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Assessing patterns of home and community care service use and client profiles in Australia: a cluster analysis approach using linked data
Author(s) -
Kendig Hal,
Mealing Nicole,
Carr Rachel,
Lujic Sanja,
Byles Julie,
Jorm Louisa
Publication year - 2012
Publication title -
health and social care in the community
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.984
H-Index - 68
eISSN - 1365-2524
pISSN - 0966-0410
DOI - 10.1111/j.1365-2524.2011.01040.x
Subject(s) - data collection , cluster (spacecraft) , service (business) , community health , service delivery framework , service provider , health care , business , medicine , nursing , data science , computer science , public health , marketing , statistics , mathematics , economic growth , economics , programming language
The planning and delivery of care systems require knowledge on the ways in which individuals access available services that are funded by a range of health and community services. The aims of this study were to identify distinct groups of Home and Community Care (HACC) clients in New South Wales, Australia, based on patterns of actual service use, and to understand the health and social needs and resources of client groups that access different mixes of services. Multiple data sets linked at the individual level – including the 45 and Up Study community survey, the HACC Minimum Data Set and the Admitted Patient Data Collection for hospitals – provide an innovative basis to investigate the complexity of access to service use. Data were collected between 2006 and 2008. A cluster analysis based on clients’ type and volume of community service use was conducted on the 4890 HACC clients in the linked dataset and nine distinct clusters of clients were identified. Three of these clusters were considered ‘complex’, in terms of the range of community and hospital assistance received, while the others comprised mainly of one or two dominant service types. The analytical approach and findings developed here provide a client‐centred approach to monitor and evaluate access to local service systems that are being reformed to better integrate the delivery of health and community services currently funded and managed separately by national and state governments.