Health of Older People in New Zealand

Other publications

• Aged Care Literature Review, Coordination and integration of services
• An evaluation of befriending services in New Zealand - Final report
• An Economic Evaluation of the Assessment of Service Promoting Independence and Recovery in Elders (ASPIRE)
• ASPIRE research report
• Improving Assessment and Service Co-ordination for Older People evaluation reports
• Promoting a National Vision for People with Disabilities, Successful policies and enduring barriers

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Aged Care Literature Review, Coordination and integration of services

This is an unpublished report prepared for the Ministry of Health. The review was one of the resources used internally to guide and inform the development of the Health of Older People Strategy, Health sector action to 2010 to support positive ageing, which was released in April 2002.

• Aged Care Literature Review, Coordination and integration of services (PDF, 549 KB)

An evaluation of befriending services in New Zealand - Final report

This report was prepared for the Ministry of Health by the University of Auckland. The evaluation sought to explore the effectiveness of befriending services with older people in order to establish the current value and future direction of befriending initiatives in New Zealand.

• An evaluation of befriending services in New Zealand - Final report (PDF, 2 MB)

An Economic Evaluation of the Assessment of Service Promoting Independence and Recovery in Elders (ASPIRE)

The Assessment of Services Promoting Independence and Recovery in Elders (ASPIRE) was a prospective meta-analysis of three initiatives designed to promote independence and continued living in the community for elderly people (ageing-in-place).

This report presents the results of a cost effectiveness analysis of each of the three ageing-in-place initiatives to assess their cost effectiveness relative to the elderly receiving conventional health care services (usual care) in each region.

An Economic Evaluation of the Assessment of Service Promoting Independence and Recovery in Elders (ASPIRE) (Word, 548 KB)
An Economic Evaluation of the Assessment of Service Promoting Independence and Recovery in Elders (ASPIRE) (PDF, 178 KB)

ASPIRE research report

The Assessment of Services Promoting Independence and Recovery in Elders (ASPIRE) evaluated three existing ageing-in-place programmes to promote older people’s independence and their continued ability to live in the community. The three programmes were:

• The Coordination of Services for Elderly (COSE) programme in Christchurch; an individual case-management model of care;
• The Promoting Independence Programme (PIP) in Lower Hutt; a rehabilitation service model of care; and
• The Community Flexible Integrated Restorative Support Team (Community FIRST) programme in Hamilton; a restorative home support model of care.

The research aimed to determine the effectiveness of each programme compared to usual care services in each region, which included measuring:

• the effectiveness in preventing or delaying an older person's entry to residential care;
• the effectiveness in increasing an older person's length of life;
• the impact on older people’s independence and health-related quality of life;
• the impact on the quality of life of carers;
• the costs and effectiveness of each intervention (compared to usual care) on the dimensions of extending life and delaying entry into residential care.

Below is the final ASPIRE research report presented by Auckland UniServices Limited in September 2006 in PDF format and as a compressed file (ZIP):

ASPIRE research report (PDF, 7 MB - Warning, very large file)
ASPIRE research report (ZIP, 4 MB - Warning, very large file)

Because the files above are large the report is also provided below in sections:

• ASPIRE research report - Introductory information and Chapter I: Ageing in place (PDF, 569 KB)
• ASPIRE research report - Chapter II: The ASPIRE evaluation (PDF, 1 MB)
• ASPIRE research report - Chapter III: Findings (PDF, 2 MB)
• ASPIRE research report - Chapter IV: Key findings, Chapter V: Study limitations, Appendix 1: Statistical analysis, Appendix 2: The interRAI Minimum Data Set - Home Care (MDS-HC), and Appendix 3: Survival plots (PDF, 830 KB)
• ASPIRE research report - Appendix 4: Secondary outcome data (excluding data arising from participants once entered residential home and Appendix 5: Secondary outcome data (including data arising from participants once entered residential home) (PDF, 832 KB)
• ASPIRE research report - Appendix 6: Adverse events, Appendix 7: Questionnaires and References (PDF, 1 MB)

Improving Assessment and Service Co-ordination for Older People evaluatioon reports

• Reports commissioned by the New Zealand Guidelines Group and Ministry of Health evaluating the InterRAI MDS-HC assessment tool.

Promoting a National Vision for People with Disabilities, Successful policies and enduring barriers

This is a report prepared by Paul Saucier as the product of his Ian Axford (New Zealand) Fellowship in Public Policy. The report examines certain aspects of the New Zealand disability system in the light of the Government’s New Zealand Disability Strategy 2001 call for a fully inclusive society for people with disabilities. It concludes that substantial progress has been made over the past decade, but many challenges remain to be addressed before New Zealand can claim to be a fully inclusive society.

The Ministry of Health was Paul’s host organisation during the period of his Fellowship work in New Zealand. The report reflects the views of the author and is not an official Ministry of Health report. Paul is based at the Muskie School of Public Service, University of Southern Maine, USA.

• Promoting a National Vision for People with Disabilities, Successful policies and enduring barriers (PDF, 496 KB)

Page last updated: 9 June 2008