Aged care service use in final years of life
A new report from the Australian Institute of Health and Welfare (AIHW) looks at Australians’ use of aged care services towards the end of their lives and finds that while some people only used aged care services in the year before death, others accessed services over several years.
A new report looks at the use of aged care services towards the end of a person's life.
According to the report, Use of aged care services before death, of the about 116,500 people aged 65 years and over who died in Australia in 2010-11, 60% were current clients of aged care programs when they died. On average, the women were aged 85.2 years when they died, and the men were aged 81.5 years.
“Overall, 80% of people who died in 2010-11 aged 65 years or over had used aged care in the eight years before death, and 75% used an aged care service in the 12 months before their death,” says Justine Boland, AIHW spokesperson.
Almost half (47%) began using aged care more than four years before their death.
People who died aged 85 years and older were much more likely to have used care before death than those who died at younger ages (91%, compared to 57% of people aged 65-74 at death).
In all age groups, there was increased take up of care in the last six months of life. This was particularly true of people who died aged 65 to 74 years.
Just more than 10% of all program clients stopped using aged care in the last three months before death. This was possibly due to admission into hospital or specialist palliative care.
The report also looks at the types of aged care services people used in the years before their death.
The majority of program users (a little more than 80%) first used community care, usually accessing the Home and Community Care (HACC) program. Permanent residential care was the first program used by one in 10.
It was fairly common for people to use only community care (40% of program users) or both community care and residential care (46%) in their last years of life. Just 10% only used permanent residential aged care.
Permanent residential aged care was the final program used by more than half (54%) of the people who used aged care, and a further 36% finished their care as a HACC client.
Download the full Use of aged care services before death AIHW report.
