Pathways through home care for people with dementia in Australia: 51st Annual Australian Association of Gerontology Conference 2018, Melbourne, Australia

Joel van Weel, Joanne Enticott, Emma Renehan, Kaye E. Ervin

Research output: Contribution to conferenceAbstractpeer-review


Oral presentation: Progressive aged care reforms are shifting dementia care into the community. These efforts have been shown to prevent transition to residential aged care facilities and hospitals. There is a paucity of studies examining the pathways through home care services for people living with dementia. This study aims to address the current knowledge gap by describing and comparing the demographics and patterns of home care service use for people with and without dementia. A retrospective secondary data analysis was conducted using routine data prospectively collected from a cohort (n= 2,703 with dementia matched to 9,224 without dementia; total 11,927) using a community home nursing service in metropolitan Melbourne, Australia in 2014. Descriptive statistics compared individuals with and without dementia on client-level demographics, referral pathways and patterns of service use. A comparative analysis on select variables was also performed using a conditional Poisson regression to estimate risk ratios (RR). Compared to older adults without dementia, people with dementia were more likely to be born overseas (RR 1.10, 95% CI [1.03-1.19]), require an interpreter (RR 1.41 [1.26-1.59]), have an informal carer (RR 1.36 [1.28-1.44]) and live with family (RR 1.09 [1.01-1.16]). When examining an individual’s pathway through home care, people with dementia were more likely to require acute care (RR 1.07 [1.01-1.14]) and be discharged from home care with personal care services (RR 1.46 [1.24-1.72]). People with dementia were less likely to be referred from a hospital (RR 0.73 [0.69-0.77]), achieve their home care goals (RR 0.91 [0.87-0.94]), or die whilst in receipt of home care services (RR 0.82 [0.72-0.94]). This study exemplifies the value of using routine administrative data to better understand a population of home care clients. The results will guide policymakers, service providers and community health organisations to the variations in socio-demographic characteristics and care pathways for people with dementia.
Original languageEnglish
Publication statusPublished - 2018

Cite this