Evidence map›Paper›PMID 37860887›Full record

ArticleGeriatrics & gerontology international2023

An exploration of healthcare use in older people waiting for and receiving Australian community-based aged care services.

Laura C Edney, Hossein Haji Ali Afzali, Renuka Visvanathan, Barbara Toson, Jonathan Karnon

Abstract read
In one paragraph

Article in Geriatrics & gerontology international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Article
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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

5 authors.

Laura C EdneyFlinders Health and Medical Research Institute, Flinders University, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0002-2447-4118
Hossein Haji Ali AfzaliFlinders Health and Medical Research Institute, Flinders University, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0002-0198-8394
Renuka VisvanathanAged and Extended Care Services, Queen Elizabeth Hospital and Basil Hetzel Institute, Central Adelaide Local Health Network, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0002-1303-9479
Barbara TosonCollege of Medicine and Public Health, Flinders University, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0001-6661-9971
Jonathan KarnonFlinders Health and Medical Research Institute, Flinders University, Adelaide, South Australia, Australia.ORCID https://orcid.org/0000-0003-3220-2099

Funding

This research was supported by a grant from Flinders Foundation (Health Seed Grant).
6 · The paper itself

Abstract

aimHome care packages (HCPs) facilitate older individuals to remain at home, with longer HCP wait times associated with increased mortality risk. We analyze healthcare cost data pre- and post-HCP access to inform hypotheses around the effects of healthcare use and mortality risk.

methodsRegression models were used to assess the impact of delayed HCP access on healthcare costs and to compare costs whilst waiting and in the 6- and 12 month periods post-HCP access for 16 629 older adults.

resultsAverage wait time for a HCP was 89.7 days (SD = 125.6) during the study period. Wait-time length had no impact on any healthcare cost category or time period. However, total per day healthcare costs were higher in the 6 and 12 months post-receipt of a HCP (AU$61.5, AU$63, respectively) compared with those in the time waiting for a HCP (AU$48.1). Inpatient care accounted for a higher proportion of total healthcare costs post-HCP (AU$45.1, AU$46.3, respectively) compared with in the wait time (AU$30.6), whilst spending on medical services and pharmaceuticals reduced slightly in the 6 month (AU$7.1, AU$6.3) and 12 month (AU$7.2, AU$6.3) post-HCP periods compared with in the wait time (AU$7.9, AU$7.1).

conclusionsIncreased spending post-HCP on inpatient care or non-health support afforded by HCPs may offer protective effects for mortality and risk of admission to aged care. Further research should explore the association between delayed access to inpatient care for geriatric syndromes and mortality to inform recommendations on extensions to residential care outreach services into the community to improve the timely identification of the need for inpatient care. Geriatr Gerontol Int 2023; 23: 899-905.

Indexed as

Community Health ServicesHome Care ServicesAgedAustraliaDelivery of Health CareHospitalizationHumansaged carehealthcare costshome-care packageolder Australianswait time

Identifiers

PMID37860887
PMCPMC11503569

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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.