Uptake, prevalence and predictors of first-time use for the 75+ Health Assessment SchemeXenia Dolja-Gore A , Meredith Tavener A D , Tazeen Majeed A , Balakrishnan R. Nair B C and Julie E. Byles A
A Research Centre for Generational Health and Ageing, University of Newcastle, HMRI Building, Level 4, Lot 1 Kookaburra Circuit, New Lambton Heights, NSW 2305, Australia.
B School of Medicine and Public Health, University of Newcastle, Callaghan, NSW 2308, Australia.
C Hunter New England Local Health District, John Hunter Hospital, New Lambton Heights, NSW 2305, Australia.
D Corresponding author. Email: email@example.com
Australian Journal of Primary Health 23(5) 476-481 https://doi.org/10.1071/PY16108
Submitted: 31 August 2016 Accepted: 5 April 2017 Published: 16 June 2017
In 1999, the Australian Federal Government introduced Medicare items for Health Assessments for people aged 75 years and older (75+ health assessments). This research examined uptake of these assessments and identified predictors of use by women from the Australian Longitudinal Study on Women’s Health (ALSWH). Assessments were identified for each year from 1999 to 2013 using linked Medicare data. Time to first assessment was examined, as well as social and health factors associated with having an assessment. From 1999 to 2013, 61.8% of women had at least one assessment. Almost one-third had an assessment within 2 years of their introduction, 25% of women died before having an assessment and 13% survived but did not have an assessment. Factors associated with assessment included being widowed, private health insurance, marital status, education, having arthritis and urinary incontinence, and less difficulty managing on income. Many women never received an assessment, and many only received one. Promotion of the 75+ health assessments is necessary among older women to increase uptake.
Additional keywords: ageing, Australian Longitudinal Study on Women’s Health, Medicare, women.
ReferencesAustralian Bureau of Statistics (2014) Patient experiences in Australia: summary of findings, 2012–2013. Catalogue Number 4839.0. ABS, Canberra, ACT, Australia.
Beswick AD, Rees K, Dieppe P, Ayis S, Gooberman-Hill R, Horwood J, Ebrahim S (2008) Complex interventions to improve physical function and maintain independent living in elderly people: a systematic review and meta-analysis. Lancet 371, 725–735.
| Complex interventions to improve physical function and maintain independent living in elderly people: a systematic review and meta-analysis.CrossRef |
Brilleman SL, Pachana NA, Dobson AJ (2010) The impact of attrition on the representativeness of cohort studies of older people. BMC Medical Research Methodology 10, 71
| The impact of attrition on the representativeness of cohort studies of older people.CrossRef |
Byles JE (2000) A thorough going over: evidence for health assessments for older persons. Australian and New Zealand Journal of Public Health 24, 117–123.
| A thorough going over: evidence for health assessments for older persons.CrossRef | 1:STN:280:DC%2BD3c3ltFGhtA%3D%3D&md5=4d956719fb3d0701d0b6640ea8942c7cCAS |
Byles JE, Tavener MA, O’Connell RL, Nair BR, Higginbotham NH, Jackson CL, McKernon ME, Francis L, Heller RF, Newbury JW, Marley JE, Goodger BG (2004) Randomised controlled trial of health assessments for older Australian veterans and war widows. The Medical Journal of Australia 181, 186–190.
Byles JE, Young AF, Wheway VL (2007) Annual health assessments for older Australian women: uptake and equity. Australian and New Zealand Journal of Public Health 31, 170–173.
| Annual health assessments for older Australian women: uptake and equity.CrossRef |
Centers for Disease Control and Prevention (2003) Healthy aging: preventing disease and improving quality of life among older Americans. Available at http://otsl.pbworks.com/f/HealthyAging.pdf [Verified 28 September 2015]
Chew CA, Wilkin D, Glendinning C (1994) Annual assessments of patients aged 75 years and over: views and experiences of elderly people. The British Journal of General Practice 44, 567–570.
Commonwealth of Australia (1999) Primary care initiatives, enhanced primary care package. Department of Health and Aged Care, Canberra, ACT, Australia.
Ghosh A, Charlton KE, Girdo L, Batterham MJ, McDonald K (2013) Addressing the deficiencies in the evidence-base for primary practice in regional Australia – sentinel practices data sourcing (SPDS) project: a pilot study. BMC Family Practice 14, 109
| Addressing the deficiencies in the evidence-base for primary practice in regional Australia – sentinel practices data sourcing (SPDS) project: a pilot study.CrossRef |
Gill GF, Geraghty DP, Fitzgerald DG (2008) Did general practice health assessments of older Australians improve equity? Australian Health Review 32, 488–493.
| Did general practice health assessments of older Australians improve equity?CrossRef |
Hamirudin AH, Ghosh A, Charlton KE, Bonney AD (2015) Trends in uptake of the 75+ health assessment in Australia: a decade of evaluation. Australian Journal of Primary Health 21, 423–428.
| Trends in uptake of the 75+ health assessment in Australia: a decade of evaluation.CrossRef |
Lee C, Dobson AJ, Brown WJ, Bryson L, Byles J, Warner-Smith P, Young AF (2005) Cohort profile: The Australian Longitudinal Study on Women’s Health. International Journal of Epidemiology 34, 987–991.
| Cohort profile: The Australian Longitudinal Study on Women’s Health.CrossRef |
Minichiello V, Browne J, Kendig H (2000) Perceptions and consequences of ageism: views of older people. Ageing and Society 20, 253–278.
| Perceptions and consequences of ageism: views of older people.CrossRef |
Newbury JW, Marley JE, Beilby JJ (2001) A randomised controlled trial of the outcome of health assessment of people aged 75 years and over. The Medical Journal of Australia 175, 104–107.
O’Halloran JBH, Valenti L, Harrison C, Pan Y, Knox S (2003) Older patients attending general practice in Australia 2000–02. Catalogue number GEP 12. (Australian Institute of Health and Welfare: Canberra, ACT, Australia) Available at http://www.aihw.gov.au/publication-detail/?id=6442467492 [Verified 3 December 2015]
Rogers EM (1995) ‘Diffusion of Innovations.’ (The Free Press: New York, NY, USA)
Spillman M, Cheffins T, Kimber D (2012) Patient views of over 75 years health assessments in general practice. The Australian Journal of Advanced Nursing 29, 5–10.
Ware JE, Sherbourne CD (1992) The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Medical Care 30, 473–483.
| The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection.CrossRef |
Wilkinson D, McElroy H, Beilby JJ, Mott K, Price K, Morey S, Best J (2003) Are socio-economically disadvantaged Australians making more or less use of the Enhanced Primary Care Medicare Benefit Schedule item numbers? Australian Health Review 26, 43–49.
| Are socio-economically disadvantaged Australians making more or less use of the Enhanced Primary Care Medicare Benefit Schedule item numbers?CrossRef |
Zhang X (2015) Using diffusion of innovation theory to understand the factors impacting patients’ acceptance and use of consumer e-health innovations in primary health care. PhD thesis, School of Computing and Information Technology, University of Wollongong, Wollongong, NSW, Australia.