The Impact of Musculoskeletal Conditions on Assessed Levels of Care Required by Older Australians
Introduction Musculoskeletal problems, including conditions such as back pain, neck pain, rheumatoid arthritis, gout and osteoarthritis are common in the population and significant contributors to global disease burden. Age is one of the most common risk factors for musculoskeletal conditions and o...
Main Authors: | , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Swansea University
2020-12-01
|
Series: | International Journal of Population Data Science |
Online Access: | https://ijpds.org/article/view/1615 |
id |
doaj-22c92cc50c59413db0c64d33449b5b86 |
---|---|
record_format |
Article |
spelling |
doaj-22c92cc50c59413db0c64d33449b5b862021-02-10T16:41:54ZengSwansea UniversityInternational Journal of Population Data Science2399-49082020-12-015510.23889/ijpds.v5i5.1615The Impact of Musculoskeletal Conditions on Assessed Levels of Care Required by Older AustraliansTiffany K Gill0Steve Wesselingh1Maria C Inacio2The University of Adelaide and South Australian Health and Medical Research Institute, Adelaide, AustraliaSouth Australian Health and Medical Research Institute, Adelaide, AustraliaSouth Australian Health and Medical Research Institute and University of South Australia, Adelaide, Australia Introduction Musculoskeletal problems, including conditions such as back pain, neck pain, rheumatoid arthritis, gout and osteoarthritis are common in the population and significant contributors to global disease burden. Age is one of the most common risk factors for musculoskeletal conditions and over 40% of older people accessing residential aged care have a musculoskeletal condition. It is not known whether individuals living in the community with musculoskeletal conditions have similar needs to those in permanent care and this is important to know in order to provide appropriate care. Objectives and Approach The objective of this study was to profile individuals with musculoskeletal conditions in different aged care service settings (i.e. permanent care, community care only, transition/ respite care, or no services). Specifically, we examined the concurrent chronic conditions, health risk factors and functional limitations of individuals by service setting. A cross-sectional evaluation of individuals in the National Historical Cohort of the Registry of Senior Australians (ROSA) between 2004 and 2014 was conducted. Multivariable logistic regression models estimated the factors associated with being in different aged care settings. Odds ratios (OR) and 95% confidence intervals (CI) were determined. Results 401,026 (42.5%) individuals with musculoskeletal conditions were assessed for aged care service eligibility during the study period. Of these 197,181 (49.2%) accessed permanent care, 37,003 (9.2%) accessed home care, 54,826 (13.7%) transition/respite, and 112,016 (27.9%) - no care. Individuals accessing community care compared to residential care were more likely to be female, have pain and have difficulty maintaining their home, as were individuals accessing no services compared to residential care. Conclusion / Implications Compared to those in residential care, individuals with musculoskeletal conditions in the community with or without assistance had few differences related to other chronic conditions and functional limitations. But the reasons why some had support, while others did not, are unclear. https://ijpds.org/article/view/1615 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Tiffany K Gill Steve Wesselingh Maria C Inacio |
spellingShingle |
Tiffany K Gill Steve Wesselingh Maria C Inacio The Impact of Musculoskeletal Conditions on Assessed Levels of Care Required by Older Australians International Journal of Population Data Science |
author_facet |
Tiffany K Gill Steve Wesselingh Maria C Inacio |
author_sort |
Tiffany K Gill |
title |
The Impact of Musculoskeletal Conditions on Assessed Levels of Care Required by Older Australians |
title_short |
The Impact of Musculoskeletal Conditions on Assessed Levels of Care Required by Older Australians |
title_full |
The Impact of Musculoskeletal Conditions on Assessed Levels of Care Required by Older Australians |
title_fullStr |
The Impact of Musculoskeletal Conditions on Assessed Levels of Care Required by Older Australians |
title_full_unstemmed |
The Impact of Musculoskeletal Conditions on Assessed Levels of Care Required by Older Australians |
title_sort |
impact of musculoskeletal conditions on assessed levels of care required by older australians |
publisher |
Swansea University |
series |
International Journal of Population Data Science |
issn |
2399-4908 |
publishDate |
2020-12-01 |
description |
Introduction
Musculoskeletal problems, including conditions such as back pain, neck pain, rheumatoid arthritis, gout and osteoarthritis are common in the population and significant contributors to global disease burden. Age is one of the most common risk factors for musculoskeletal conditions and over 40% of older people accessing residential aged care have a musculoskeletal condition. It is not known whether individuals living in the community with musculoskeletal conditions have similar needs to those in permanent care and this is important to know in order to provide appropriate care.
Objectives and Approach
The objective of this study was to profile individuals with musculoskeletal conditions in different aged care service settings (i.e. permanent care, community care only, transition/ respite care, or no services). Specifically, we examined the concurrent chronic conditions, health risk factors and functional limitations of individuals by service setting. A cross-sectional evaluation of individuals in the National Historical Cohort of the Registry of Senior Australians (ROSA) between 2004 and 2014 was conducted. Multivariable logistic regression models estimated the factors associated with being in different aged care settings. Odds ratios (OR) and 95% confidence intervals (CI) were determined.
Results
401,026 (42.5%) individuals with musculoskeletal conditions were assessed for aged care service eligibility during the study period. Of these 197,181 (49.2%) accessed permanent care, 37,003 (9.2%) accessed home care, 54,826 (13.7%) transition/respite, and 112,016 (27.9%) - no care. Individuals accessing community care compared to residential care were more likely to be female, have pain and have difficulty maintaining their home, as were individuals accessing no services compared to residential care.
Conclusion / Implications
Compared to those in residential care, individuals with musculoskeletal conditions in the community with or without assistance had few differences related to other chronic conditions and functional limitations. But the reasons why some had support, while others did not, are unclear.
|
url |
https://ijpds.org/article/view/1615 |
work_keys_str_mv |
AT tiffanykgill theimpactofmusculoskeletalconditionsonassessedlevelsofcarerequiredbyolderaustralians AT stevewesselingh theimpactofmusculoskeletalconditionsonassessedlevelsofcarerequiredbyolderaustralians AT mariacinacio theimpactofmusculoskeletalconditionsonassessedlevelsofcarerequiredbyolderaustralians AT tiffanykgill impactofmusculoskeletalconditionsonassessedlevelsofcarerequiredbyolderaustralians AT stevewesselingh impactofmusculoskeletalconditionsonassessedlevelsofcarerequiredbyolderaustralians AT mariacinacio impactofmusculoskeletalconditionsonassessedlevelsofcarerequiredbyolderaustralians |
_version_ |
1724275147084398592 |