Published Papers - Abstract 1058

Rahman M & Byles J Older women’s patterns of home and community care use and residential transition: An Australian cohort study. . Maturitas, 2020; 131: 28-33

Objective: To examine whether patterns of home and community care (HACC) use and person-based characteristics were associated with time to enter permanent residential aged care (RAC).Study design: A prospective cohort study. The sample consisted of 8062 participants of the Australian Longitudinal Study on Women’s Health who used HACC services between 2001 and 2014.Main outcome measures: Time from first HACC use to enter permanent RAC. The median follow-up time was 63 months. Factors associated with time to enter RAC were identified using competing risk regression models.Results: Of the 8062 participants, 60% belonged to the ‘basic HACC’ group, who used few services minimally; 16% belonged to the ‘moderate HACC’ group, who predominantly used domestic assistance with moderate use of other services; and 24% belonged to the ‘complex HACC’ group, who used many services frequently. Being a member of the complex HACC group was associated with a lower cumulative incidence of RAC than basic or moderate HACC (chances 15% versus 30% by the median observation period, p?Return