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  • The association between cognitive impairment and community service use patterns in older people living in Australia

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    Author(s)
    Vecchio, Nerina
    Fitzgerald, Janna A
    Radford, Katrina
    Fisher, Ron
    Griffith University Author(s)
    Radford, Katrina P.
    Fitzgerald, Anneke A.
    Year published
    2016
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    Abstract
    Family plays a vital role in supporting individuals with dementia to reside in the community, thus delaying institutionalisation. Existing research indicates that the burden of care-giving is particularly high for those caring for a person with dementia. Yet, little is known about the uptake of community services by people with a diagnosis of dementia. Therefore, this study aims to better understand the relationship between cognitive impairment and the receipt of community care services. In order to examine the relationship, secondary data collected across Queensland, Australia, from 59,352 home-care clients aged 65 and over ...
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    Family plays a vital role in supporting individuals with dementia to reside in the community, thus delaying institutionalisation. Existing research indicates that the burden of care-giving is particularly high for those caring for a person with dementia. Yet, little is known about the uptake of community services by people with a diagnosis of dementia. Therefore, this study aims to better understand the relationship between cognitive impairment and the receipt of community care services. In order to examine the relationship, secondary data collected across Queensland, Australia, from 59,352 home-care clients aged 65 and over during 2007–2008 are analysed. This cross-sectional study uses regression analyses to estimate the relationship between cognitive impairment and service mix, while controlling for socio-demographic characteristics. The dependent variables include formal services, informal care and total home-care service hours during a 12-month period. The findings of this study demonstrate that cognitive impairment is associated with accessing more hours of respite and day centre care but fewer hours of other formal care services. Additionally, the likelihood of support from an informal caregiver increases when a client becomes cognitively impaired. Therefore, this study demonstrates that there is an increased need for respite programmes to support informal caregivers in the future, as the population of people living with dementia increases. These findings support the need for investigations of new and innovative respite models in the future.
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    Journal Title
    Health and Social Care in the Community
    DOI
    https://doi.org/10.1111/hsc.12212
    Copyright Statement
    © 2016 John Wiley & Sons Ltd. This is the peer reviewed version of the following article: The association between cognitive impairment and community service use patterns in older people living in Australia, Health & Social Care in the Community, Vol. 24 (3), pp. 321-333, 2016 which has been published in final form at http://dx.doi.org/10.1111/hsc.12212. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html)
    Note
    This publication has been entered into Griffith Research Online as an Advanced Online Version.
    Subject
    Health and community services
    Business systems in context not elsewhere classified
    Social work
    Publication URI
    http://hdl.handle.net/10072/131528
    Collection
    • Journal articles

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