Evidence for the long term cost effectiveness of home care reablement programs

Figures & data

Table 1 Client demographics at referral – PEP and HIP compared with conventional HACC home care

Variable	Level	HACC N = 2,332	PEP N = 5,450	OR1 (95% CI) P-value	HIP N = 2,586	OR2 (95% CI) P-value
Age	<78 years	662 (28.4%)	2,761 (50.7%)		1,041 (40.3%)
	≥78 years	1,670 (71.6%)	2,686 (49.3%)	0.39 (0.35–0.43) 0.00	1,545 (59.7%)	0.59 (0.52–0.66) 0.00
Sex	Male	853 (36.6%)	1,401 (25.7%)		561 (21.7%)
	Female	1,479 (63.4%)	4,049 (74.3%)	1.67 (1.50–1.85) 0.00	2,025 (78.3%)	2.08 (1.84–2.36) 0.00
Living arrangements	Alone	825 (35.4%)	3,091 (57.4%)		1,430 (55.4%)
	With family	1,504 (64.6%)	2,290 (42.6%)	0.41 (0.37–0.45) 0.00	1,152 (44.6%)	0.44 (0.39–0.50) 0.00
Carer availability	No	624 (26.8%)	3,520 (65.6%)		1,491 (57.8%)
	Yes	1,702 (73.2%)	1,844 (34.4%)	0.19 (0.17–0.21) 0.00	1,087 (42.2%)	0.27 (0.24–0.30) 0.00
Dependency level*	Independent	7 (0.3%)	46 (1.2%)		22 (1.2%)
	Low	594 (26.5%)	1,211 (30.3%)	0.31 (0.14–0.69) 0.00	499 (26.6%)	0.27 (0.11–0.63) 0.00
	Medium	815 (36.4%)	2,405 (60.2%)	0.45 (0.20–1.00) 0.05	1,105 (59.0%)	0.43 (0.18–1.01) 0.05
	High	826 (36.8%)	333 (8.3%)	0.06 (0.03–0.14) 0.00	247 (13.2%)	0.10 (0.04–0.23) 0.00
Previous use HACC service	No	976 (41.9%)	3,021 (55.4%)		1,346 (52.0%)
	Yes	1,356 (58.1%)	2,429 (44.6%)	0.58 (0.52–0.64) 0.00	1,240 (48.0%)	0.66 (0.59–0.74) 0.00

Notes:

* Low dependency = needs assistance with one or more instrumental ADLs but no ADLs; medium = needs assistance with one or more ADLs; high = totally dependent in one or more ADLs.

Abbreviations: CI, confidence interval; HACC, Home and Community Care; HIP, Home Independence Program; ADLs, Activities of Daily Living; OR, odds ratio; PEP, Personal Enablement Program.

Figure 1 Prevalence ratio of PEP (triangles) and HIP (circles) clients in receipt of any home care service at different time points compared with conventional home care HACC group.

Note: *Adjusted for death, age, sex, living arrangement, having carer, dependency level, and receiving previous service.

Abbreviations: HACC, Home and Community Care; HIP, Home Independence Program; PEP, Personal Enablement Program.

Figure 2 Prevalence ratio of PEP (triangles) and HIP (circles) clients in receipt of a personal care service at different time points, compared with conventional home care HACC group.

Note: *Adjusted for death, age, sex, living arrangement, having carer, dependency level, and requiring previous service.
Abbreviations: HACC, Home and Community Care; HIP, Home Independence Program; PEP, Personal Enablement Program.

Figure 3 Median cumulative cost of all home care services received by different service recipients.

Notes: *Adjusted for death, age, sex, living arrangement, having carer, dependency level, and requiring previous service. Australian dollars as adjusted median at different time points.
Abbreviations: HACC, Home and Community Care; HIP, Home Independence Program; PEP, Personal Enablement Program.