ArticleThe journal of nutrition, health & aging2019
Prolonged Wait Time Prior to Entry to Home Care Packages Increases the Risk of Mortality and Transition to Permanent Residential Aged Care Services: Findings from the Registry of Older South Australians (ROSA).
Article in The journal of nutrition, health & aging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Development of Guidelines for Implementing Digital Technology Into In-Home Aged Care: Mixed Methods Approach.JMIR formative research · 2026Article
- Older adults with advanced chronic illness and emergency department care: the hermeneutic stories of Bill, Edie and Nicole.BMC geriatrics · 2026Article
- At home until the end? A qualitative study of experiences of in-home aged care programs in the context of caring for older adults with a life-limiting illness.Palliative care and social practice · 2026Article
- Multidimensional Stratification ofHealthcare (Basel, Switzerland) · 2025Article
- Comprehensive analysis of Australia's aged care system to inform policies for a sustainable future.Frontiers in public health · 2025Article
- An exploration of healthcare use in older people waiting for and receiving Australian community-based aged care services.Geriatrics & gerontology international · 2023Article
- Investigating community-based care service factors delaying residential care home admission of community dwelling older adults and cost consequence.Age and ageing · 2023Article
- Article
- Antipodean Perspectives-Aged Care Nursing and the Multifaceted Role of the Aged Care Nurse.Nursing reports (Pavia, Italy) · 2022Article
- Health status and healthcare trends of individuals accessing Australian aged care programmes over a decade: the Registry of Senior Australians historical cohort.Internal medicine journal · 2021Article
- The Frailty In Residential Sector over Time (FIRST) study: methods and baseline cohort description.BMC geriatrics · 2021Article
- Housing and Care for Older Women in Australia.Frontiers in public health · 2021Article
- Factors associated with accessing aged care services in Australia after approval for services: Findings from the historical cohort of the Registry of Senior Australians.Australasian journal on ageing · 2020Article
- Using elastic nets to estimate frailty burden from routinely collected national aged care data.Journal of the American Medical Informatics Association : JAMIA · 2020Article
- Perspectives of Caring for Older Persons: A Scoping Review.Journal of primary care & community healthArticle
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOlder Australians prefer to live in their own homes for longer and reforms have attempted to increase the volume of home care packages (HCPs) accordingly but there remains a queue with the longer-term consequences unclear.
objectivesThis study aims to characterise older Australians according to their wait times for a home care package (HCP), evaluate the association between wait time and mortality and evaluate the association between wait time and transition to permanent residential aged care services after HCP.
designA retrospective cohort study using data from the National Historical cohort (2003-2014) of the Registry of Older South Australians (ROSA) was conducted.
settingHome based aged care services, national cohort.
methodsWait time was estimated from approval date to date of receiving a HCP. Descriptive, survival estimates (95% confidence intervals (CIs)), and multivariable survival analyses (Cox-regression) were conducted to evaluate the risk of mortality and transition to permanent residential aged care services by quartiles of wait time for HCP.
resultsThe cohort was followed for 4.0 years (interquartile range IQR (1.8-7.2)) and 38% were alive at the end of the study period with a median wait time for HCP of 62 (21-187) days. From 178,924 older people who received a HCP during the study period (2003-2013), 33.2% people received HCP within 30 days, 74.3% within 6 months and 25.7% after 6 months. The effect of wait time on risk of mortality was time-dependent, with longer wait times associated with higher mortality in the longer term. Compared to people who waited ≤30 days for a HCP, individuals who waited more than 6 months had an almost 20% excess risk of death (adjusted hazard ratio (aHR), 95%CI = (1.18, 1.16-1.21)) 2 years after entry into a HCP. Those who waited more than 6 months also had a 10% (1.10, 1.06-1.13) higher risk of transition to permanent residential aged care services after two years.
conclusionProlonged wait times for HCP is associated with a higher risk of long-term mortality as well as transition to permanent residential aged care. It remains to be seen if a shortening of this wait time translates into better health outcomes.
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