Primary, allied health, geriatric, pain and palliative healthcare service utilisation by aged care residents, 2012-2017

Article Geriatrics & Gerontology

Provision of a comprehensive medicines review is associated with lower mortality risk for residents of aged care facilities: a retrospective cohort study

Janet K. Sluggett et al.

Summary: This study examined the impact of residential medication management review (RMMR) on hospitalization and mortality among older Australians in residential aged care facilities (RACFs). The results showed that receiving RMMR in the 6-12 months after RACF entry was associated with a 4.4% lower mortality risk over 12 months, but it was not associated with changes in hospitalizations for unplanned events or falls.

AGE AND AGEING (2022)

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Article Health Care Sciences & Services

Government-subsidised mental health services are underused in Australian residential aged care facilities

Monica Cations et al.

Summary: The utilization of government-subsidized mental health services among aged care residents in Australia is generally low, indicating a need for organizational and policy changes to improve access. People with dementia face barriers in accessing these services.

AUSTRALIAN HEALTH REVIEW (2022)

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Review Geriatrics & Gerontology

Impact of relational continuity of primary care in aged care: a systematic review

Suzanne M. Dyer et al.

Summary: This systematic review examines the impact of relational continuity between primary care professionals and older people receiving aged care services on health care resource use and person-centred outcomes. The results suggest that higher relational continuity with a primary care physician may reduce hospitalisations and emergency department presentations for community-dwelling aged care recipients. However, the benefit of providing on-site primary care in residential settings is uncertain.

BMC GERIATRICS (2022)

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Article Medicine, General & Internal

Health status and healthcare trends of individuals accessing Australian aged care programmes over a decade: the Registry of Senior Australians historical cohort

Maria C. Inacio et al.

Summary: Over the past decade, older Australians accessing aged care services have seen an increase in frailty, number of comorbidities, medicine use, and long-term mortality rates for some individuals.

INTERNAL MEDICINE JOURNAL (2021)

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Article Geriatrics & Gerontology

General practitioner conduct of clinical services representing comprehensive geriatric assessment is associated with lower risk of mortality in older Australians receiving home care packages

Renuka Visvanathan et al.

Summary: The study investigated the utilization of general practice Medicare Benefit Schedule (MBS) services aligned to Comprehensive Geriatric Assessment (CGA) and its effects on mortality and transition to permanent residential aged care (PRAC) among older adults. It found that a combination of interventions considered to be components of CGA by GPs was associated with a lower risk of mortality and transition to PRAC compared to no claims or partial conduct of CGA, particularly in frailer individuals.

AGE AND AGEING (2021)

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Article Infectious Diseases

Contribution of facility level factors to variation in antibiotic use in long-term care facilities: a national cohort study

Janet K. Sluggett et al.

Summary: This study found significant variation in systemic antibiotic use across Australian long-term care facilities (LTCFs). Government-owned non-metropolitan LTCFs and LTCFs with 69-99 residents were less likely to experience high antibiotic use, while a higher prevalence of after-hours medical practitioner services was associated with increased antibiotic use.

JOURNAL OF ANTIMICROBIAL CHEMOTHERAPY (2021)

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Article Multidisciplinary Sciences

Estimating the effect of health assessments on mortality, physical functioning and health care utilisation for women aged 75 years and older

Xenia Dolja-Gore et al.

Summary: This study compared long-term health outcomes for women aged 75 years or older who had a health assessment versus those who did not. The results showed that women who had an assessment had higher utilization of health services, longer survival, and better physical functioning compared to those who did not have an assessment.

PLOS ONE (2021)

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Article Environmental Sciences

National Trends and Policy Impacts on Provision of Home Medicines Reviews and Residential Medication Management Reviews in Older Australians, 2009-2019

Janet K. Sluggett et al.

Summary: Between 2009 and 2019, there were slight increases in the provision rates of Home Medicines Review (HMR) and Residential Medication Management Review (RMMR) among older Australians, but significant decreases were observed after program changes in March 2014, indicating that the changes restricted access to subsidized medicines reviews and resulted in marked decreases in service provision.

INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH (2021)

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Article Primary Health Care