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Ageing populations require culturally sensitive aged care services that can meet their diverse needs. This requires policies, planning, and staffing that are sensitive to cultural preferences. The elderly ATSI population also has higher utilisation rates of health care professionals (HCPs). Many people would prefer to remain at home or in the community rather than being institutionalized. However, there are few studies that explore inequities in aged care services for this demographic group.

The study seeks to identify the reasons for increased utilisation of aged-care services. In the first section, the incidence of aged-related utilisations was calculated for a 1000-strong cohort of Australian citizens. The incidence rate was compared for different age groups and gender. The second part of the study was designed to examine historical changes and incidence rates. The models were adjusted for state, gender, age and gender. The data were analysed with descriptive statistics.

Despite the fact that the percentage of Australians over 65 who use aged care services has remained stable, the incidence rates of admissions for specific types of aged-care services have changed. PRACs showed a decrease in incidence rates from 23.8 per 1,000 people in 2008-09, to 19.6 per 1000 people in 2015-16, a decrease of 0.84/year. Although the incidence rates for aged care services are generally consistent, there are important factors that are not known.

The study provides a comprehensive Australia-wide incidence of admissions to aged care facilities and demographic profiles of older people. The study revealed that the proportion of Australians who have entered aged care services increased by almost 27 per cent over the course of the study. The study also looked at trends in admissions to various types of aged care services. While the uptake of PRAC decreased, the uptake of other services increased. HCPs had the greatest increase.

PRACs have a high percentage of female Australians. The number of females entering PRACs is consistently higher than that of males. These statistics show that people older than 50 are living longer. In addition to increasing longevity, there are also improvements in quality of life. The elderly live longer and are more likely to live longer than their younger counterparts. They are also more susceptible to experiencing more problems as they age.

While the proportion of Australian residents aged 65 or older who use PRACs remained stable over the study period, the incidence rate of admission to specific types of PRACs decreased. The incidence rate of admission to PRACs decreased from 23.8 per 1000 people in 2008-09 to 19.6 per 1000 people in 2015-16. This decrease is due to increased longevity and improved health. The frequency of PRACs has decreased by half and is now decreasing.

PRACs have become more common over the past decade. In 2010, almost 25% of all Australians were involved in PRACs. In 2007, the proportion accessing PRACs was roughly the same as it was in 2005, however, the number of new admissions rose by 27 percent. The proportion of people accessing PRACs increased slightly over the last year, and overall trends in admissions into aged care facilities varied. There has been an increase in HCPs over the past few years which is a sign that people are healthier.

While the number of Australian residents living in PRACs has increased over ten years, the proportion of older people is relatively stable. The highest number of people in PRACs are currently in residential care. PRACs have a higher proportion of women aged 85 and older. It has been demonstrated that females between 80 and 90 are more likely to be admitted to PRACs than their male counterparts. The percentage of PRACs members has also increased by one-year.

Although the NDIS is intended to get young people out aged care, it has been difficult to implement and is far away from being perfect. To improve the quality of elderly care, the NDIS is being tested with a large number patients. It has been found that the number of young people in aged care has increased over the past decade. Their overall health has improved, which is reflected in their longer lives.