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Public policy and the dependency of nursing home residents in Australia: 1968-69 to 2006-07

  • Gargett, Susan
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    Objective The purpose of this paper is to derive annual estimates of the aggregate dependency of the nursing home population in Australia, and to use these data to consider the impact of Government policies to target nursing home services to those with high care-needs/dependency. Two related tools, the 'Aggregate Dependency Value' and 'Aggregate Dependency Index', have been constructed using the principles of case-mixed based systems, to quantify the aggregate dependency of residents. Data on all residents 1968-1969 to 2006-2007, and on newly admitted residents 1992-1993 to 2006-2007 have been derived and analysed.Methods To construct the tools, the percent of residents classified into various dependency categories were weighted by proxy measures of their dependency. These were summed, and converted into index numbers to estimate rates of change in the aggregate dependency of residents. The derived data were used to consider possible impacts of the policies.Results The data indicate that the dependency of residents has, for the most part, increased over recent decades but that the rate of the increase has varied. An increase in the dependency of residents corresponds with the policies' objectives.Conclusions The tools extend the ways the dependency of nursing home residents in Australia can be assessed. The estimates support the effectiveness of the Government's targeting policies but causal relationships have not been estimated.

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    File URL: http://www.sciencedirect.com/science/article/B6V8X-4YB84HR-1/2/d353ae5b1c76121de37d1e90e1d11bbc
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    Article provided by Elsevier in its journal Health Policy.

    Volume (Year): 96 (2010)
    Issue (Month): 2 (July)
    Pages: 143-153

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    Handle: RePEc:eee:hepoli:v:96:y:2010:i:2:p:143-153
    Contact details of provider: Web page: http://www.elsevier.com/locate/healthpol

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    1. Mitchell, Deborah & Harding, Ann & Gruen, Fred, 1994. "Targeting Welfare," The Economic Record, The Economic Society of Australia, vol. 70(210), pages 315-40, September.
    2. Timothy A. Waidmann & Korbin Liu, 2000. "Disability Trends Among Elderly Persons and Implications for the Future," Journals of Gerontology: Series B, Gerontological Society of America, vol. 55(5), pages S298-S307.
    3. ., 1991. "Annual Report 1991," Papers 1991, Tasmania - Department of Economics.
    4. Gaetan Lafortune & Gaƫlle Balestat, 2007. "Trends in Severe Disability Among Elderly People: Assessing the Evidence in 12 OECD Countries and the Future Implications," OECD Health Working Papers 26, OECD Publishing.
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