Inacio, M.C.Amare, A.T.Whitehead, C.Bray, S.C.E.Corlis, M.Visvanathan, R.Wesselingh, S.2025-07-182025-07-182020Australasian Journal on Ageing, 2020; 39(3):e382-e3921440-63811741-6612https://hdl.handle.net/2440/146135Objective: To evaluate access to approved aged care services and factors associated with accessing these services. Methods: A retrospective cohort study was conducted (1/7/2003-30/6/2013). The incidence of accessing permanent residential, home and respite care services within one year, or transition care within 28 days of approval, was evaluated. The association of participants’ socio-demographic characteristics, limitations, health conditions and assessment characteristics with service use was evaluated. Results: In 799 750 older Australians, the incidence of accessing approved permanent residential care within one year was 70.9% (95% confidence interval [CI] 70.8%-71.0%), home care 49.5% (95% CI 49.3%-49.7%) and respite care 41.8% (95% CI 41.7%-41.9%). The incidence of accessing transition care within 28 days was 78.5% (95% CI 78.2%-78.7%). Aged care seekers’, assessments’ and assessors’ characteristics are associated with service access. Conclusion: Monitoring the use of aged care service approvals to identify service access barriers can support ongoing evidence-based policy changes.en© 2020 The Authors. Australasian Journal on Ageing published by John Wiley & Sons Australia, Ltd on behalf of AJA Inc. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.healthy ageing; health services for the aged; home care; registeries; residential facilities; respite care; transitional careHumansRegistriesRetrospective StudiesAgedHome Care ServicesDelivery of Health CareAustraliaJournal article10.1111/ajag.127602024-09-22516789Amare, A.T. [0000-0002-7940-0335]Bray, S.C.E. [0000-0001-7067-4551]Visvanathan, R. [0000-0002-1303-9479]