Residential aged care in Auckland, New Zealand 1988-2008: do real trends over time match predictions?

Background: in Auckland, New Zealand in 1988, 7.7% of those aged over 65 years lived in licenced residential aged care. Age-specific rates approximately doubled for each 5-year age group after the age of 65 years. Even with changes in policies and market forces since 1988, population increases are f...

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Veröffentlicht in:Age and ageing 2011-07, Vol.40 (4), p.487-494
Hauptverfasser: Broad, Joanna B., Boyd, Michal, Kerse, Ngaire, Whitehead, Noeline, Chelimo, Carol, Lay-Yee, Roy, von Randow, Martin, Foster, Susan, Connolly, Martin J.
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container_end_page 494
container_issue 4
container_start_page 487
container_title Age and ageing
container_volume 40
creator Broad, Joanna B.
Boyd, Michal
Kerse, Ngaire
Whitehead, Noeline
Chelimo, Carol
Lay-Yee, Roy
von Randow, Martin
Foster, Susan
Connolly, Martin J.
description Background: in Auckland, New Zealand in 1988, 7.7% of those aged over 65 years lived in licenced residential aged care. Age-specific rates approximately doubled for each 5-year age group after the age of 65 years. Even with changes in policies and market forces since 1988, population increases are forecast to drive large growth in demand. This study shows previously unrecognised 20-year trends in rates of care in a geographically defined population. Methods: four cross-sectional surveys of all facilities (rest homes and hospitals) licenced for long-term care of older people were conducted in Auckland, New Zealand in 1988, 1993, 1998 and 2008. Facility staff completed survey forms for each resident. Numbers of licenced and occupied beds and trends in age-specific and age-standardised rates in residential aged care are reported. Results: over the 20-year period, Auckland's population aged over 65 years increased by 43% (from 91,000 to 130,000) but actual numbers in care reduced slightly. Among those aged over 65 years, the proportion living in care facilities reduced from 1 in 13 to 1 in 18. Age-standardised rates in rest-home level care reduced from 65 to 33 per thousand, and in hospital level care, from 29 to 23 per thousand. Had rates remained stable, over 13,200 people, 74% more than observed, would have been in care in 2008. Conclusion: growth predicted in the residential aged care sector is not yet evident. The introduction of standardised needs assessments before entry, increased availability of home-based services, and growth in retirement villages may have led to reduced utilisation.
doi_str_mv 10.1093/ageing/afr056
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Age-specific rates approximately doubled for each 5-year age group after the age of 65 years. Even with changes in policies and market forces since 1988, population increases are forecast to drive large growth in demand. This study shows previously unrecognised 20-year trends in rates of care in a geographically defined population. Methods: four cross-sectional surveys of all facilities (rest homes and hospitals) licenced for long-term care of older people were conducted in Auckland, New Zealand in 1988, 1993, 1998 and 2008. Facility staff completed survey forms for each resident. Numbers of licenced and occupied beds and trends in age-specific and age-standardised rates in residential aged care are reported. Results: over the 20-year period, Auckland's population aged over 65 years increased by 43% (from 91,000 to 130,000) but actual numbers in care reduced slightly. Among those aged over 65 years, the proportion living in care facilities reduced from 1 in 13 to 1 in 18. Age-standardised rates in rest-home level care reduced from 65 to 33 per thousand, and in hospital level care, from 29 to 23 per thousand. Had rates remained stable, over 13,200 people, 74% more than observed, would have been in care in 2008. Conclusion: growth predicted in the residential aged care sector is not yet evident. The introduction of standardised needs assessments before entry, increased availability of home-based services, and growth in retirement villages may have led to reduced utilisation.</description><identifier>ISSN: 0002-0729</identifier><identifier>EISSN: 1468-2834</identifier><identifier>DOI: 10.1093/ageing/afr056</identifier><identifier>PMID: 21628389</identifier><identifier>CODEN: AANGAH</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Age differences ; Age groups ; Aged ; Aged, 80 and over ; Auckland ; Auckland, New Zealand ; Cross-Sectional Studies ; Elder care ; Female ; Forecasts and trends ; Health Care Surveys ; Health services ; Health Services Needs and Demand - trends ; Home Care Services - trends ; Homes for the Aged - trends ; Homes for the Aged - utilization ; Hospital Bed Capacity ; Hospitalization - trends ; Hospitals ; Humans ; In care ; Long term care ; Long-term care of the sick ; Male ; Market trend/market analysis ; Needs Assessment - trends ; New Zealand ; Nursing homes ; Nursing Homes - trends ; Nursing Homes - utilization ; Older people ; Surveys ; Time Factors ; Trends</subject><ispartof>Age and ageing, 2011-07, Vol.40 (4), p.487-494</ispartof><rights>The Author 2011. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com 2011</rights><rights>Copyright Oxford Publishing Limited(England) Jul 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c493t-5c4638dc4349d7db07866fb278626f380fdc01a744a55205f85e5acc7c47edbd3</citedby><cites>FETCH-LOGICAL-c493t-5c4638dc4349d7db07866fb278626f380fdc01a744a55205f85e5acc7c47edbd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,1584,27865,27924,27925,30999,31000</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21628389$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Broad, Joanna B.</creatorcontrib><creatorcontrib>Boyd, Michal</creatorcontrib><creatorcontrib>Kerse, Ngaire</creatorcontrib><creatorcontrib>Whitehead, Noeline</creatorcontrib><creatorcontrib>Chelimo, Carol</creatorcontrib><creatorcontrib>Lay-Yee, Roy</creatorcontrib><creatorcontrib>von Randow, Martin</creatorcontrib><creatorcontrib>Foster, Susan</creatorcontrib><creatorcontrib>Connolly, Martin J.</creatorcontrib><title>Residential aged care in Auckland, New Zealand 1988-2008: do real trends over time match predictions?</title><title>Age and ageing</title><addtitle>Age Ageing</addtitle><description>Background: in Auckland, New Zealand in 1988, 7.7% of those aged over 65 years lived in licenced residential aged care. Age-specific rates approximately doubled for each 5-year age group after the age of 65 years. Even with changes in policies and market forces since 1988, population increases are forecast to drive large growth in demand. This study shows previously unrecognised 20-year trends in rates of care in a geographically defined population. Methods: four cross-sectional surveys of all facilities (rest homes and hospitals) licenced for long-term care of older people were conducted in Auckland, New Zealand in 1988, 1993, 1998 and 2008. Facility staff completed survey forms for each resident. Numbers of licenced and occupied beds and trends in age-specific and age-standardised rates in residential aged care are reported. Results: over the 20-year period, Auckland's population aged over 65 years increased by 43% (from 91,000 to 130,000) but actual numbers in care reduced slightly. Among those aged over 65 years, the proportion living in care facilities reduced from 1 in 13 to 1 in 18. Age-standardised rates in rest-home level care reduced from 65 to 33 per thousand, and in hospital level care, from 29 to 23 per thousand. Had rates remained stable, over 13,200 people, 74% more than observed, would have been in care in 2008. Conclusion: growth predicted in the residential aged care sector is not yet evident. 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Abstracts (ASSIA)</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PAIS Index</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><jtitle>Age and ageing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Broad, Joanna B.</au><au>Boyd, Michal</au><au>Kerse, Ngaire</au><au>Whitehead, Noeline</au><au>Chelimo, Carol</au><au>Lay-Yee, Roy</au><au>von Randow, Martin</au><au>Foster, Susan</au><au>Connolly, Martin J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Residential aged care in Auckland, New Zealand 1988-2008: do real trends over time match predictions?</atitle><jtitle>Age and ageing</jtitle><addtitle>Age Ageing</addtitle><date>2011-07</date><risdate>2011</risdate><volume>40</volume><issue>4</issue><spage>487</spage><epage>494</epage><pages>487-494</pages><issn>0002-0729</issn><eissn>1468-2834</eissn><coden>AANGAH</coden><abstract>Background: in Auckland, New Zealand in 1988, 7.7% of those aged over 65 years lived in licenced residential aged care. Age-specific rates approximately doubled for each 5-year age group after the age of 65 years. Even with changes in policies and market forces since 1988, population increases are forecast to drive large growth in demand. This study shows previously unrecognised 20-year trends in rates of care in a geographically defined population. Methods: four cross-sectional surveys of all facilities (rest homes and hospitals) licenced for long-term care of older people were conducted in Auckland, New Zealand in 1988, 1993, 1998 and 2008. Facility staff completed survey forms for each resident. Numbers of licenced and occupied beds and trends in age-specific and age-standardised rates in residential aged care are reported. Results: over the 20-year period, Auckland's population aged over 65 years increased by 43% (from 91,000 to 130,000) but actual numbers in care reduced slightly. Among those aged over 65 years, the proportion living in care facilities reduced from 1 in 13 to 1 in 18. Age-standardised rates in rest-home level care reduced from 65 to 33 per thousand, and in hospital level care, from 29 to 23 per thousand. Had rates remained stable, over 13,200 people, 74% more than observed, would have been in care in 2008. Conclusion: growth predicted in the residential aged care sector is not yet evident. The introduction of standardised needs assessments before entry, increased availability of home-based services, and growth in retirement villages may have led to reduced utilisation.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>21628389</pmid><doi>10.1093/ageing/afr056</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; PAIS Index; Applied Social Sciences Index & Abstracts (ASSIA); Oxford University Press Journals All Titles (1996-Current); EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Age differences
Age groups
Aged
Aged, 80 and over
Auckland
Auckland, New Zealand
Cross-Sectional Studies
Elder care
Female
Forecasts and trends
Health Care Surveys
Health services
Health Services Needs and Demand - trends
Home Care Services - trends
Homes for the Aged - trends
Homes for the Aged - utilization
Hospital Bed Capacity
Hospitalization - trends
Hospitals
Humans
In care
Long term care
Long-term care of the sick
Male
Market trend/market analysis
Needs Assessment - trends
New Zealand
Nursing homes
Nursing Homes - trends
Nursing Homes - utilization
Older people
Surveys
Time Factors
Trends
title Residential aged care in Auckland, New Zealand 1988-2008: do real trends over time match predictions?
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