dc.contributor.author |
Hikaka, Joanna |
|
dc.contributor.author |
Wu, Zhenqiang |
|
dc.contributor.author |
Bloomfield, Katherine |
|
dc.contributor.author |
Connolly, Martin J |
|
dc.contributor.author |
Boyd, Michal |
|
dc.contributor.author |
Bramley, Dale |
|
dc.coverage.spatial |
Australia |
|
dc.date.accessioned |
2022-12-06T03:00:35Z |
|
dc.date.available |
2022-12-06T03:00:35Z |
|
dc.date.issued |
2022-09 |
|
dc.identifier.citation |
(2022). Australasian Journal on Ageing, 41(3), 473-478. |
|
dc.identifier.issn |
1440-6381 |
|
dc.identifier.uri |
https://hdl.handle.net/2292/62031 |
|
dc.description.abstract |
<h4>Objectives</h4>As people age, they are more likely to require support to maintain activities of daily living. Referral for formal assessment of need (assessed using the 'international Resident Assessment Instrument' [interRAI]) is the first step to access publicly funded services in Aotearoa New Zealand (NZ). It is unclear whether ethnic access inequities present in other areas of the NZ health system occur in this referral process. This exploratory research aimed to explore ethnic variation in referrals for interRAI assessment, and associated factors.<h4>Methods</h4>A retrospective cohort study of all new referrals for aged care services for those 55-plus, received in 2018 by Waitematā District Health Board (WDHB), was conducted. The primary outcome was referral outcome (assessment and no assessment). Secondary outcomes included time from referral to assessment, reason for referral, mortality and, in the assessed cohort, assessment outcome.<h4>Results</h4>New referrals (n = 3263) were ethnically representative of the general older adult population in WDHB. Māori were younger and more likely to be referred for higher-level care needs than non-Māori, non-Pasifika (NMNP) (p = 0.03). There was no significant difference in referral outcome, time to assessment or mortality between ethnicities. NMNP were more likely to access lower-level care services than Māori or Pasifika older adults (p = 0.002).<h4>Conclusions</h4>Ethnicity was not associated with aged care service assessment access once people were referred for publicly funded services, nor was it associated with time to assessment or mortality in this exploratory study. Māori had higher care needs than NMNP at the time of referral. |
|
dc.format.medium |
Print-Electronic |
|
dc.language |
eng |
|
dc.publisher |
Wiley |
|
dc.relation.ispartofseries |
Australasian journal on ageing |
|
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.rights.uri |
https://creativecommons.org/licenses/by-nc-nd/4.0/ |
|
dc.subject |
Humans |
|
dc.subject |
Activities of Daily Living |
|
dc.subject |
Retrospective Studies |
|
dc.subject |
Cohort Studies |
|
dc.subject |
Aged |
|
dc.subject |
Referral and Consultation |
|
dc.subject |
New Zealand |
|
dc.subject |
access to health care |
|
dc.subject |
care services |
|
dc.subject |
geriatrics |
|
dc.subject |
health equity |
|
dc.subject |
long-term care |
|
dc.subject |
Clinical Research |
|
dc.subject |
Aging |
|
dc.subject |
Health Services |
|
dc.subject |
7 Management of diseases and conditions |
|
dc.subject |
8 Health and social care services research |
|
dc.subject |
8.1 Organisation and delivery of services |
|
dc.subject |
7.1 Individual care needs |
|
dc.subject |
Generic health relevance |
|
dc.subject |
3 Good Health and Well Being |
|
dc.subject |
Science & Technology |
|
dc.subject |
Life Sciences & Biomedicine |
|
dc.subject |
Geriatrics & Gerontology |
|
dc.subject |
Gerontology |
|
dc.subject |
HEALTH |
|
dc.subject |
11 Medical and Health Sciences |
|
dc.subject |
16 Studies in Human Society |
|
dc.subject |
17 Psychology and Cognitive Sciences |
|
dc.title |
Referral for publicly funded aged care services in Indigenous populations: An exploratory cohort study of ethnic variation in Aotearoa New Zealand. |
|
dc.type |
Journal Article |
|
dc.identifier.doi |
10.1111/ajag.13073 |
|
pubs.issue |
3 |
|
pubs.begin-page |
473 |
|
pubs.volume |
41 |
|
dc.date.updated |
2022-11-22T01:16:27Z |
|
dc.rights.holder |
Copyright: The authors |
en |
dc.identifier.pmid |
35451157 (pubmed) |
|
pubs.author-url |
https://www.ncbi.nlm.nih.gov/pubmed/35451157 |
|
pubs.end-page |
478 |
|
pubs.publication-status |
Published |
|
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
brief-report |
|
pubs.subtype |
Journal Article |
|
pubs.elements-id |
897842 |
|
pubs.org-id |
Medical and Health Sciences |
|
pubs.org-id |
Nursing |
|
pubs.org-id |
Population Health |
|
pubs.org-id |
Gen.Practice& Primary Hlthcare |
|
pubs.org-id |
School of Medicine |
|
pubs.org-id |
Medicine Department |
|
dc.identifier.eissn |
1741-6612 |
|
pubs.record-created-at-source-date |
2022-11-22 |
|
pubs.online-publication-date |
2022-04-21 |
|