Quality of life and quality of care experience in Australian residential aged care: a retrospective cohort study of 1,772 residents
Abstract Background In April 2023, quality of life (QOL) and quality of care experience (QCE) indicators were introduced as mandatory indicators in Australian residential aged care (RAC) to measure and monitor wellbeing and consumer experience respectively. In this study, we used data for the initia...
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BMC
2024-12-01
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| Series: | BMC Geriatrics |
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| Online Access: | https://doi.org/10.1186/s12877-024-05472-6 |
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| author | Guogui Huang Nasir Wabe Magdalena Z. Raban Amy D. Nguyen S. Sandun M. Silva Ying Xu Julie Ratcliffe Jyoti Khadka Johanna I. Westbrook |
| author_facet | Guogui Huang Nasir Wabe Magdalena Z. Raban Amy D. Nguyen S. Sandun M. Silva Ying Xu Julie Ratcliffe Jyoti Khadka Johanna I. Westbrook |
| author_sort | Guogui Huang |
| collection | DOAJ |
| description | Abstract Background In April 2023, quality of life (QOL) and quality of care experience (QCE) indicators were introduced as mandatory indicators in Australian residential aged care (RAC) to measure and monitor wellbeing and consumer experience respectively. In this study, we used data for the initial four months after their introduction to describe QOL and QCE scores, explore related factors and assess variations by completion mode and facility. Methods A retrospective cohort study using electronic data (Mar–Jun 2023) from 1,772 residents in 22 RAC facilities in metropolitan Sydney, Australia. QOL was measured by the Quality of Life-Aged Care Consumer (QOL-ACC) scale, and QCE by the Quality of Care Experience-Aged Care Consumer (QCE-ACC) scale, both through three completion modes: self, interviewer-facilitated and proxy completion. Propensity score matching was used to compare QOL/QCE differences by completion mode; multilevel ordinal logistic regression to investigate QOL-/QCE-related factors; and funnel plots to explore facility-level score variations. Results Of 1,772 residents, 1,706 completed the QOL-ACC survey and 1,686 the QCE-ACC. The median score was 21 (interquartile range 18–24) for QOL and 23 (interquartile range 20–24) for QCE, both indicating ‘excellent’ outcomes. The leisure activities component of QOL, and social relationships and complaint lodging of QCE, were rated relatively lower than other dimensions. The scores of both indicators were significantly higher for self-completion versus other completion modes. Significant variation in QOL and QCE scores by facility were also observed, with seven and four facilities with lower-than-expected proportions of residents with ‘excellent’ or ‘good’ ratings of QOL and QCE, respectively. A longer length of stay (odd ratio [OR] = 0.70, 95% CI: 0.53–0.92 for ≥ 3 years of stay versus < 1 year of stay) and fall history (OR = 0.74, 95% CI: 0.60–0.91) were associated with lower QOL, while having a visual impairment (OR = 0.74, 95% CI: 0.55–0.99) and fall history (OR = 0.80, 95% CI: 0.64–0.99) were associated with lower QCE. Conclusion We found high QOL and QCE across the 22 Australian RAC facilities. Enhancing residents’ leisure activities, social relationships, and addressing specific needs (e.g., visual impairment and fall history) may enhance QOL and QCE. |
| format | Article |
| id | doaj-art-ca9da4c4b01e4c0ca132ba7fbad520f0 |
| institution | Kabale University |
| issn | 1471-2318 |
| language | English |
| publishDate | 2024-12-01 |
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| spelling | doaj-art-ca9da4c4b01e4c0ca132ba7fbad520f02024-12-22T12:46:29ZengBMCBMC Geriatrics1471-23182024-12-0124111310.1186/s12877-024-05472-6Quality of life and quality of care experience in Australian residential aged care: a retrospective cohort study of 1,772 residentsGuogui Huang0Nasir Wabe1Magdalena Z. Raban2Amy D. Nguyen3S. Sandun M. Silva4Ying Xu5Julie Ratcliffe6Jyoti Khadka7Johanna I. Westbrook8Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie UniversityCentre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie UniversityCentre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie UniversityCentre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie UniversityCentre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie UniversityCentre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie UniversityHealth and Social Care Economics Group, Caring Futures Institute, College of Nursing and Health Sciences, Flinders UniversityHealth and Social Care Economics Group, Caring Futures Institute, College of Nursing and Health Sciences, Flinders UniversityCentre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie UniversityAbstract Background In April 2023, quality of life (QOL) and quality of care experience (QCE) indicators were introduced as mandatory indicators in Australian residential aged care (RAC) to measure and monitor wellbeing and consumer experience respectively. In this study, we used data for the initial four months after their introduction to describe QOL and QCE scores, explore related factors and assess variations by completion mode and facility. Methods A retrospective cohort study using electronic data (Mar–Jun 2023) from 1,772 residents in 22 RAC facilities in metropolitan Sydney, Australia. QOL was measured by the Quality of Life-Aged Care Consumer (QOL-ACC) scale, and QCE by the Quality of Care Experience-Aged Care Consumer (QCE-ACC) scale, both through three completion modes: self, interviewer-facilitated and proxy completion. Propensity score matching was used to compare QOL/QCE differences by completion mode; multilevel ordinal logistic regression to investigate QOL-/QCE-related factors; and funnel plots to explore facility-level score variations. Results Of 1,772 residents, 1,706 completed the QOL-ACC survey and 1,686 the QCE-ACC. The median score was 21 (interquartile range 18–24) for QOL and 23 (interquartile range 20–24) for QCE, both indicating ‘excellent’ outcomes. The leisure activities component of QOL, and social relationships and complaint lodging of QCE, were rated relatively lower than other dimensions. The scores of both indicators were significantly higher for self-completion versus other completion modes. Significant variation in QOL and QCE scores by facility were also observed, with seven and four facilities with lower-than-expected proportions of residents with ‘excellent’ or ‘good’ ratings of QOL and QCE, respectively. A longer length of stay (odd ratio [OR] = 0.70, 95% CI: 0.53–0.92 for ≥ 3 years of stay versus < 1 year of stay) and fall history (OR = 0.74, 95% CI: 0.60–0.91) were associated with lower QOL, while having a visual impairment (OR = 0.74, 95% CI: 0.55–0.99) and fall history (OR = 0.80, 95% CI: 0.64–0.99) were associated with lower QCE. Conclusion We found high QOL and QCE across the 22 Australian RAC facilities. Enhancing residents’ leisure activities, social relationships, and addressing specific needs (e.g., visual impairment and fall history) may enhance QOL and QCE.https://doi.org/10.1186/s12877-024-05472-6Quality of lifeQuality of care experienceResidential aged carePropensity score matchingMultilevel ordinal logistic regression |
| spellingShingle | Guogui Huang Nasir Wabe Magdalena Z. Raban Amy D. Nguyen S. Sandun M. Silva Ying Xu Julie Ratcliffe Jyoti Khadka Johanna I. Westbrook Quality of life and quality of care experience in Australian residential aged care: a retrospective cohort study of 1,772 residents BMC Geriatrics Quality of life Quality of care experience Residential aged care Propensity score matching Multilevel ordinal logistic regression |
| title | Quality of life and quality of care experience in Australian residential aged care: a retrospective cohort study of 1,772 residents |
| title_full | Quality of life and quality of care experience in Australian residential aged care: a retrospective cohort study of 1,772 residents |
| title_fullStr | Quality of life and quality of care experience in Australian residential aged care: a retrospective cohort study of 1,772 residents |
| title_full_unstemmed | Quality of life and quality of care experience in Australian residential aged care: a retrospective cohort study of 1,772 residents |
| title_short | Quality of life and quality of care experience in Australian residential aged care: a retrospective cohort study of 1,772 residents |
| title_sort | quality of life and quality of care experience in australian residential aged care a retrospective cohort study of 1 772 residents |
| topic | Quality of life Quality of care experience Residential aged care Propensity score matching Multilevel ordinal logistic regression |
| url | https://doi.org/10.1186/s12877-024-05472-6 |
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