Did general practice health assessments of older Australians improve equity?

Gill, Gerard; Geraghty, Dominic P; FitzGerald, D. G.

doi:10.1071/ah080488

Cited by 10 publications

(11 citation statements)

References 14 publications

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“…Our data supports observations that older women are more proactive in preventative health-seeking behaviour than men of the same age, as evidenced by the sex differential in the number of Medicarefunded health assessments (O'Halloran et al 2006;Byles et al 2007;Chan et al 2008), that remains even after 85 years of age (Gill et al 2008). In 2009-2010, our data shows that six states provided more than 15,000 services per 100,000 population (age standardised rate), except for NT and ACT.…”

Section: Comparison With Previous Researchsupporting

confidence: 78%

“…Lack of awareness of the 75+ HA process itself may also contribute to low response rates or refusal to participate. A study revealed that close to 20% of older adults who had never undergone a 75+HA refused to participate (Chew et al 1994b), In contrast, patients who had undertaken the 75+HA perceived that it was beneficial to their wellbeing (Gill et al 2008;Spillman et al 2012) and that they were likely to repeat the assessment at a later date (Chew et al 1994b).…”

Section: Comparison With Previous Researchmentioning

confidence: 99%

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Trends in uptake of the 75+ health assessment in Australia: a decade of evaluation

Hamirudin

Ghosh²,

Charlton

et al. 2015

Aust. J. Prim. Health

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In Australia, older adults aged 75+ years are encouraged to avail themselves of the comprehensive 75+ health assessment (75+ HA) to identify medical conditions and highlight potential risk factors for poor health. However, uptake of this item has been reported to be low. This study aimed to identify the uptake of the 75+ HA within regional areas of New South Wales and compare this against state and national trends over an 11-year period. Data on uptake of the 75+ HA for item numbers 700 and 702, from 1999 until 2010, were obtained from the Medicare Australia portal and Department of Health and Ageing databases. Trends over time were collated and compared at the regional, state and national level. The study found that an increasing number of the 75+ HAs were performed from 1999 to 2009. Overall, the uptake of the 75+ HA is generally low across Australia, at ~20% of the eligible population, but varied across states and even regions within states. The study also revealed that despite low uptake encouraging trends were evident over a decade of 75+ HA implementation. It is argued that strategies in improving the uptake should be targeted for early identification of health risk and overall improved quality of health in older adults. KeywordsGeneral practice, older adults, primary health care, primary prevention . Overall, the uptake of the 75+ HA was generally low across Australia, at ~20% of the eligible population, but varied across states and even regions within states. The study also revealed that despite low uptake encouraging trends were evident over a decade of 75+ HA implementation. It is argued that strategies in improving the uptake should be targeted for early identification of health risk and overall improved quality of health in older adults.

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Section: Comparison With Previous Researchsupporting

confidence: 78%

Section: Comparison With Previous Researchmentioning

confidence: 99%

Trends in uptake of the 75+ health assessment in Australia: a decade of evaluation

Hamirudin

Ghosh²,

Charlton

et al. 2015

Aust. J. Prim. Health

View full text Add to dashboard Cite

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“…35 Unfortunately, a direct comparison with the non-indigenous population is not possible as a change in Medicare reimbursement categories after 2010 makes it difficult to identify the use of health assessments by people aged 75 years and over in the nonindigenous population. 34 …”

Section: Reorienting Primary Health Services To Address Aging In Austmentioning

confidence: 99%

“…33 The most disadvantaged populations have similar or higher levels of uptake of the extended primary care services in total (which include both chronic disease management plan services and the health assessments). 34 Overall though, only about one-fifth of the eligible population has received a health assessment.…”

Section: Reorienting Primary Health Services To Address Aging In Austmentioning

confidence: 99%

Addressing the Needs of an Aging Population in the Health System: The Australian Case

McPake

Mahal

2017

Health Systems & Reform

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Abstract-Although smaller as a proportion of total population than Western Europe or Japan, almost 15% of Australia's population is aged 65 years and over and expected to increase to nearly 22.5% by 2050. Health policy makers in Australia have tried multiple approaches to address the growing health care needs of an aging population and the related burden of noncommunicable conditions (NCDs). We assess how these interventions-in primary care, hospital services and private health insurance-have influenced outcomes and draw inferences from their successes and some of their main difficulties. Among the key lessons from the Australian experience, also relevant for the Asia Pacific region, are the challenge of aligning financial incentives in a mixed public-private health care and financing system and the difficulty of reforming a medicallycentered primary care model to one that integrates care across a range of dimensions, including the services of allied health professionals and long-term care services. The clearest specific policy lessons for the region include the suggestions that public subsidy of private health insurance is unlikely to be an efficient approach to reducing the health-related cost burdens of aging populations, and that countries should build alternatives to fee-for-service payment mechanisms into their plans for achieving Universal Health Coverage. Australians might look to the experience of other countries in the region for additional models of coordination between national government and sub-national divisions and for approaches to reducing the disadvantages faced by minority groups in the health system.

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“…By September 2002, an estimated 31% of all eligible older Australians had at least one Medicare claim for a health assessment item. Health assessments were most likely to be used by women, aged 80–84 years, living in more urban and more economically advantaged areas and entitled to treatment under DVA arrangements . By 2003, four years after their introduction, 49% of eligible women in the 1921–1926 cohort of the Australian Longitudinal Study on Women's Health had received at least one assessment; however, few had repeat assessments.…”

mentioning

confidence: 99%

Whose assessment is it anyway?

Byles

2016

Australas J Ageing

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Did general practice health assessments of older Australians improve equity?

Abstract: Objective: To examine if claims for general practice health assessments of older persons in Australia over the period

Cited by 10 publications

References 14 publications

Trends in uptake of the 75+ health assessment in Australia: a decade of evaluation

Trends in uptake of the 75+ health assessment in Australia: a decade of evaluation

Addressing the Needs of an Aging Population in the Health System: The Australian Case

Whose assessment is it anyway?

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