Predicting the need for aged care services at the small area level: the CAREMOD spatial microsimulation model

Abstract

Most industrialised societies face rapid population ageing over the next two decades, including sharp increases in the number of people aged 85 years and over. As a result, the supply of and demand for aged care services has assumed increasing policy prominence. The likely spatial distribution of the need for aged care services is critical for planners and policy makers. This article describes the development of a regional microsimulation model of the need for aged care in New South Wales, a state of Australia. It details the methods involved in reweighting the 1998 Survey of Disability, Ageing and Carers, a national level dataset, against the 2001 Census to produce synthetic small area estimates at the statistical local area level. Validation shows that survey variables not constrained in the weighting process can provide unreliable local estimates. A proposed solution to this problem is outlined, involving record cloning, value imputation and alignment. Indicative disability estimates arising from this process are then discussed.Disability, ageing, spatial analysis, aged care, cloning; imputation; alignment; NATSEM