Joanna B Broad1, Toni Ashton2, Merryn Gott3, Heather McLeod4, Peter B Davis5, Martin J Connolly6. 1. Freemasons' Department of Geriatric Medicine, Faculty of Medicine and Health Sciences, University of Auckland, New Zealand. 2. Health Systems, School of Population Health, University of Auckland, New Zealand. 3. School of Nursing, University of Auckland, New Zealand. 4. Burden of Disease Epidemiology, Equity and Cost-Effectiveness Programme (BODE3), University of Otago, New Zealand. 5. COMPASS Research Centre, University of Auckland, New Zealand. 6. Waitemata District Health Board, New Zealand.
Abstract
OBJECTIVES: In New Zealand (NZ), place of death among decedents aged 65+ years has been reported as residential aged care (RAC, 38%), acute hospital (34%) or elsewhere (28%). However, lifetime risk of use of RAC (or nursing homes) is unknown. A simple method of estimation is demonstrated for NZ and Australia, with comparisons to other countries. METHODS: Deaths of RAC residents in acute hospitals were estimated for NZ from four separate studies and added to deaths occurring in RAC, to derive the likelihood of using RAC after age 65 years. Academic and other sources were searched for comparative reports. RESULTS: An estimated 18% of RAC residents died in acute hospital in NZ. When added to those who died in RAC, the proportion using RAC for late-life care was estimated at over 47% (66% if aged 85+ years). Of 12 US reports, the median report was 41%. Elsewhere, Finland was 47%, UK 28%, Australia 34% to 53%, and Germany 22% & 26%. CONCLUSIONS: Simple estimation using existing data demonstrates that RAC in late life is common. IMPLICATIONS: Late-life care services will continue to evolve. Monitoring RAC utilisation is necessary for informed debate about palliative care provision in RAC, use of hospital by RAC residents and for planning and policy setting.
OBJECTIVES: In New Zealand (NZ), place of death among decedents aged 65+ years has been reported as residential aged care (RAC, 38%), acute hospital (34%) or elsewhere (28%). However, lifetime risk of use of RAC (or nursing homes) is unknown. A simple method of estimation is demonstrated for NZ and Australia, with comparisons to other countries. METHODS: Deaths of RAC residents in acute hospitals were estimated for NZ from four separate studies and added to deaths occurring in RAC, to derive the likelihood of using RAC after age 65 years. Academic and other sources were searched for comparative reports. RESULTS: An estimated 18% of RAC residents died in acute hospital in NZ. When added to those who died in RAC, the proportion using RAC for late-life care was estimated at over 47% (66% if aged 85+ years). Of 12 US reports, the median report was 41%. Elsewhere, Finland was 47%, UK 28%, Australia 34% to 53%, and Germany 22% & 26%. CONCLUSIONS: Simple estimation using existing data demonstrates that RAC in late life is common. IMPLICATIONS: Late-life care services will continue to evolve. Monitoring RAC utilisation is necessary for informed debate about palliative care provision in RAC, use of hospital by RAC residents and for planning and policy setting.
Authors: Gustavo Duque; Stephen R Lord; Jenson Mak; Kirtan Ganda; Jacqueline J T Close; Peter Ebeling; Alexandra Papaioannou; Charles A Inderjeeth Journal: J Am Med Dir Assoc Date: 2016-06-24 Impact factor: 4.669
Authors: Kimberly E Lind; Magdalena Z Raban; Lindsey Brett; Mikaela L Jorgensen; Andrew Georgiou; Johanna I Westbrook Journal: Popul Health Metr Date: 2020-10-08