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- Title
Assessing patterns of home and community care service use and client profiles in Australia: a cluster analysis approach using linked data.
- Authors
Kendig, Hal; Mealing, Nicole; Carr, Rachel; Lujic, Sanja; Byles, Julie; Jorm, Louisa
- Abstract
The planning and delivery of care systems require knowledge on the ways in which individuals access available services that are funded by a range of health and community services. The aims of this study were to identify distinct groups of Home and Community Care (HACC) clients in New South Wales, Australia, based on patterns of actual service use, and to understand the health and social needs and resources of client groups that access different mixes of services. Multiple data sets linked at the individual level - including the 45 and Up Study community survey, the HACC Minimum Data Set and the Admitted Patient Data Collection for hospitals - provide an innovative basis to investigate the complexity of access to service use. Data were collected between 2006 and 2008. A cluster analysis based on clients' type and volume of community service use was conducted on the 4890 HACC clients in the linked dataset and nine distinct clusters of clients were identified. Three of these clusters were considered 'complex', in terms of the range of community and hospital assistance received, while the others comprised mainly of one or two dominant service types. The analytical approach and findings developed here provide a client-centred approach to monitor and evaluate access to local service systems that are being reformed to better integrate the delivery of health and community services currently funded and managed separately by national and state governments.
- Subjects
NEW South Wales; CLUSTER analysis (Statistics); COMMUNITY health services; DATABASE management; ECONOMICS; HEALTH services accessibility; HOME nursing; INFORMATION storage &; retrieval systems; MEDICAL databases; INTEGRATED health care delivery; LONGITUDINAL method; MEDICAL needs assessment; MEDICAL care use; ELECTRONIC health records; NUTRITION; RESEARCH funding; SYSTEM analysis; TRANSPORTATION; SECONDARY analysis; SOCIAL support; SOCIAL services case management; PLANNING techniques
- Publication
Health & Social Care in the Community, 2012, Vol 20, Issue 4, p375
- ISSN
0966-0410
- Publication type
Article
- DOI
10.1111/j.1365-2524.2011.01040.x