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NZSA Webinar: Trajectories of care at the end of life

Wednesday, April 22, 2020 @ 12:00 pm - 1:00 pm

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The price of success? Longer, slower and more costly trajectories at the end of life

The success of the health system means people are living longer, but potentially also with longer and more complex trajectories at the end of life. Not only will there be more deaths as the baby-boomers reach the end of their lives, but deaths are projected to occur at much older ages.

This research, commissioned by the Ministry of Health, uses linked national data for all deaths occurring and registered in New Zealand in 2015. Mortality data is linked to the Cancer Registry, hospitalisations, inpatient procedures, emergency department events, outpatient visits, pharmaceuticals, laboratory tests, disability support services, primary care capitation, aged residential care subsidies, interRAI assessments and data from hospices and hospital palliative care.

Five distinct trajectory groups are identified, with different utilisation of services. Daily place of care and transitions in care are explored over the last three years of life. Projections to 2038 have been produced and health system costings for the last year of life and last three years of life will be shared.

The extraction from the linked data of those dying with dementia as opposed to from dementia shows that deaths with dementia are already the largest trajectory group in New Zealand. If patterns remain the same, the Dementia group is expected to almost double by 2038.

From a policy perspective, the results show the extent to which groups rely on aged residential care at the end of life. This has implications not only for the health system, but also retirement and superannuation policy, and for the support of family carers.

Professor Heather McLeod, the lead researcher, will share the findings in the form of a Zoom webinar on Wednesday 22 April, from 12.00 pm to 1.00 pm.

Zoom webinar

Once you register you will be sent an order confirmation email. The order confirmation email you receive from Eventbrite will include details about how to join via Zoom videoconferencing. Eventbrite will also send an event reminder with joining links on the morning of the event.

This is a member only event.


Wednesday, April 22, 2020
12:00 pm - 1:00 pm
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