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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.

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.

Hospitalisation due to falls in older people, Australia 2003-04

This report examines Australian hospital data pertaining to fall injuries in people aged 65 and older in 2003-04. 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. Women are at greatest risk of fall-related injury. Fall incidents most commonly result in a fracture and hip fractures are particularly frequent. This report also highlights that a substantial proportion of fall-related injuries are injuries to the head, which may require more specifically-targeted prevention interventions. Multiple hospital separations due to a single fall incident substantially add to the burden of disease for older Australians. Separations principally involving follow-up care, rehabilitation and other fall-related conditions contributed 136% more bed-days than those occupied due to initial episodes due to fall injury incidents and brought the total number of fall-related hospital bed-days for people aged 65 and older in 2003-04 to over 1.2 million. The estimated total cost for fall-related acute care in Australian hospitals for people aged 65 and older in 2003-04 was $566.0 million. This represents a substantial proportion of the burden of disease and health expenditure for this population and suggests that the lifetime cost of falls in older people may be substantially higher than has been previously calculated.

Aged care packages in the community 2005-06: a statistical overview

Aged care packages in the community 2005-06: A statistical overview presents key statistics on the levels of service provision of the Australian Government funded aged care packages. The programs providing these packages are 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. Previously published annually under the title Community Aged Care Packages in Australia, the new title reflects the expansion of the publication to include information on recipients of all three of these types of community age care packages. Detailed statistics on the socio-demographic characteristics of care recipients and the patterns of the recipients’ admissions and separations are provided. In addition, for the first time this report includes information on carers of EACH and EACH Dementia care recipients. 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 these packages.

Residential aged care in Australia 2005-06: a statistical overview

Residential aged care in Australia 2005-06: 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.

Fall-related hospitalisations among older people: sociocultural and regional aspects

The ageing of the Australian population has enlarged the population at high risk of fall-related injury and population projections imply substantial increase in years to come. A large proportion of Australia's older population were born overseas and changing migration patterns following the Second World War have resulted in an older population which is becoming highly culturally and linguistically diverse. This report examines fall-related hospitalisations for people aged 65 and older for the years 2000-03 according to country of birth and place of usual residence.

Dementia in Australia: national data analysis and development

Drawing together a wide range of data sources, the 'Dementia in Australia: national data analysis and development' report presents a profile of the Australian population with dementia, as well as discussing the characteristics and experiences of those caring for them. The report investigates current and projected prevalence and incidence of dementia, use of health and care services by those with dementia, and presents a new methodology for calculating expenditure on services associated with dementia. The evidence base about dementia in Australia is weakened by the variable quality and consistency of available data. The report also describes the sorts of data items recommended to improve the collection of dementia data.

National evaluation of the Aged Care Innovative Pool Disability Aged Care Interface Pilot: final report

Nine projects were established under the Aged Care Innovative Pool Disability Aged Care Interface Pilot to trial new approaches to community-based aged care for people with disabilities who experience an increased need for support due to ageing. The projects have targeted eligible people living in supported accommodation facilities funded under the Commonwealth State/Territory Disability Agreement. Throughout 2004 and 2005, the AIHW evaluated the projects in New South Wales, Victoria, South Australia, Western Australia and Tasmania. The evaluation gathered information about the ageing-related needs of Pilot clients, the service activity profiles of projects, and evidence on individual outcomes and care experiences. This information is made available to inform policy discussions concerning the interface between national disability support and aged care programs.

Asthma and chronic obstructive pulmonary disease among older people in Australia: deaths and hospitalisations

Asthma and chronic obstructive pulmonary disease (COPD) can together be described as obstructive lung disease. This report examines recent data on deaths and hospitalisations among people aged 55 years and over when asthma or COPD are recorded as one of multiple causes of death or hospital diagnoses. The aim is to describe the extent of obstructive lung disease among older Australians, to assess the possibility of misclassification between asthma and COPD and to investigate the association between these diseases and other conditions.

National evaluation of the Retirement Villages Care Pilot: final report

An Australian Government initiative, the Retirement Villages Care Pilot (RVCP ) has trialled the provision of flexible care packages into retirement villages in metropolitan, regional and rural locations across Australia. The evaluation found that RVCP packages deliver a more comprehensive range of services than Community Aged Care Packages, and are able to deliver service levels ranging from a low-level HACC service of one type of assistance up to that of a typical Extended Aged Care at Home package, or higher.

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