<scp>C</scp>ommunity care for the <scp>E</scp>lderly: <scp>N</scp>eeds and <scp>S</scp>ervice <scp>U</scp>se <scp>S</scp>tudy (<scp>CENSUS</scp>): Who receives home care packages and what are the outcomes?

Low, Lee‐Fay; Fletcher, Jennifer; Gresham, Meredith; Brodaty, Henry

doi:10.1111/ajag.12155

Cited by 14 publications

(15 citation statements)

References 26 publications

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“…Access to healthcare is a fundamental social determinant of health that has been targeted by the World Health Organization to improve the availability and timeliness of quality healthcare [1]. Numerous studies have shown that timely and/or adequate access to healthcare promotes better health and well-being [2,3] and that inadequate access to care has been associated with greater psychological distress [4], lower levels of physical health [5], higher rates of rehospitalization [6], and overall higher risks of morbidity and mortality [3,7]. Moreover, a large body of literature has demonstrated the correlates and consequences of access to healthcare in a variety of settings and populations [7,8].…”

Section: Introductionmentioning

confidence: 99%

Adequate access to healthcare and added life expectancy among older adults in China

Li-sha

Dupre

et al. 2020

BMC Geriatr

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Background: Adequate access to healthcare is associated with lower risks of mortality at older ages. However, it is largely unknown how many more years of life can be attributed to having adequate access to healthcare compared with having inadequate access to healthcare. Method: A nationwide longitudinal survey of 27,794 older adults aged 65+ in mainland China from 2002 to 2014 was used for analysis. Multivariate hazard models and life table techniques were used to estimate differences in life expectancy associated with self-reported access to healthcare (adequate vs. inadequate). The findings were assessed after adjusting for a wide range of demographic factors, socioeconomic status, family/social support, health practices, and health conditions. Results: At age 65, adequate access to healthcare increased life expectancy by approximately 2.0-2.5 years in men and women and across urban-rural areas compared with those who reported inadequate access to healthcare. At age 85, the corresponding increase in life expectancy was 1.0-1.2 years. After adjustment for multiple confounding factors, the increase in life expectancy was reduced to approximately 1.1-1.5 years at age 65 and 0.6-0.8 years at age 85. In women, the net increase in life expectancy attributable to adequate access to healthcare was 6 and 8% at ages 65 and 85, respectively. In men, the net increases in life expectancy were generally greater (10 and 14%) and consistent after covariate adjustments. In contrast, the increase in life expectancy was slightly lower in rural areas (2.0 years at age 65 and 1.0 years at age 85) than in urban areas (2.1 years at age 65 and 1.1 years age 85) when no confounding factors were taken into account. However, the increase in life expectancy was greater in rural areas (1.0 years at age 65 and 0.6 years at age 85) than in urban areas (0.4 years at age 65 and 0.2 years at age 85) after accounting for socioeconomic and other factors. Conclusions: Adequate access to healthcare was associated with longer life expectancy among older adults in China. These findings have important implications for efforts to improve access to healthcare among older populations in China.

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Section: Introductionmentioning

confidence: 99%

Adequate access to healthcare and added life expectancy among older adults in China

Li-sha

Dupre

et al. 2020

BMC Geriatr

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“…Researchers from fields of social geography, population geography, and gerontology carried out related studies. Studies have included topics such as spatial differentiation of aging [15][16][17], older people access to healthcare [18][19][20], and residential location and spatial behavior of the elderly [21][22][23][24]. The pattern and process of geographical things and their space-time characteristics are scale-dependent.…”

mentioning

confidence: 99%

Identifying the Impacts of Social, Economic, and Environmental Factors on Population Aging in the Yangtze River Delta Using the Geographical Detector Technique

Zhao

Zhang

et al. 2018

Sustainability

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Under the background of social transformation and space reconstruction, population aging in China is becoming more and more diverse and complex. "Aging before getting rich", a notion in population and economic development, has been a serious threat to sustainable development in China. On the basis of town-and street block-scale data from the Fifth and Sixth National Census in the Yangtze River Delta, we studied spatial distribution characteristics of population aging using global Moran's I and hotspot analysis, and applied the geographical detector technique to explain the spatial heterogeneity of population aging. Several conclusions were drawn. (1) The promotion and replacement of aging coexist. Cluster of aging degree exhibits an increasing trend. Population aging is more severe in suburban areas than urban areas.(2) Migration is the main factor affecting the spatial heterogeneity of population aging. Per capital GDP and road network density are the second most influential factors. By contrast, the relief degree of land surface and the air quality index minimally influence population aging. The mechanisms of aging in various regions are affected by varying development levels. (3) The interaction among social, economic, and environmental factors enhances their effects and, thus, interacting factors have a greater influence on population aging than any single factor. The findings of this study have significant implications for local inhabitants and policy makers to address the population aging challenge in achieving sustainability of society, economy, and environment. will become the highest-aged country in the world [3]. Under the background of social transformation and space reconstruction, the aging of China is becoming more and more complex. "Aging before getting rich" and "demographic dividend disappeared", the notion in population and economic development, has been a serious threat to social sustainable development. On the other hand, an aging acceleration significantly affects the urban structure, urban formation, and land use of a city, all of which bring about new challenges for urban planning, especially with regard to the allocation of adequate facilities for an increasing number of elderly people [4]. Under such a circumstance, the aging issue has become a common and fundamental subject for local inhabitants, scholars, and governments all over the world. In the Yangtze River Delta in 2010, as an important economically developed area, the proportion of individuals who were over 60 years was 10.45%, which was significantly higher than the national average. Meanwhile, the Yangtze River Delta is a core area for rapid urbanization. In 2010, the region's gross domestic product (GDP) increased to 7.07 trillion RMB, accounting for 16.42% of the national total. It is not only an economically developed region but also an area where interaction occurs between nature and humans, which has resulted in various environmental and ecological problems and brought great challenges to regional sustainable development. R...

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“…Interestingly, Low et al . () have recently identified that there is some evidence that providers may be selecting clients easier to service rather than on the basis of need.…”

Section: Methodsmentioning

confidence: 99%

“…Existing industry regulation, culture and practice has supported an established service model in Australia that arguably makes translation of the objectives of CDC difficult. Interestingly, Low et al (2015) have recently identified that there is some evidence that providers may be selecting clients easier to service rather than on the basis of need.…”

Section: Methodsmentioning

confidence: 99%

Consumer Directed Care in A ustralia: early perceptions and experiences of staff, clients and carers

Gill

McCaffrey

Cameron

et al. 2016

Health Soc Care Community

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The study aimed to identify the shared issues and challenges being experienced by staff, their clients and informal carers, with the introduction of Consumer Directed Care (CDC). Secondary analysis was undertaken of data that had been initially collected, via semi-structured in-depth interviews, to inform the development of a discrete choice experiment. The raw staff and client/carer data were re-examined using an iterative inductive process. The analysis focused on locating the shared themes and differences between the participant groups based on their CDC experience. The data were also assessed for difficulties or barriers that impacted on the service. Four broad shared themes were derived: culture, role change, operational systems and resourcing, but with a range of diverse and sometimes conflicting sub-themes between the different participant groups. Differences can be linked to participant role in the service chain, with discordance emerging between what has been traditionally offered and what might be possible. This investigation occurred during the period in which services were transitioning from a traditional aged care service model to a new model of service provision requiring considerable industry change. We conclude that existing industry regulation, culture and practice supports an established service model in Australia that arguably makes translation of the objectives of CDC difficult.

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Community care for the Elderly: Needs and Service Use Study (CENSUS): Who receives home care packages and what are the outcomes?

Abstract: Being offered a home care package was not based on waiting time or unmet care needs. Reforms should include a transparent system of wait listing and prioritisation.

Cited by 14 publications

References 26 publications

Adequate access to healthcare and added life expectancy among older adults in China

Adequate access to healthcare and added life expectancy among older adults in China

Identifying the Impacts of Social, Economic, and Environmental Factors on Population Aging in the Yangtze River Delta Using the Geographical Detector Technique

Consumer Directed Care in A ustralia: early perceptions and experiences of staff, clients and carers

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