Back to Search
Start Over
Utilisation of general practice health assessments around an aged care assessment is associated with lower mortality risk in older Australians.
- Source :
- Age & Ageing; Jan2021, Vol. 50 Issue 1, p120-126, 7p, 1 Diagram, 1 Chart, 1 Graph
- Publication Year :
- 2021
-
Abstract
- Objective (i) to describe the general practitioner utilisation of health assessments, management plans, coordination of team care arrangements and medication review item numbers within 6 months of an aged care eligibility assessment for home care packages (HCP) and (ii) investigate the impact of health assessments on the risk of mortality and entry into permanent residential aged care (PRAC) of individuals accessing HCP. Design and setting retrospective cohort study utilising data from the Registry of Senior Australians (ROSA) was conducted. Subjects 75,172 individuals aged ≥75 years who received HCP between 2011 and 2015. Outcome measure for objective 1: the use of comprehensive assessments (Medicare Benefits Schedule (MBS) items 705 or 707), management plans (MBS 721), coordination of team care arrangements (MBS 723), and medication reviews (MBS 900). For objective 2: time to death and entry into PRAC. Results of the 75,172 individuals, 28.2% (95% confidence interval (CI): 27.8–8.5%) had comprehensive assessments, 36.7% (95% CI: 36.3–37.0%) had management plans, 33.0% (95% CI: 32.7–33.3%) received coordination of team care arrangements and 5.4% (95% CI: 5.2–5.5%) had medication reviews. Individuals with a comprehensive assessment had a 5% lower risk of mortality (adjusted hazard ratio (aHR), 95% CI = 0.95, 0.92–0.98) but 5% higher risk of transition to PRAC (adjusted subdistribution HRs, 95% CI = 1.05, 1.02–1.08) compared to those who did not have these services. Conclusion the utilisation of health assessments was associated with a lower risk of mortality. There is an opportunity for increased use of item numbers in frailer individuals. [ABSTRACT FROM AUTHOR]
- Subjects :
- MORTALITY risk factors
ELDER care
GERIATRIC assessment
CONFIDENCE intervals
FAMILY medicine
FRAIL elderly
HOME care services
INTERPROFESSIONAL relations
LONGITUDINAL method
MANAGEMENT
MEDICAL needs assessment
MEDICARE
ELIGIBILITY (Social aspects)
RESIDENTIAL care
RETROSPECTIVE studies
DESCRIPTIVE statistics
ODDS ratio
OLD age
Subjects
Details
- Language :
- English
- ISSN :
- 00020729
- Volume :
- 50
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Age & Ageing
- Publication Type :
- Academic Journal
- Accession number :
- 148188427
- Full Text :
- https://doi.org/10.1093/ageing/afaa091