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The dynamics of residential aged care in Australia: 8 year trends in admission, separations and dependency


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Andrews-Hall, S, Howe, A and Robinson, AL 2007 , 'The dynamics of residential aged care in Australia: 8 year trends in admission, separations and dependency' , Australian Health Review, vol. 31, no. 4 , pp. 611-622 .

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The aims of this paper are to analyse changes in
dependency of residents in residential aged care
homes consequent upon the passing of the Commonwealth
Aged Care Act in late 1997, and to
establish the extent of resultant changes in the
dynamics of residential aged care. The paper
outlines the major changes brought by the Aged
Care Act, and evidence for the effects of these
changes is examined to test the hypothesis that
changes in dependency generated changes in
turnover and length of stay. The findings show that
the proportion of admissions classified at higher
categories of the Resident Classification Scale
has increased over time, and that the trend to
higher classification is even more pronounced by
the time residents separate. As funding of residential
aged care is based on resident dependency,
change in dependency and in the dynamics of the
aged care system have potentially significant consequences
for Commonwealth funding of providers
to ensure care can be provided commensurate
with resident needs. The conclusions take up a
number of implications of the findings for future
policy in relation to planning and funding of residential
aged care as a new resident funding
system based on the Aged Care Funding Instrument
(ACFI) is phased in from mid 2007.

Item Type: Article
Authors/Creators:Andrews-Hall, S and Howe, A and Robinson, AL
Journal or Publication Title: Australian Health Review
Publisher: Australian Hospital Association
ISSN: 0156-5788
Additional Information:

Copyright ©2007 Australasian Medical Publishing Company Pty. Ltd.

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