteria yielded 58 published articles evaluating 46 specific programs in 14 countries.Results: Service models involving sponsorship of comprehensive facilities providing centralized access to multiple types of health services were generally evaluated the most positively, with care coordination programs appearing to have generally more modest success, and educational programs having limited effectiveness. Lack of sufficient funding was a commonly-cited barrier to successful program implementations.Conclusion: It is important to include program evaluation as a component of future community and public health interventions aimed at aging populations to better understand how to improve these programs.

show abstract

Section: Resultsmentioning

confidence: 99%

Efficacy of Government-Sponsored Community Health Programs for Older Adults: A Systematic Review of Published Evaluation Studies

Chandrashekhar

Thakur

2022

Public Health Rev

View full text Add to dashboard Cite

show abstract

“…The Northern Territory is also known to have a relative deficiency of residential and nursing home care [ 105 ], which is disproportionately worse for Indigenous people. While aged care is considered to commence at age 65 for non-indigenous Australians, poorer Indigenous health means that Indigenous aged care commences at 50 rather than 65 [ 106 ].…”

Section: Discussionmentioning

confidence: 99%

A Model to Compare International Hospital Bed Numbers, including a Case Study on the Role of Indigenous People on Acute ‘Occupied’ Bed Demand in Australian States

Jones¹

2022

IJERPH

View full text Add to dashboard Cite

Comparing international or regional hospital bed numbers is not an easy matter, and a pragmatic method has been proposed that plots the number of beds per 1000 deaths versus the log of deaths per 1000 population. This method relies on the fact that 55% of a person’s lifetime hospital bed utilization occurs in the last year of life—irrespective of the age at death. This is called the nearness to death effect. The slope and intercept of the logarithmic relationship between the two are highly correlated. This study demonstrates how lines of equivalent bed provision can be constructed based on the value of the intercept. Sweden looks to be the most bed-efficient country due to long-term investment in integrated care. The potential limitations of the method are illustrated using data from English Clinical Commissioning Groups. The main limitation is that maternity, paediatric, and mental health care do not conform to the nearness to death effect, and hence, the method mainly applies to adult acute care, especially medical and critical care bed numbers. It is also suggested that sensible comparison can only be made by comparing levels of occupied beds rather than available beds. Occupied beds measure the expressed bed demand (although often constrained by access to care issues), while available beds measure supply. The issue of bed supply is made complex by the role of hospital size on the average occupancy margin. Smaller hospitals are forced to operate at a lower average occupancy; hence, countries with many smaller hospitals such as Germany and the USA appear to have very high numbers of available beds. The so-called 85% occupancy rule is an “urban myth” and has no fundamental basis whatsoever. The very high number of “hospital” beds in Japan is simply an artefact arising from “nursing home” beds being counted as a “hospital” bed in this country. Finally, the new method is applied to the expressed demand for occupied acute beds in Australian states. Using data specific to acute care, i.e., excluding mental health and maternity, a long-standing deficit of beds was identified in Tasmania, while an unusually high level of occupied beds in the Northern Territory (NT) was revealed. The high level of demand for beds in the NT appears due to an exceptionally large population of indigenous people in this state, who are recognized to have elevated health care needs relative to non-indigenous Australians. In this respect, indigenous Australians use 3.5 times more occupied bed days per 1000 deaths (1509 versus 429 beds per 1000 deaths) and 6 times more occupied bed days per 1000 population (90 versus 15 beds per 1000 population) than their non-indigenous counterparts. The figure of 1509 beds per 1000 deaths (or 4.13 occupied beds per 1000 deaths) for indigenous Australians is indicative of a high level of “acute” nursing care in the last months of life, probably because nursing home care is not readily available due to remoteness. A lack of acute beds in the NT then results in an extremely high average bed occupancy rate with contingent efficiency and delayed access implications.

show abstract

“…Dentre estes, é possível citar a redução da taxa de natalidade e o aumento do acesso aos bens, serviços, informações e tecnologia, principalmente aqueles voltados para a saúde (Hale et al, 2011;Dause et al, 2019). Juntos, esses fatores contribuem para o aumento da expectativa de vida e da população idosa (Lowe &Coffey, 2019).…”

Section: Introductionunclassified

Efeitos da hidroterapia no equilíbrio de idosos: Revisão sistemática

Souza

Ribeiro²,

Xavier³

2022

RSD

View full text Add to dashboard Cite

Objetivo: Avaliar, por meio de uma revisão sistemática, os efeitos da hidroterapia sobre o equilíbrio de idosos e suas implicações sobre os riscos de queda.Metodologia: O presente estudo foi executado por meio de uma revisão sistemática, sendo adotadas as recomendações do PreferredReportingItems for Systematic Review and Meta-Analyses (PRISMA). Foi efetuado buscas nos seguintes bancos de dados: Cochrane, MEDLINE, PUBMED e PEDro. Resultados:No processo de identificação, foram encontrados 105 artigos científicos. Desses, 43 foram excluídos por estavam duplicados nas bases de dados, restando 62 artigos para etapa de seleção, na qual,53 foram excluídos por não estarem adequados aos critérios determinados. Dos 9 artigos selecionados para análise todos foram considerados aptos e foram inclusos na análise.A maioria dos artigos verificaram efeitos positivos do emprego da hidroterapia sobre o equilíbrio em idosos. Uma vez, que as terapias realizadas em ambiente aquático ocasionam a melhora da força e resistência dos músculos das extremidades, além de promover á um aperfeiçoamento da coordenação motora dos indivíduos. Conclusão: Afisioterapia aquática é eficaz no desenvolvimento resistência, força e, consequentemente, no aumento do equilíbrio de pacientes idosos.

show abstract

Effect of an ageing population on services for the elderly in the Northern Territory

Cited by 6 publications

References 13 publications

Efficacy of Government-Sponsored Community Health Programs for Older Adults: A Systematic Review of Published Evaluation Studies

Efficacy of Government-Sponsored Community Health Programs for Older Adults: A Systematic Review of Published Evaluation Studies

A Model to Compare International Hospital Bed Numbers, including a Case Study on the Role of Indigenous People on Acute ‘Occupied’ Bed Demand in Australian States

Efeitos da hidroterapia no equilíbrio de idosos: Revisão sistemática

Contact Info

Product

Resources

About