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The association between cognitive impairment and community service use patterns in older people living in Australia

Bibliographic Data

ID12290355
AuthorsNerina Vecchio (0000-0001-7910-2242, Griffith Health Institute; Griffith Business School; Griffith University; Southport Queensland Australia, corresponding author), John A Fitzgerald (0000-0002-4768-9680, Griffith University), Janna A Fitzgerald (Health Management; Griffith Business School; Griffith University; Southport Queensland Australia), Katy Radford (0000-0003-2095-0647, Griffith University), Katrina Radford (Department of Employment Relations and Human Resources; Griffith Business School; Griffith University; Southport Queensland Australia), Ron Fisher (0000-0003-3693-2048, Department of International Business and Asian Studies; Griffith Business School; Griffith University; Southport Queensland Australia)
Year2015
Volume24
Issue3
Pages321-333
Publication date2015-03-05
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.12212
PMID25754586
OpenAlexW2035459504
LanguageEN
Citations received10
References cited37

Family plays a vital role in supporting individuals with dementia to reside in the community, thus delaying institutionalisation. Existing research indicates that the burden of care-giving is particularly high for those caring for a person with dementia. Yet, little is known about the uptake of community services by people with a diagnosis of dementia. Therefore, this study aims to better understand the relationship between cognitive impairment and the receipt of community care services. In order to examine the relationship, secondary data collected across Queensland, Australia, from 59,352 home-care clients aged 65 and over during 2007-2008 are analysed. This cross-sectional study uses regression analyses to estimate the relationship between cognitive impairment and service mix, while controlling for socio-demographic characteristics. The dependent variables include formal services, informal care and total home-care service hours during a 12-month period. The findings of this study demonstrate that cognitive impairment is associated with accessing more hours of respite and day centre care but fewer hours of other formal care services. Additionally, the likelihood of support from an informal caregiver increases when a client becomes cognitively impaired. Therefore, this study demonstrates that there is an increased need for respite programmes to support informal caregivers in the future, as the population of people living with dementia increases. These findings support the need for investigations of new and innovative respite models in the future

Business · Cognition · Cognitive impairment · Dementia · Environmental health · Institutionalisation · Population · Psychiatry · Receipt · Respite care · Service (business · Geriatric Care and Nursing Homes · Intergenerational Family Dynamics and Caregiving · Medicine · Migration, Aging, and Tourism Studies · Nursing · Psychology · Gerontology

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Unique citing works10
Citations per year1,25
Citation span2018 - 2026 (9)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 10

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