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Status a factor in residential aged care wait


Educated seniors with a degree are often prioritised in the wait for residential aged care, according to a study, but there is hope that tweaks to the process will make it fairer. 

Waiting Times in Aged Care: What Matters? also found that those living in isolated, rural areas have a longer wait for residential aged care places.

The survey was part of the huge, government-funded Australian Longitudinal Study on Women’s Health, which began in 1996 and has assessed 57,000 individuals.

It found assessed needs – including health status, whether the person lived alone and their age – were the driving factors in wait times for both residential and home aged care.

Conversely, the study found there was no evidence that socioeconomic status was associated with waiting times for home aged care.

Study lead author Serena Yu said she was not surprised there was bias towards more educated seniors in the wait for residential care.

“We found that people who had a degree or higher were accessing residential care a bit faster. We thought there would be some socioeconomic gradient, so these results do make sense, but it’s not a great thing,” Ms Yu told Australian Ageing Agenda.

There are a few explanations for the trend, but they can’t be proved with the data collected, said Ms Yu, a senior research fellow at the Centre for Health Economics Research and Evaluation at University of Technology Sydney.

First, educated seniors may have an easier time navigating the My Aged Care portal, which is often described as complicated and difficult to navigate.

Second, a higher education level may equate to greater financial resources.

“It may well be that people who have a degree have more wealth, which they can use to access the facility they most want to go to.”

The longer wait times in isolated regional or rural areas are easier to explain, said Ms Yu.

“In those places, there are fewer facilities, and it’s tougher to access staff with the necessary skills to care for the elderly – especially those with complex needs.”

Although the study only looked at women, Ms Yu said she believes the results would have been similar for men. However because women have a longer life expectancy, they are often older when they access residential aged care, by which time they are more likely to have dementia.

There are plans to simplify My Aged Care, as well as proposed changes in the assessment process for residential aged care, said Ms Yu.

A trial of a national network of outreach centres, information hubs and advisors is underway to help vulnerable seniors navigate the aged care system and access services.

Most support services will be delivered face-to-face but there will also telephone and online options (read more here).

It is hoped that face-to-face assessment will be easier for both staff trying to understand the client’s needs, and seniors trying to get access to a service, Ms Yu said.

There is also a lot of concern about the prices providers can charge and the contracts that people are agreeing to, which definitely has a socioeconomic element to it, she said.

“If socioeconomic status has a role to play, it’s something that we need to address.”

Access the research, which was published in the Australasian Journal on Ageing, here.

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3 Responses to Status a factor in residential aged care wait

  1. Caroline June 19, 2019 at 9:40 am #

    Individuals’ resources including education, socio-economic status and access to technology definitely play a part in accessing aged care services. However, priority in the wait list for residential aged care seems difficult to comprehend as access is based on a host of factors including decline of function. Perhaps people’s ability to articulate their needs may be a reason.
    The study could benefit from exploring older people’s networks as often this is a source of higher and faster access to aged care services. As an example, if my mother was left to her devices, she’d get nothing. Between my sister and I, we have got our mother access at no charge to the following: palliative respite, palliative support including nursing care, social support through a volunteer, and transport between resi facility and hospital for treatments. We have used our skills, as educated people, to investigate, challenge and access the right services for our mother.
    We did very much the same for our father before he passed away.
    Family are therefore important advocates so more sharing through different platforms will challenge and improve access to aged care services.

  2. Val Fell June 19, 2019 at 2:09 pm #

    From my experiene it would seem that there are a number of factors that determine how quickly you can access a residential facility. Where you live your financial situation , your health status and your education level.plus the ability of the resident to pay for extra services. seem to be considered.

  3. Anton Hutchinson June 19, 2019 at 2:23 pm #

    The above study suggests that people without a degree are discriminated against and aren’t smart enough to use the system. What nonsense! There are many factors that determine who gets a place but mostly it is on a needs basis. In our particular circumstances we have difficulty getting supported residents to accommodate our significant refurbishment requirements. The Canberra hospitals allow people approved for residential care to stay as long as they like. This causes another problem, people trying to get an ACAT and a place are unable.
    Another (perhaps) factor may be financial but not how the article suggests. The wealthy are required to pay a RAD and contribute to their care so it seems reasonable that they would be entitled to a private ensuite room. Those less fortunate also expect the same level of accommodation even though they rely on 100% government support. This is enabled by the hospitals not adhering to the maximum day in hospital rule.
    Another issue of course as a direct result of non adherence is that hundreds of acute beds are occupied and people are actually ill can’t get in.

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