Understanding Transition Care Program Trends Over Time: A Review of Aged Care Data and Performance From 2006 to 2024.

IF 1.8 4区医学 Q4 GERIATRICS & GERONTOLOGY

Australasian Journal on Ageing Pub Date : 2026-09-01 DOI:10.1111/ajag.70218

Natasha Reid, Sakshi Chopra, Jessica Burrows, Lesley English, Len Gray, Jeffrey Rowland, Salih Salih

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引用次数: 0

Abstract

Objectives: The Australian Transition Care Program (TCP) is a short-term rehabilitation service designed to help older adults regain function following hospitalisation. This study aimed to better understand service trends by examining client demographics, utilisation, expenditure and functional status over 18 years.

Methods: This descriptive study analysed aggregated statistics from publicly available reports spanning 2006-2007 to 2023-2024 of the Transition Care Program (TCP) across Australia.

Results: A total of 351,981 people accessed TCP during the study period. The number of clients per annum increased 143% from 10,355 (2006-2007) to 25,202 (2016-2017), then declined to 14,388 in 2022-2023 despite increases in number of allocated places (2000-4570; +129%) and combined expenditure (A$68.0-A$519.3 million; +664%) across Australia. Admissions per 1000 of the population decreased from 6.3 in 2011-2012 to 3.6 in 2023-2024 (-43%). There was minimal change in entry modified Barthel Index (MBI) (69.7-72.1) or exit MBI scores (79.5-83). Total length of stay increased from 48 to 77 days (+60%). Average cost/episode also increased 261%, from A$9996 to A$36,093, whereas cost/occupied place day increased from A$208 to A$463 (+123%). State-based variations were also evident.

Conclusions: Our data suggest TCP clients are spending longer in the program and incur greater costs to state and federal government potentially without greater gains in functional status. Fewer people have access to the program despite increasing population levels. Variability between states is evident and requires further exploration. There is an opportunity to capitalise on aged care reforms to optimise the Australian Transition Care Program.

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随着时间的推移了解过渡护理计划的趋势：2006年至2024年老年护理数据和表现的回顾。

目标：澳大利亚过渡护理计划（TCP）是一项短期康复服务，旨在帮助老年人在住院后恢复功能。这项研究旨在通过调查18年来客户的人口统计、使用情况、支出和功能状况，更好地了解服务趋势。方法：本描述性研究分析了2006-2007年至2023-2024年澳大利亚过渡护理计划（TCP）公开报告的汇总统计数据。结果：在研究期间，共有351,981人访问了TCP。每年的客户数量从10,355（2006-2007年）增加到25,202（2016-2017年），增长了143%，然后在2022-2023年下降到14,388，尽管澳大利亚各地的分配名额数量（2000-4570;+129%）和总支出（680 - 5.1993亿澳元；+664%）有所增加。每1000人的入学率从2011-2012年的6.3人下降到2023-2024年的3.6人（-43%）。入组后的修正Barthel指数（MBI）（69.7-72.1）和出组后的MBI评分（79.5-83）变化极小。总停留时间从48天增加到77天（增加60%）。每集的平均成本也增加了261%，从9996澳元增加到36,093澳元，而每占用一个座位的成本从208澳元增加到463澳元（+123%）。各州之间的差异也很明显。结论：我们的数据表明，TCP客户在项目中花费的时间更长，并且可能会给州和联邦政府带来更大的成本，而在功能状态方面却没有更大的收益。尽管人口水平不断增长，但有机会参与该计划的人却越来越少。状态之间的差异是明显的，需要进一步探索。有机会利用老年护理改革来优化澳大利亚过渡护理计划。

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

Australasian Journal on Ageing 医学-老年医学

CiteScore

3.10

自引率

6.20%

发文量

114

审稿时长

>12 weeks

期刊介绍： Australasian Journal on Ageing is a peer reviewed journal, which publishes original work in any area of gerontology and geriatric medicine. It welcomes international submissions, particularly from authors in the Asia Pacific region.