Evidence map›Paper›PMID 37070244›Full record

ArticleAustralasian journal on ageing2023

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

Maria C Inacio, Luke Collier, Tracy Air, Kailash Thapaliya, Maria Crotty, Helena Williams, Steve L Wesselingh, Andrew Kellie, David Roder, Adrienne Lewis and 6 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Australasian journal on ageing, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
3.1field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 5 institutions in 1 country.

Maria C InacioRegistry of Senior Australians (ROSA), South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0001-8261-2665
Luke CollierRegistry of Senior Australians (ROSA), South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
Tracy AirRegistry of Senior Australians (ROSA), South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
Kailash ThapaliyaRegistry of Senior Australians (ROSA), South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
Maria CrottyCollege of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.
Helena WilliamsSilver Chain Group, South Australia, Australia.
Steve L WesselinghSouth Australian Health and Medical Research Institute (SAHMRI), Adelaide, South Australia, Australia.
Andrew KellieEast Adelaide Healthcare, Newton, South Australia, Australia.
David RoderUniSA Allied Health and Human Performance, University of South Australia, Adelaide, South Australia, Australia.
Adrienne LewisSA Health Dental Service, Adelaide, South Australia, Australia.
Gillian HarveyCollege of Nursing and Health Sciences, Flinders University, Bedford Park, South Australia, Australia.
Janet K SluggettRegistry of Senior Australians (ROSA), South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
Monica CationsCollege of Education, Psychology and Social Work, Flinders University, Bedford Park, South Australia, Australia.ORCID https://orcid.org/0000-0002-9262-0463
Tiffany K GillRegistry of Senior Australians (ROSA), South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
Jyoti KhadkaRegistry of Senior Australians (ROSA), South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.
Gillian E CaugheyRegistry of Senior Australians (ROSA), South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0003-1192-4121
South Australian Health and Medical Research Institute · AUFlinders University · AUUniversity of South Australia · AUIP Australia · AUSA Health · AU

Funding

Medical Research Future Fund Primary Health Care Research Grant (MRFF1200056)National Health and Medical Research Council (NHMRC) Investigator Grant (GNT119378)NHMRC Early Career Fellowship (GNT1156439)The Hospital Research Foundation Mid-Career Fellowship (MCF-27-2019)
6 · The paper itself

Abstract

objectivesTo examine the incidence and trends in primary care, allied health, geriatric, pain and palliative care service use by permanent residential aged care (PRAC) residents and the older Australian population.

methodsRepeated cross-sectional analyses on PRAC residents (N = 318,484) and the older (≥65 years) Australian population (N ~ 3.5 million). Outcomes were Medicare Benefits Schedule (MBS) subsidised primary care, allied health, geriatric, pain and palliative services between 2012-13 and 2016-17. GEE Poisson models estimated incidence rates and incidence rate ratios (IRR).

resultsIn 2016-17, PRAC residents had a median of 13 (interquartile range [IQR] 5-19) regular general medical practitioner (GP) attendances, 3 (IQR 1-6) after-hours attendances and 5% saw a geriatrician. Highlights of utilisation changes from 2012-13 to 2016-17 include the following: GP attendances increased by 5%/year (IRR = 1.05, 95% confidence interval [CI] 1.05-1.05) for residents compared to 1%/year (IRR = 1.01, 95%CI 1.01-1.01) for the general population. GP after-hours attendances increased by 15%/year (IRR = 1.15, 95%CI 1.14-1.15) for residents and 9%/year (IRR = 1.08, 95%CI 1.07-1.20) for the general population. GP management plans increased by 12%/year (IRR = 1.12, 95%CI 1.11-1.12) for residents and 10%/year (IRR = 1.10, 95%CI 1.09-1.11) for the general population. Geriatrician consultations increased by 28%/year (IRR = 1.28, 95%CI 1.27-1.29) for residents compared to 14%/year (IRR = 1.14, 95%CI 1.14-1.15) in the general population.

conclusionsThe utilisation of most examined services increased in both cohorts over time. Preventive and management care, by primary care and allied health care providers, was low and likely influences the utilisation of other attendances. PRAC residents' access to pain, palliative and geriatric medicine services is low and may not address the residents' needs.

Indexed as

National Health ProgramsPatient Acceptance of Health CareAgedAustraliaCross-Sectional StudiesHumansPainepidemiologyhealth services for the agedpalliative careprimary health careresidential facilities

Identifiers

PMID37070244
PMCPMC10947441
OpenAlexW4366239909

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.