Abstract
Objectives
To examine the use of residential respite care and determine associations between
respite care and total days spent in residential care (respite days plus long-term
care days).
Design
A retrospective cohort study of individuals accessing aged care services in Australia
using the National Historical Cohort of the Registry of Senior Australians was conducted.
Setting
Residential respite care (short stays in residential aged care homes) and long-term
residential care accessed in all government-subsidized residential aged care homes
in Australia.
Participants
This study included people who were approved for government-subsidized residential
respite care between January 2005 and June 2012 (n = 480,862) and included a 2-year
follow-up period.
Methods
Poisson regression models were used to examine associations between use of residential
respite care and number of days spent in residential care.
Results
Of people approved for residential respite care, 36.9% used their approval within
12 months (32.0% used respite once and went directly to long-term care without returning
home, 40.7% used respite once and did not go directly to long-term care, and 27.3%
used respite ≥2 times). Compared with people who did not use respite care, using respite
care once and not going directly to long-term care was associated with less total
days in residential care [incidence rate ratio (IRR) 0.68, 95% confidence interval
(CI) 0.67-0.69; P < .001] and using respite care ≥2 times was also associated with fewer days (IRR
0.86, 95% CI 0.84-0.87, P < .001). Using respite care once and going directly to long-term care was associated
with more days in residential care (IRR 1.11, 95% CI 1.10-1.12, P < .001).
Conclusions and Implications
Using residential respite care was associated with fewer days spent in residential
care when people returned home after using respite. The findings suggest that using
residential respite as intended by returning home after use achieves the goal of helping
people stay living at home longer.
Keywords
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Article info
Publication history
Published online: October 23, 2019
Footnotes
This work is supported by the South Australian Government, Department for Innovation and Skills (2017-2021).
The authors declare no conflicts of interest.
Identification
Copyright
© 2019 AMDA - The Society for Post-Acute and Long-Term Care Medicine.
