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Use of medicines by older people with type 2 diabetes

This report describes dispensing patterns of glucose lowering medicines and medicines for other conditions associated with diabetes in a concessional population cohort of Australians aged 65 and over diagnosed with type 2 diabetes. It uses linked data from the National Diabetes Services Scheme and the Pharmaceutical Benefits Scheme to explore medicine supply patterns in 2012 by age and time since diabetes diagnosis. It shows that, in general, the longer the time since diagnosis, the more likely it is that an individual would be supplied with all medicine types and the more intense their glucose lowering treatment regimens would be. This report highlights the complexity of pharmacological management in older people with type 2 diabetes and the diversity of medicine supply patterns in relation to age and time since diabetes diagnosis.

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.

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.

Trends in hospitalisations due to falls by older people, Australia 1999-00 to 2010-11

This report focuses on trends in fall-related hospital care for people aged 65 and older from 1999-00 to 2010-11.  While age-standardised rates of fall injury cases increased over the 12 years to June 2011, the rate of hip fractures due to falls decreased. The patient days for hospital care directly attributable to fall-related injury doubled over the study period.

The desire to age in place among older Australians

Many older Australians report a desire to age in place. This bulletin explores the relationship between this desire and the housing circumstances of older Australians of different tenure types; that is, those who own their home outright, those paying a mortgage and those who rent their home either privately or through social housing.

Hospitalisations due to falls by older people, Australia: 2009-10

This report is the sixth in a series on hospitalisations due to falls by Australians aged 65 and over, and focuses on 2009-10.The estimated number of hospitalised injury cases due to falls in older people was 83,800 - more than 5,100 extra cases than in 2008-09 - and about 70% of these falls happened in either the home or an aged care facility.One in every 10 days spent in hospital by a person aged 65 and older in 2009-10 was directly attributable to an injurious fall (1.3 million patient days over the year), and the average total length of stay per fall injury case was estimated to be 15.5 days.

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.

Aboriginal and Torres Strait Islander identification in community services data collections: an updated data quality report

This report examines the identification of Aboriginal and Torres Strait Islander clients in a number of Australian Institute of Health and Welfare community services data collections, by analysing where Indigenous status is missing/not stated. It makes a number of recommendations, including that data collection manuals and training materials reflect the National best practice guidelines for collecting Indigenous status in health data sets. Where necessary, jurisdictions should consider modifying client forms and client information management systems to ensure consistency with these guidelines.

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.

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.

The Hospital Dementia Services Project: a study description

The Hospital Dementia Services Project is an innovative mixed-methods study funded by the National Health and Medical Research Council to investigate how health and aged care system factors influence care outcomes for hospital patients with dementia. People with dementia have comparatively high rates of hospitalisation and longer hospital stays which has an impact on their physical and mental wellbeing. The project focuses on patients aged 50 or over who had an overnight stay in a public hospital in New South Wales during 2006-07. This publication describes the project's objectives and design features.

Older people leaving hospital: a statistical overview of the Transition Care Program in 2008-09

Older people leaving hospital: a statistical overview of the Transition Care Program in 2008-09 presents key statistics on the characteristics and services provided to older people who are eligible for residential aged care directly after discharge from hospital. The program aims to improve recipients' independence and functioning.At 30 June 2009 there were 2,228 places providing transitional care to older people leaving hospital. During 2008-09, around 12,600 individuals received just over 14,000 episodes of transition care.

Older Aboriginal and Torres Strait Islander people

This report describes the age and geographic distribution of the older Indigenous population, its particular requirements in terms of aged care and support, and the pattern of usage of these services. At the 2006 Census, there were approximately 60,000 Indigenous Australians aged 50 years and over, accounting for about 12% of the total Indigenous population. By comparison, 31% of the non-Indigenous population fell into this age group. However, the number of older Indigenous people is growing and estimated at 76,300 in 2011. Older Indigenous people have poorer health and higher rates of disability than other Australians in the same age group.

Pathways in Aged Care: program use after assessment

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 4 years. This report presents an overview of the PIAC cohort, investigating care needs, assessment patterns, common care pathways, time to entry to permanent residential aged care and time to death after assessment for use of aged care services.

Asthma among older people in Australia

Over 92% of the 402 asthma deaths in 2006 were among people aged 45 years and over. Asthma in older Australians is distinct in many ways. The presence of comorbid conditions makes the management of asthma in older people more complex. The disease itself is also more persistent and severe than in the younger ages.

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