Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/138037
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dc.contributor.authorRahja, M.-
dc.contributor.authorAir, T.-
dc.contributor.authorAhern, S.-
dc.contributor.authorWard, S.A.-
dc.contributor.authorCaughey, G.E.-
dc.contributor.authorSluggett, J.K.-
dc.contributor.authorCations, M.-
dc.contributor.authorLin, X.-
dc.contributor.authorWallis, K.-
dc.contributor.authorCrotty, M.-
dc.contributor.authorInacio, M.C.-
dc.date.issued2022-
dc.identifier.citationJournal of Alzheimer's Disease, 2022; 88(4):1511-1522-
dc.identifier.issn1387-2877-
dc.identifier.issn1875-8908-
dc.identifier.urihttps://hdl.handle.net/2440/138037-
dc.description.abstractBackground: Studies related to clinical quality indicators (CQIs) in dementia have focused on hospitalizations, medication management, and safety. Less attention has been paid to indicators related to primary and secondary care. Objective: To evaluate the incidence of primary and secondary care CQIs for Australians with dementia using governmentsubsidized aged care. The examined CQIs were: comprehensive medication reviews, 75+ health assessments, comprehensive geriatric assessments, chronic disease management plans, general practitioner (GP) mental health treatment plans, and psychiatrist attendances. Methods: Retrospective cohort study (2011–2016) of 255,458 individuals. National trend analyses estimated incidence rates and 95% confidence intervals (CI) using Poisson or negative binomial regression. Associations were assessed using backward stepwise multivariate Poisson or negative binomial regression model, as appropriate. Funnel plots examined geographic and permanent residential aged care (PRAC) facility variation. Results: CQI incidence increased in all CQIs but medication reviews. For the overall cohort, 75+ health assessments increased from 1.07/1000 person-days to 1.16/1000 person-days (adjusted incidence rate ratio (aIRR) = 1.03, 95%CI 1.02–1.03). Comprehensive geriatric assessments increased from 0.24 to 0.37/1000 person-days (aIRR = 1.12, 95%CI 1.10–1.14). GP mental health treatment plans increased from 0.04 to 0.07/1000 person-days (aIRR = 1.13, 95%CI 1.12–1.15). Psychiatric attendances increased from 0.09 to 0.11/1000 person-days (aIRR = 1.05, 95%CI 1.03–1.07). Being female, older, having fewer comorbidities, and living outside a major city were associated with lower likelihood of using the services. Large geographical and PRAC facility variation was observed (0–92%). Conclusion: Better use of primary and secondary care services to address needs of individuals with dementia is urgently needed.-
dc.description.statementofresponsibilityMiia Rahja, Tracy Air, Susannah Ahern, Stephanie A. Ward, Gillian E. Caughey, Janet K. Sluggett, Monica Cations, Xiaoping Lin, Kasey Wallis, Maria Crotty and Maria C. Inacio-
dc.language.isoen-
dc.publisherIOS Press-
dc.rights© 2022 – IOS Press. All rights reserved.-
dc.source.urihttp://dx.doi.org/10.3233/jad-220336-
dc.subjectDementia; health care; health services for the aged; primary health care; quality indicators; secondary care-
dc.subject.meshHumans-
dc.subject.meshDementia-
dc.subject.meshRisk Factors-
dc.subject.meshRetrospective Studies-
dc.subject.meshAged-
dc.subject.meshQuality Indicators, Health Care-
dc.subject.meshAustralia-
dc.subject.meshFemale-
dc.subject.meshMale-
dc.subject.meshSecondary Care-
dc.titlePrimary and Secondary Care Related Quality Indicators for Dementia Care Among Australian Aged Care Users: National Trends, Risk Factors, and Variation-
dc.typeJournal article-
dc.identifier.doi10.3233/JAD-220336-
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/GNT1152623-
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/GNT119378-
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/GNT1156439-
pubs.publication-statusPublished-
dc.identifier.orcidCaughey, G.E. [0000-0003-1192-4121]-
Appears in Collections:Pharmacology publications

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