Reports

Featured reports

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.

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.

Pathways to permanent residential aged care in Australia: a Pathways in Aged Care (PiAC) analysis of people's aged care program use before first entry to permanent residential aged care in 2013–14 

Some 61,300 people first entered permanent residential aged care (PRAC) in 2013–14. While they used over 1,000 different combinations of other aged care in the preceding years, the most common pathway (used by 1 in 4 people) was through Home and Community Care (HACC). Many pathways showed a similar pattern of moving ‘up’ to progressively higher levels of support. 

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.

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.

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 newly admitted into residential care. This report also describes the characteristics of people moving between the two sectors, and short-term outcomes for people going into residential care.

Incontinence in Australia 

This report details the number of people who experienced severe incontinence in 2009, according to the Australian Bureau of Statistics' Survey of Disability, Ageing and Carers. It includes estimates of prevalence rates and total expenditure on incontinence, as well as the number of primary carers of people suffering from the condition. It also updates data development since the Australian Institute of Health and Welfare's 2006 incontinence 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.

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.

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 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.

Younger people with disability in residential aged care: 2010-11 

This bulletin presents data on the Younger People with Disability in Residential Aged Care (YPIRAC) initiative, which aims to reduce the number of people with disability aged under 65 who live in residential aged care. Between 2005-06 and 2010-11, an estimated 1,432 people have been helped, including 250 who have been moved out of residential aged care and into accommodation that better suits their situation, 244 who were successfully diverted away from entering residential aged care, and 456 who were provided with enhanced services while in residential aged care.

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.