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Diabetes and chronic kidney disease as risks for other diseases: Australian Burden of Disease Study 2011

This report aims to provide a more comprehensive picture of the full health loss attributable to diabetes and chronic kidney disease (CKD). It quantifies the impact of diabetes and CKD on the burden of other diseases for which there is evidence of a causal association (‘linked diseases’) to estimate the indirect burden caused by these 2 diseases. It uses disease burden estimates from the Australian Burden of Disease Study 2011 and extends the standard approach for analysis of risk factors to model diabetes and CKD as risk factors. When the indirect burden due to linked diseases was taken into account, the collective burden due to diabetes was 1.9 times as high, and CKD was 2.1 times as high, as their direct burden.

National Aged Care Data Clearinghouse Data Dictionary: version 1.0

The National Aged Care Data Clearinghouse (NACDC) Data Dictionary provides an overview of the sources, content, common data concepts and data elements that underpin the NACDC’s analyses and outputs to facilitate consistency and transparency in aged care data.

Introduction to Pathways in Aged Care 2014

This document is designed to support users of the Pathways in Age Care (PIAC) database, providing an introduction to the linkage process and a description of the various aged care programs and data sources.

Improving access to data on length of stay in aged care in Australia: a feasibility study into options for a dynamic data display tool

This feasibility study explores options for the development of a dynamic data display tool focusing on length of stay in aged care.

Exploring the aged care use of older people from culturally and linguistically diverse backgrounds: a feasibility study

This feasibility study examines options for mapping how older people from migrant culturally and linguistically diverse backgrounds use aged care services, including historical usage and potential future projections.

Use of aged care services before death

This bulletin examines people’s use of aged care services in the 8 years before death, using the cohort of 116,481 people who died in 2010–11 aged at least 65. Overall, 80% of these people had used aged care in the 8 years before death, and three-fifths were aged care clients when they died. Just under half of the cohort began using aged care more than 4 years before their death.

Healthy life expectancy in Australia: patterns and trends 1998 to 2012

Between 1998 and 2012, life expectancy at birth has risen by 4 years for boys and nearly 3 years for girls. And because disability prevalence rates have been falling over this period, the gain in disability-free life expectancy has been even greater for boys (4.4 years, compared with 2.4 years for girls). Older Australians have also seen increases in the expected number of healthy years, but this has been accompanied by more years needing assistance with everyday activities. Over this period, the gender gap in life expectancy narrowed across all ages, and the gap in the expected years living free of disability also reduced across most ages.

Transition care for older people leaving hospital: 2005-06 to 2012-13

Transition care for older people leaving hospital examines the outcomes for the 87,000 people who received care under the Transition Care Program from 2005–06 to 2012–13. More than three-quarters of care recipients improved their level of functioning. Two-thirds of care recipients living in the community had not entered aged care 12 months after finishing their first episode of care under the program; and more than half did not enter residential aged care at all over the life of the program to June 2013.

Patterns in use of aged care: 2002-03 to 2010-11

While permanent care in a residential care facility remains a key service for many older Australians, in recent years greater emphasis has been placed on the provision of home-based support. This report examines how this shift has affected the way that people use aged care programs, and investigates the initial take-up of care. The analysis shows that use of aged care programs before entering permanent residential care is increasing, as is the use of any aged care services in a person’s last year of life.

Cultural and linguistic diversity measures in aged care

Accurate and consistent identification of those from culturally and linguistically diverse (CALD) backgrounds, along with their service needs, is important to achieving the objectives of the National Ageing and Aged Care Strategy for People from Culturally and Linguistically Diverse (CALD) Backgrounds. This paper presents findings from an evaluation of CALD measures identified in 43 data sets and assessment instruments, and recommendations for implementing the ‘top-10’measures in aged care data sets.

Hospitalised injuries in older Australians: 2011-12

This report focuses on the most frequent causes of hospitalisations due to injury sustained by Australians, aged 65 years or older, during the period 1 July 2011 to 30 June 2012. Whilst the vast majority of hospitalisations were due to falls, the report focuses on other injuries (such as unintentional poisoning by medications) and it may be useful for guiding and improving policy aimed at reducing those other injuries and for targeting investment in injury prevention strategies.

Depression in residential aged care 2008-2012

Entry into residential aged care can be a challenging experience and the presence of depression can add to this challenge. This report provides the first in-depth review of available administrative data to explore the prevalence and characteristics of people with symptoms of depression in residential aged care. In 2012, over half (52%) of all permanent residential aged care residents had symptoms of depression. Between 2008 and 2012, residents admitted to care for the first time who had symptoms of depression were more likely to have high care needs, and were more likely to have behaviours which impacted on care needs.

Movement between hospital and residential aged care 2008-09

This report examines movements between hospital and residential aged care by people aged 65 and over in 2008-09. Overall, almost 10% of 1.1 million hospitalisations for older people were for people already living in residential aged care. A further 3% of hospitalisations for older people ended with the patient being

Movement between hospital and residential aged care 2008-09: report profile

A report profile is a brief document that summarises key points of a larger report.

Dementia care in hospitals: costs and strategies

This report estimates the cost of caring for people with dementia in New South Wales hospitals, and presents strategies and practices being implemented in Australia and internationally that might improve outcomes for people with dementia and reduce care costs. The average cost of hospital care for people with dementia was generally higher than for people without dementia ($7,720 compared with $5,010 per episode). The total cost of hospital care for these patients was estimated to be $462.9 million, of which around $162.5 million may be associated with dementia.

Incontinence in Australia: prevalence, experience and cost

This bulletin reports on the number of people who experienced severe incontinence in 2009, according to the Australian Bureau of Statistics' Survey of Disability, Ageing and Carers. It also presents information on prevalence rates and how much was spent on incontinence (excluding residential aged care costs) in 2008-09. There were an estimated 316,500 people suffering from severe incontinence in 2009, most of whom were female (66%). As well, 73% of primary carers who assisted in managing another person's incontinence spent at least 40 hours each week caring or supervising.

Older people leaving hospital: a statistical overview of the Transition Care Program 2009-10 and 2010-11

Older people leaving hospital: a statistical overview of the transition care program 2009-10 and 2010-11 presents key statistics about transition care services provided to older people directly after discharge from hospital. The Transition Care Program aims to improve recipients' independence and functioning, and has assisted nearly 52,000 people since it started in 2005-06, including 18,000 individuals who received just under 20,300 episodes of transition care in 2010-11. The report includes for the first time an analysis of trends since the program's establishment, and an examination of the final outcomes of people receiving consecutive episodes of care.

People with dementia in hospitals in New South Wales 2006-07

This report examines the experiences of the 252,700 people aged 50 and over who stayed for at least one night in a New South Wales public hospital in 2006-07. Slightly more than 8% of patients (20,800 people) were identified as having dementia. Even allowing for age and sex differences, people with dementia had much higher hospitalisation rates than those without dementia: 26% compared with 12%. They also tended to stay longer in hospital and were more likely to enter or return to residential care on discharge from hospital, or to die in hospital.

Deriving key patient variables: a technical paper for the Hospital Dementia Services Project

This report describes the methods used for the Hospital Dementia Services Project to derive dementia status, complete hospital stays and post-hospital destination using New South Wales hospital data for 2006-07. Comparisons of estimates using these key variables show that the method used to derive the variables can substantially affect analytical results on use of hospitals. This report demonstrates the importance of using analytical data and methods that match the particular policy or research question being asked.

Dementia in Australia

In 2011, there were an estimated 298,000 people with dementia. This number is expected to increase markedly over time, with projections suggesting it will reach around 400,000 by 2020 and 900,000 by 2050. Dementia is a leading cause of death, accounting for 6% of all deaths in 2010.  Total direct health and aged care services expenditure on people with dementia was at least $4.9 billion in 2009-10.

Aged care packages in the community 2010-11: a statistical overview

Aged care packages in the community 2010 -11 describes the key characteristics of services and recipients and also looks at the distribution of services relative to the needs of the population. At 30 June 2011, there were 50, 900 recipients of care packages. About 1,200 providers delivered low-care packages, 500 delivered high-care packages and 340 providers delivered high-care specialised dementia packages.

Residential aged care in Australia 2010-11: a statistical overview

Residential aged care in Australia 2010-11 provides comprehensive statistical information on residential aged care facilities, their residents, admissions and separations, and residents' dependency levels. At 30 June 2011, there were nearly 185,500 residential aged care places, an increase of more than  2,600 places compared with 30 June 2010. More than 85,200 permanent residents (52%) had a recorded diagnosis of dementia at 30 June 2011. Other recorded health conditions included circulatory diseases (40,000 residents) and diseases of the musculoskeletal and connective tissue (29,400 residents).

Hospitalisations due to falls in older people, Australia 2008-09

 This report is the fifth in a series on hospitalisations due to falls by Australians aged 65 and older and focuses on 2008-09. For the first time in this report series, the rate of hospitalised fall injuries involving older females exceeded 3,000 per 100,000 population. The incidence of injury has continued to increase substantially over the decade to June 2009, despite a sustained decrease in the rate of hip fractures due to falls. Of note, falls that resulted in head injuries and those described as an 'other fall on same level' increased significantly over the study period.

Hospitalisations due to falls in older people, Australia 2006-07

This report is the third in a series on hospitalisations due to falls by Australians aged 65 and older. It focuses on 2006-07 and also examines trends from 1999 to 2007. About 7 in every 10 hospitalised fall injuries occurred in the home or in residential institutions and most were sustained by older females. Age-standardised rates of hospitalised fall-related injury separations have increased over the 8 years to 2007, despite a decrease in the rate for femur fractures.

Hospitalisations due to falls in older people, Australia 2007-08

This report is the fourth in a series on hospitalisations due to falls by Australians aged 65 and older. It focuses on 2007-08 and includes estimates of the cost to the hospital system due to serious falls. As in the previous reports, most falls were sustained by females. About one-third of all cases were for injuries to the hip and thigh, and a fall on the same level due to slipping, tripping and stumbling was the most common cause of hospitalisation. Acute admitted patient care due to fall injuries in 2007-08 was estimated to have cost more than $648 million.

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