Public policy and the dependency of nursing home residents in Australia: 1968-69 to 2006-07

Gargett, Susan (2010) Public policy and the dependency of nursing home residents in Australia: 1968-69 to 2006-07. Health Policy, 96 2: 143-153. doi:10.1016/j.healthpol.2009.12.013


Author Gargett, Susan
Title Public policy and the dependency of nursing home residents in Australia: 1968-69 to 2006-07
Journal name Health Policy   Check publisher's open access policy
ISSN 0168-8510
1872-6054
Publication date 2010-07
Sub-type Article (original research)
DOI 10.1016/j.healthpol.2009.12.013
Open Access Status
Volume 96
Issue 2
Start page 143
End page 153
Total pages 11
Editor Reinhard Busse
Place of publication Amsterdam, Netherlands
Publisher Elsevier
Collection year 2011
Language eng
Formatted abstract
Objective The purpose of this paper is to derive annual estimates of the aggregate dependency of the nursing home population in Australia, and to use these data to consider the impact of Government policies to target nursing home services to those with high care-needs/dependency. Two related tools, the ‘Aggregate Dependency Value’ and ‘Aggregate Dependency Index’, have been constructed using the principles of case-mixed based systems, to quantify the aggregate dependency of residents. Data on all residents 1968–1969 to 2006–2007, and on newly admitted residents 1992–1993 to 2006–2007 have been derived and analysed.

Methods To construct the tools, the percent of residents classified into various dependency categories were weighted by proxy measures of their dependency. These were summed, and converted into index numbers to estimate rates of change in the aggregate dependency of residents. The derived data were used to consider possible impacts of the policies.

Results The data indicate that the dependency of residents has, for the most part, increased over recent decades but that the rate of the increase has varied. An increase in the dependency of residents corresponds with the policies’ objectives.

Conclusions The tools extend the ways the dependency of nursing home residents in Australia can be assessed. The estimates support the effectiveness of the Government's targeting policies but causal relationships have not been estimated.
© 2010 Elsevier Ireland Ltd. All rights reserved.
Keyword Frail elderly
Nursing homes. Disability evaluation
Health status indicators
Health policy
Minimum data set
Resource utilization groups
Long-term-care
Assessment instrument
Disability
Trends
Reliability
Payment
Future
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Medicine Publications
 
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Created: Sun, 25 Jul 2010, 00:06:21 EST