Expenditure on health for Aboriginal and Torres Strait Islander people 2006-07
Expenditure on health and high care residential aged care for Aboriginal and Torres Strait Islander people amounted to $2,976 million in 2006-07, or 3.1% of national expenditure on health and high care residential aged care. In 2006-07, the average expenditure per person on health and high care residential aged care was $5,696 for Aboriginal and Torres Strait Islander people. For non-Indigenous people, the average expenditure per person was $4,557. The ratio of Indigenous to non-Indigenous expenditure per person was 1.25. For the Australian Government schemes of Medicare and the Pharmaceutical Benefits Scheme (PBS), total benefits paid per Aboriginal and Torres Strait Islander person were 59% of the amount spent on non-Indigenous people. Expenditure on health for Aboriginal and Torres Strait Islander people 2006-07 provides policy makers and program managers with detailed information for further analysis.
Australia's welfare 2009
Australia's welfare 2009 is the ninth biennial welfare report of the Australian Institute of Health and Welfare. It is the most comprehensive and authoritative source of national information on welfare services in Australia. Topics include children, youth and families; ageing and aged care; disability and disability services; carers and informal care; housing and housing assistance; and homelessness.
Pathways through aged care services: a first look
Analysis of care pathways provides information that is useful to both policy planners and service providers alike. The Pathways in Aged Care (PIAC) cohort study linked aged care assessment data for a cohort of 105,100 people to data sets showing use of five main aged care programs and deaths over four years. Of particular interest in terms of care pathways is the smaller new-pathways cohort of 77,400 people who had not previously used aged care services that required and aged care assessment for access. This report presents the first findings from analysis of the new pathways cohort, investigating common care pathways, time to entry to permanent residential aged care and time to death after the first assessment for use of aged care services.
Aged care packages in the community 2007-08: a statistical overview
Aged care packages in the community 2007-08: a statistical overview provides information on the provision of three types of Australian Government funded aged care packages: Community Aged Care Packages, Extended Aged Care at Home packages, and Extended Aged Care at Home Dementia packages. These packages assist people who are eligible for residential aged care to remain in the community in their own homes. This report provides information on the availability of packages in Australia, the characteristics of outlets providing these packages, the care recipients at 30 June 2008 and the people who started or ceased receiving help during the year. At 30 June 2008 over 42,000 people were receiving help from an aged care package, and nearly 62,000 people had received help at some time during 2007-08.
Carers National Data Repository scoping study: final report
The Department of Health and Ageing (DoHA) commissioned AIHW to undertake this study to investigate and document the scope, feasibility and utility of setting up a Carers National Data Repository (CNDR). The CNDR is conceived as a way of improving the evidence available about carers using existing data which would mitigate issues arising from scattered evidence by bringing data together, standardising metadata and analysing data in more integrated ways (including through the use of data linkage) to inform important policy and research issues.
Incorporating HACC use into aged care pathways: a technical report for the PIAC project
In general, the aged care program data used in the Pathways in Aged Care (PIAC) project relating to 105,000 older Australians contain dates of service use. However, there are two complications with the Home and Community Care (HACC) data when integrating service use event data into care pathways: (a) the data available for the project only indicate quarters of service use, and (b) not all HACC agencies participate in the data collection. This report describes how these matters are being treated for the PIAC project. Using this approach 72,000 PIAC cohort members had 107,000 periods during which they were accessing HACC services over the 4 years from July 2002.
Residential aged care in Australia 2007-08: a statistical overview
Residential aged care in Australia 2007-08: a statistical overview provides comprehensive statistical information on the 2,080 residential aged care homes and their 160,250 residents at 30 June 2008. The report contains information on the capacity of residential aged care homes, their residents and resident characteristics, levels of dependency among residents, and admissions and separations. The year is particularly significant with the change over from the Resident Classification Scale to the Aged Care Funding Instrument for the appraisal and funding of residents.
Caring for oral health in Australian residential care
As the Australian population ages and more older Australians retain their natural teeth, more people living in residential aged care are developing complex oral disease and dental problems. This report shows that carers play a crucial role in helping maintain the oral health of older adults in residential aged care, including the identification and referral needed for dental care, by investigating 21 aged care facilities in three states.Three aspects of best practice were pursued: assisting the development of policies and procedures; training carers to use an oral health assessment called the Oral Health Assessment Tool (OHAT) and then evaluating the reliability and validity of carers' use of the OHAT; and applying an evidence-based oral health protocol for carers of dependent older adults. The OHAT was evaluated as being a reliable and valid screening tool for use among residents, including those with cognitive impairments.
Hospitalisations due to falls by older people, Australia 2005-06
This report is the second in a series of biennial reports on hospitalisations due to falls by older people in Australia. The report focuses on hospitalised falls occurring in the financial year 2005-06 and examines trends in fall-related hospitalisations over the period 1999-2006. The number of fall events resulting in hospitalisation due to injury for older Australians remains high and the rate of fall-related injury incidents is particularly high for the oldest group within this population. As in the previous report, older females accounted for most of the hospitalised fall injury cases and a third of cases had injuries to the hip and thigh. Half of all fall injury cases for people aged 65 years and older occurred in the home. Falls in residential institutions were also common. Age-standardised rates of hospitalised fall-related injury separations have increased over the seven year study period to June 2006, despite a decrease in the rate for femur fractures due to falls. The estimated total length of stay per fall injury case has also increased over the period 1999-2006, apparently influenced by increases in the number of bed-days used by episodes of fall-related follow-up care.
Transitions in care of people with dementia: a systematic review of the literature
This systematic review assesses the evidence on the pathways people with dementia take into and through the health and aged care system, and the implications of these transitions for the quality of life of people with dementia and their families and carers. The review focuses on four distinct areas: predictors of care transition, description of care pathways, intervention to modify care pathways, and pathways taken by special population groups such as Aboriginal and Torres Strait Islander peoples.
Younger People with Disability In Residential Aged Care Program: final report on the 2007-08 Minimum Data Set
This report includes information from the 2007-08 Younger People With Disability in Residential Aged Care Minimum Data Set (YPIRAC MDS). It summarises the characteristics of people who were 'on the books' during 2007-08 and the YPIRAC services they received. Included in 'on the books' are people who accepted YPIRAC services in 2006-07 and continued to receive services (including monitoring only) in 2007-08, along with new starters in 2007-08.
Projection of Australian health care expenditure by disease, 2003 to 2033
The National Health and Hospitals Reform Commission commissioned the Australian Institute of Health and Welfare to undertake projections of Australian health care expenditure using the Institute's disease expenditure projection model. The report projects health and residential aged care expenditure for the period 2003 to 2033. Total expenditure on health and residential aged care is projected to increase from 9.3% of GDP in 2002-03 to 12.4% of GDP in 2032-33. The report provides details of the five components of the projection model, presents projections for the 20 disease groups and estimates change in funding by the Australian Government, State and Territory governments and the private sector.
Movement from hospital to residential aged care
The movement of people between acute hospital care and residential aged care has long been recognised as an important issue, but existing national data sets provide only limited information on such movement. This report presents the first comprehensive statistical results into issues affecting movement from hospital into residential aged care, using linked hospital care and residential aged care data for 2001-02. In particular, factors affecting admission into residential care on discharge from hospital are examined.
Aged care packages in the community 2006-07: a statistical overview
Aged care packages in the community 2006-07: a statistical overview presents key statistics on the provision Australian Government funded aged care packages and the characteristics of care recipients. This publication covers packages provided through the Community Aged Care Packages (CACP) program, the Extended Aged Care at Home (EACH) program, and the Extended Aged Care at Home Dementia (EACH Dementia) program. These packages provide care to people in their own homes. CACPs provide care for people eligible for at least low-level residential aged care, while EACH and EACH Dementia packages provide a higher level of care to people eligible for high-level residential aged care.The report provides detailed statistics on the sociodemographic characteristics of care recipients and the patterns of the recipients' admissions and separations.The data presented in this report are a useful resource for those involved in policy development, policy review and the planning of aged care services, with a specific interest in the provision of these packages.
A picture of osteoporosis in Australia
Osteoporosis is a silent condition that occurs in both men and women. The bones become fragile and brittle, and bone strength is greatly reduced, so that fractures can occur after only minimal trauma. Fractures occur most commonly in the hip, spine and wrist, and can lead to long-lasting pain and disability that affects quality of life and independence. The good news is that osteoporosis is largely preventable. This booklet is aimed at anyone with an interest in osteoporosis. It includes information on the causes, management and prevention of the disease, and brings together the latest data about its impact in Australia.
Residential aged care in Australia 2006-07: a statistical overview
Residential aged care in Australia 2006-07: a statistical overview provides comprehensive statistical information on residential aged care homes and their residents. The report contains information on the capacity of residential aged care homes, their residents and resident characteristics, levels of dependency among residents, and admissions and separations.The report will be particularly useful to aged care service planners, providers of aged care services, and researchers in the field.
Veterans' use of health services
This report uses linked aged care and Department of Veterans' Affairs (DVA) administrative data to examine patterns of use of DVA-funded medical and allied health services by DVA gold cardholders aged 70 years and over living in permanent residential aged care, and compare these patterns with those of gold cardholders of the same age and sex living in the community.
Movement from hospital to residential aged care: preliminary results
The interface between acute hospital care and residential aged care has long been recognised as an important issue in aged care services research. Current hospital and residential aged care national data sets have been designed primarily to provide data on the specific program rather than to examine program interfaces. However, using event-based data linkage it is possible to link the two data sets thereby allowing analysis of the hospital and aged care interface. This report provides preliminary results from this linkage process when applied to data for four states and two territories for 2001-02, and investigates a particular issue - the use of residential aged care for interim care following a period in hospital.
Australia's welfare 2007
Australia's welfare 2007 is the eighth biennial welfare report of the Australian Institute of Health and Welfare. It is the most comprehensive and authoritative source of national information on welfare services in Australia. Topics include children, youth and families; ageing and aged care; disability and disability services; housing for health and welfare; dynamics of homelessness; welfare services resources; and indicators of Australia's welfare.
Older Australia at a glance (fourth edition)
Australia's population is ageing and as baby boomers move into old age this trend is set to gather greater momentum over the next three decades. Significant changes will flow to all aspects of social and economic life as both the number and proportion of older people in the community increase. This fourth edition of Older Australians at a glance provides insights into the diversity of the older population of Australia, where they are living, what they are doing, how healthy they are and the services they are using.In 2011 the Department of Health and Ageing asked the AIHW to update tables and figures for three sections of the report: Section 1 - Demographic profile; Section 2 - Social and economic context; and Section 5 – Special population groups. These tables and figures can be found on the additional material tab on this web page. There is no accompanying analysis of the data presented in this material.
Welfare expenditure Australia 2005-06
'Welfare expenditure Australia' 2005-06 provides estimates of welfare expenditure in Australia for the period 1998-99 to 2005-06.Welfare expenditure comprises cash payments and expenditure for services specifically directed to families and children, older people, people with disabilities, and other groups such as widows, refugees and migrants. In 2005-06 this expenditure totalled $90 billion, $61 billion being for cash benefits and the remaining $29 billion for welfare services. Funding of welfare services by the eight state and territory governments are compared.This publication also contains estimates of social tax expenditures by the Australian Government and a special chapter on residential aged care expenditure. This report is an important reference for policy makers and those working in the community services sector.
Report on the pilot test of the community-based palliative care client data collection
This report outlines the need for a data set for community-based palliative care services that is relevant to national policy development and accountability, and provides details of a pilot test of the data set which aimed to evaluate the data items and their permissible values. This data set lays the foundation for the future agreement of a national minimum data set, which would see the collection of ongoing data about community-based palliative care clients for national collection and reporting. The data items within the draft client data set specification include items that relate to: the patient, the episode of palliative care, the episode of grief and bereavement counselling, and each service contact within these episodes.
National palliative care performance indicators: results of the 2006 performance indicator data collection
This report presents the findings of the second national collection of performance indicator data from Australia's palliative care sector. The information collected was designed to support the calculation of four national performance indicators that were developed and agreed by representatives of the states and territories and the Australian Government on the Palliative care Intergovernmental Forum. The four performance indicators are based on the goals and objectives of the National Palliative Care Strategy and provide some information on the extent to which the Strategy has been implemented.
Comparing name-based and event-based strategies for data linkage: a study linking hospital and residential aged care data for Western Australia
In a feasibility study carried out in 2001 and 2002, the Institute developed a strategy for linking the hospital morbidity and residential aged care databases using date of birth, sex, region of usual residence and event dates. Doubts concerning the efficacy of the linkage strategy were raised at the time because of the lack of either a name or a common person identifier on the two datasets. This paper refines the event-based strategy and confirms its utility by comparing it directly with a name-based linkage strategy.
Older Australians in hospital
Hospital use increases with age for both admissions and length of stay. This bulletin examines patterns of hospital use among people aged 65 and over. Hospitalisation, length of stay, diagnosis, type of care and destination on discharge are examined.