Identifying Care and Support Needs Profiles for Home-Based Aged Care: A Latent Class Analysis Using Routinely Collected Aged Care Assessment Information.

IF 2 3区医学 Q2 GERONTOLOGY

Journal of Applied Gerontology Pub Date : 2025-08-20 DOI:10.1177/07334648251366720

Rachel McKittrick, Alison M Hutchinson, Elizabeth Manias, Martin Hensher, Liliana Orellana

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Abstract

This study identified care and support need profiles for people requiring home-based aged care and explored profile associations with socio-demographic and psychosocial factors. The study utilized cross-sectional aged care assessment data for 94,975 Victorians (mean age 84 [SD = 7.6] years) eligible for Australian Government-funded home-based aged care (Home Care Package) (January 2019-June 2022). Latent class analysis identified seven profiles (P1 to P7). P1, the largest profile (n = 23,487, 24.7%), included those with predominantly basic needs, for example, housework (93%) and shopping (68%). Needs gradually increased from P1 to P7. P7 (n = 9,274, 9.8%) included those with the most advanced needs, for example, showering (99%), medication management (99%), walking (89%), short-term memory loss (99%), and disorientation to time (93%). Individuals living alone were under-represented in higher-need profiles (P4 to P7). The identified profiles provide valuable insights to optimize care management, service-type requirements, and workforce skills tailored to the needs of people within each profile.

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识别居家老年护理的护理和支持需求概况：使用常规收集的老年护理评估信息进行潜在分类分析。

本研究确定了居家养老人群的护理和支持需求概况，并探讨了其与社会人口统计学和心理社会因素的关系。该研究使用了94,975名符合澳大利亚政府资助的家庭老年护理（家庭护理包）资格的维多利亚州人（平均年龄84岁[SD = 7.6]岁）的横断面老年护理评估数据（2019年1月至2022年6月）。潜在类分析确定了7个特征（P1至P7）。P1是最大的群体（n = 23,487, 24.7%），主要包括基本需求，例如家务（93%）和购物（68%）。需求从P1到P7逐渐增加。P7 （n = 9274, 9.8%）包括最先进的需求，例如洗澡（99%）、药物管理（99%）、行走（89%）、短期记忆丧失（99%）和时间定向障碍（93%）。独居者在高需求概况中的代表性不足（P4至P7）。确定的配置文件提供了有价值的见解，以优化护理管理、服务类型需求和根据每个配置文件中人员的需求量身定制的劳动力技能。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Applied Gerontology GERONTOLOGY-

CiteScore

5.10

自引率

13.30%

发文量

202

期刊介绍： The Journal of Applied Gerontology (JAG) is the official journal of the Southern Gerontological Society. It features articles that focus on research applications intended to improve the quality of life of older persons or to enhance our understanding of age-related issues that will eventually lead to such outcomes. We construe application broadly and encourage contributions across a range of applications toward those foci, including interventions, methodology, policy, and theory. Manuscripts from all disciplines represented in gerontology are welcome. Because the circulation and intended audience of JAG is global, contributions from international authors are encouraged.