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Using data linkage for national surveillance of clinical quality indicators for dementia care among Australian aged care users

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dc.contributor.authorCations, M.
dc.contributor.authorLang, C.
dc.contributor.authorWard, S.A.
dc.contributor.authorCaughey, G.E.
dc.contributor.authorCrotty, M.
dc.contributor.authorWhitehead, C.
dc.contributor.authorAhern, S.
dc.contributor.authorMaddison, J.
dc.contributor.authorInacio, M.C.
dc.date.issued2021
dc.descriptionData source: Supplementary information, https://doi.org/10.1038/s41598-021-89646-x
dc.description.abstractCare quality has important implications for people with dementia. We examined trends and geographical variation of four clinical quality indicators (CQIs) in Australia. This retrospective cohort study included all people with dementia using Australian government-subsidised aged care in 2008-2016 (n = 373,695). Quality indicator data were derived from linked national aged care, health, and pharmaceutical datasets. Negative binomial regression modelling assessed trends in CQI performance over time (2011-2016) and funnel plots examined geographical variation in performance. The incidence rate of antipsychotic medicine dispensing decreased slightly from 1.17/1000 person-days to 1.07/1000 person-days (adjusted incidence rate ratio (aIRR) = 0.98, 95%CI 0.98-0.99). Cholinesterase inhibitors and memantine dispensing did not change (aIRR = 1.02, 95%CI 1.00-1.04), while exposure to high sedative load increased slightly from 1.39/1000 person-days to 1.44/1000 person-days (aIRR = 1.01, 95%CI 1.00-1.01). Dementia and delirium-related hospitalisations increased slightly from 0.17/1000 person-days to 0.18/1000 person-days (aIRR = 1.02, 95%CI 1.01-1.03). There was marked variation in cholinesterase inhibitor and memantine dispensing by geographical area (0-41%). There has been little change in four indicators of dementia care quality in Australian aged care users over time. Cholinesterase inhibitor and memantine dispensing varied substantially by geographical region. Existing strategies to improve national performance on these indicators appear to be insufficient, despite the significant impact of these indicators on outcomes for people with dementia.
dc.description.statementofresponsibilityMonica Cations, Catherine Lang, Stephanie A. Ward, Gillian E. Caughey, Maria Crotty, Craig Whitehead .. et al.
dc.identifier.citationScientific Reports, 2021; 11(1):10674-10674
dc.identifier.doi10.1038/s41598-021-89646-x
dc.identifier.issn2045-2322
dc.identifier.issn2045-2322
dc.identifier.orcidCaughey, G.E. [0000-0003-1192-4121]
dc.identifier.orcidMaddison, J. [0000-0001-8692-8878]
dc.identifier.urihttps://hdl.handle.net/2440/133772
dc.language.isoen
dc.publisherSpringer Science and Business Media LLC
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/1152623
dc.rights© The Author(s) 2021. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http:// creat iveco mmons. org/ licen ses/ by/4. 0/.
dc.source.urihttps://doi.org/10.1038/s41598-021-89646-x
dc.subjectantidementia drugs
dc.subjectolder adults
dc.subjectof-care
dc.subjectpeople
dc.subjectinhibitors
dc.subjectdiagnosis
dc.subjectconsensus
dc.subject.meshHumans
dc.subject.meshDementia
dc.subject.meshIncidence
dc.subject.meshRetrospective Studies
dc.subject.meshCross-Sectional Studies
dc.subject.meshInformation Storage and Retrieval
dc.subject.meshAged
dc.subject.meshAged, 80 and over
dc.subject.meshMiddle Aged
dc.subject.meshDelivery of Health Care
dc.subject.meshQuality of Health Care
dc.subject.meshQuality Indicators, Health Care
dc.subject.meshAustralia
dc.subject.meshFemale
dc.subject.meshMale
dc.subject.meshPublic Health Surveillance
dc.titleUsing data linkage for national surveillance of clinical quality indicators for dementia care among Australian aged care users
dc.typeJournal article
pubs.publication-statusPublished

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