Home care service utilisation by people with dementia—A retrospective cohort study of community nursing data in Australia

Bibliographic Data

ID12288985
AuthorsJoel M van Weel (0000-0002-9374-2999, Peninsula Health Department of Medicine Frankston VIC Australia, corresponding author), Emma Renehan (0000-0002-4435-2871, Bolton Clarke Research Institute Melbourne VIC Australia), Kaye Ervin (0000-0002-8343-0465, Department of Rural Health The University of Melbourne Shepparton VIC Australia), Joanne Enticott (0000-0002-4480-5690, Bolton Clarke Research Institute Melbourne VIC Australia)
Year2018
Volume27
Issue3
Pages665-675
Publication date2018-11-13
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth & Social Care in the Community (JOURNAL)
Journal identifiersISSN: 0966-0410 • E-ISSN: 1365-2524
PublisherWiley (PUBLISHER • GB)
DOI10.1111/hsc.12683
PMID30421836
OpenAlexW2900795695
LanguageEN
Citations received5
References cited31

Progressive aged care reforms are shifting dementia care into the community. These efforts have been shown to prevent transition to residential aged care facilities and hospitals. There is a paucity of studies examining the utilisation of home care services for people living with dementia. This study aims to address the current knowledge gap by providing a comprehensive summary of older adults receiving home care and comparing service use for people with and without dementia. A retrospective secondary data analysis was conducted using routine data prospectively collected from a cohort (n = 2,703 with dementia matched to 9,224 without dementia; total 11,927) using a community home nursing service in metropolitan Melbourne, Australia, in 2014. Descriptive statistics compared individuals with and without dementia on client-level demographics and their episode of home care service use. A comparative analysis on select variables was also performed using a conditional Poisson regression to estimate relative risk (RR). Compared to older adults without dementia, people with dementia were more likely to be born overseas (RR 1.10, 95% CI [1.03-1.19]), require an interpreter (RR 1.41, 95% CI [1.26-1.59]), and live with family (RR 1.09 [1.01-1.16]). When examining an individual's episode of care, people with dementia were more likely to require acute care (RR 1.07, 95% CI [1.01-1.14]) and be discharged from home care with personal care services (RR 1.46, 95% CI [1.24-1.72]). People with dementia were less likely to be referred from a hospital (RR 0.73, 95% CI [0.69-0.77]), achieve their home care goals (RR 0.91, 95% CI [0.87-0.94]), or die while in receipt of home care services (RR 0.82, 95% CI [0.72-0.94]). Our findings suggest that people with dementia have different socio-demographic characteristics and interactions with home care services compared to people without dementia

Cohort · Cohort study · Confidence interval · Dementia · Disease · Environmental health · Family medicine · Poisson regression · Population · Relative risk · Retrospective cohort study · Dementia and Cognitive Impairment Research · Geriatric Care and Nursing Homes · Intergenerational Family Dynamics and Caregiving · Medicine · Gerontology

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