Table of contents

  • Preliminary material 
    • Title page and verso
    • Contents
    • List of tables
    • List of figures
    • Summary 
    • Acknowledgements
    • Abbreviations
  • Sections
    1. Introduction 
      • Project brief
      • Background and outline of the report
    2. Population ageing in Australia 
      • Some demographic features of Australia's population
      • Projected growth in population
      • Trends in population ageing
    3. Population ageing, morbidity and disability 
      • Mortality, morbidity and disability
      • Population ageing and prevalence of people with a disability
    4. Implications of population ageing 
      • Impact on government health and welfare expenditures
      • Impact on government expenditures in aged care and disability services
      • Impact on demand for disability support services
      • Impact on residential aged care services
      • Issues concerning the age dependency ratio
    5. Trends in informal care 
      • Impact of population growth and population ageing on informal care
      • Other factors affecting changes in informal care
      • Trends in community living among people with a disability
      • Impact of caring role on informal carers
      • Support needs for carers
    6. Ageing clients of disability and aged care services and their service usage pattern 
      • Disability services
      • Aged care services
    7. Individual ageing of people with an early onset of disability 
      • Early start of individual ageing
      • Decline in mortality and increase in life expectancy
      • Health conditions and major illnesses and diseases related to ageing: relationship to disability
      • Trends in incidence and prevalence of congenital malformations
    8. Needs of ageing people with a disability 
      • Needs common to the general ageing population
      • Special situations of older people with an early onset disability
      • Special needs of older people with an early onset disability
      • Factors contributing to restricted access to services
    9. Existing services models: some issues
      • General issues concerning the need for appropriate services
      • Service gaps and needs for new services
      • Need for service responses in some key service areas
      • Differences and similarities of the current disability and aged care service systems
    10. Emerging planning and service models 
      • New South Wales
      • Victoria
      • Western Australia
      • South Australia
      • Tasmania
      • Australian Capital Territory
    11. Overview of relevant data sources 
      • ABS population surveys of relevance to disability
      • Administrative data relating to services provided for people with a disability
      • Data limitations and key data sources for analysis
    12. Population ageing and prevalence of disability 
      • Data sources for comparisons of the four surveys
      • Comparison of age-standardised prevalence estimates
      • Changes in reported number of people with disability
      • Effects of population change on disability prevalence
      • Summary
    13. Ageing of people with a disability 
      • Increase in the proportion of people aged 65 years and over among people with a disability
      • Ageing of aged people with a disability
      • Recent increase in the proportions of people with a disability aged under 65 years
      • Discussion
    14. People ageing with an early onset disability 
      • Age at onset of disability
      • Distribution of age at onset by current age
      • Age at onset of disability by main condition
      • Summary
    15. Ageing, need for assistance and providers of assistance 
      • ABS survey data on need for assistance
      • Need for assistance and main provider of assistance
      • Changes in need for assistance and main provider of assistance between 1993 and 1998
      • Need for assistance and main source of assistance for people ageing with a disability
      • Summary of findings
    16. Ageing, informal care and carers 
      • Disability survey data on carers
      • Ageing and profile of informal carers
      • Need for and receipt of assistance
      • Effects of the caring role on carers
      • Trends in de-institutionalisation
      • Summary
    17. Ageing and trends in service use 
      • Methods and underlying assumptions
      • Growth estimates of severe or profound core activity restriction
      • Trends in service use
      • Summary and discussion
    18. Implications for support services 
      • Population ageing in Australia
      • Impact of population ageing on disability prevalence
      • Impact of population ageing on government health and welfare expenditure
      • Trends in informal care
      • Ageing, need for assistance and providers of assistance
      • Service use pattern
      • Discussion of support service implications
    19. Conclusion 
      • Implications of overall demographic change in the Australian population
      • Understanding the 'grey' areas in services for ageing people with a disability
      • Implications for the nature of services
      • Planning the evolution of support services
  • End matter 
    • References
    • Appendix tables