Older people entering and accessing long-term care are, are reliant on good primary and specialist care to help them stay home and not be hospitalised. Primary care that is preventive, helps manage chronic conditions and is delivered by a known general practitioner is associated with less emergency department presentations, less potentially preventable hospitalisations, and other specific types of hospitalisations. Improved health outcomes is particularly prominent for people living with dementia, who have significantly less dementia-related hospitalisations when they continue to see their regular general practitioner. Health care trajectories that include high use of preventive services, including health assessments and chronic disease management plans for example, also can reduce older people’s risk of death while in long-term care. Professor Inacio will discuss the findings from a five-year study involving over 478,000 older people using national integrated aged and health care data led by the Registry of Senior Australians Research Centre recently published recently in Age and Ageing and the Journal of the American Geriatrics Society.