The co‐design of timely and meaningful information needed to enhance social participation in community aged care services: Think tank proceedings

2019 ◽  
Vol 39 (1) ◽  
Author(s):  
Lindsey Brett ◽  
Amy D. Nguyen ◽  
Joyce Siette ◽  
Jasmin Dove‐Pizarro ◽  
Fleur Hourihan ◽  
...  
Keyword(s):  
Social Participation ◽  
Aged Care ◽  
Think Tank ◽  
Meaningful Information ◽  
Care Services ◽  
Community Aged Care

scholarly journals At the grassroots of home and community-based aged care: strategies for successful consumer engagement

BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e028754
Author(s):  
Lindsey Brett ◽  
Joyce Siette ◽  
Amy Nguyen ◽  
Mikaela Jorgensen ◽  
Melissa Miao ◽  
...  
Keyword(s):  
Implementation Strategies ◽  
Aged Care ◽  
Future Research ◽  
Consumer Engagement ◽  
Care Services ◽  
Registration Number ◽  
Care Coordinators ◽  
New Research ◽  
Collective Information ◽  
Community Aged Care

Objectives(1) To describe the processes used to plan and conduct a stakeholder forum in aged care as a means of informing future uptake of consumer participatory research. (2) To discuss how capturing and drawing on stakeholders’ experiences of aged care can generate new research ideas and inform the delivery of more person-centred aged care services.Key principles of consumer engagementA stakeholder forum was conducted as part of Ageing Well, a 2-year project evaluating the value and impact of social participation and quality of life tools as part of routine community aged care assessments at a large Australian provider. The forum was codesigned with community aged care clients and care coordinators and aimed to coproduce implementation strategies with a targeted representation of stakeholders. The stakeholder forum was developed using five key principles of consumer engagement activities: purposeful, inclusive, timely, transparent and respectful. The forum fostered an environment of mutual respect and collective inquiry to encourage contributions from all participants. This article outlines practical guidance on using a consumer engagement framework and the lessons learnt.DiscussionThe stakeholder forum facilitated an understanding of consumers’ needs and existing gaps in aged care services and the circumstances that can enable or hinder the delivery and implementation of these services. This collective information can guide future research and policy at institutional, regional and national committees that relate to aged care.Trial registration numberACTRN12617001212347

Social Participation Among Older Adults Receiving Community Care Services

2020 ◽  
pp. 073346482093897
Author(s):  
Joyce Siette ◽  
Helen Berry ◽  
Mikaela Jorgensen ◽  
Lindsey Brett ◽  
Andrew Georgiou ◽  
...  
Keyword(s):  
Older Adults ◽  
Social Participation ◽  
Rural Women ◽  
Service Use ◽  
Community Care ◽  
Care Service ◽  
Geographical Location ◽  
Aged Care ◽  
Care Needs ◽  
Care Services

Aged care services have the potential to support social participation for the growing number of adults aging at home, but little is known about the types of social activities older adults in community care are engaged in. We used cluster analysis to examine the current profiles of social participation across seven domains in 1,114 older Australians, and chi-square analyses to explore between-group differences in social participation and sociodemographic and community care service use. Two distinct participation profiles were identified: (a) connected, capable, older rural women and (b) isolated, high-needs, urban-dwelling men. The first group had higher levels of engagement across six social participation domains compared with the second group. Social participation among older adults receiving community care services varies by gender, age, individual care needs, and geographical location. More targeted service provision at both the individual and community levels may assist older adults to access social participation opportunities.

Quality of life measurement in community-based aged care – understanding variation between clients and between care service providers

2021 ◽  
Author(s):  
Joyce Siette ◽  
Mikaela L. Jorgensen ◽  
Andrew Georgiou ◽  
Laura Dodds ◽  
Tom McClean ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Social Participation ◽  
Service Providers ◽  
Care Service ◽  
Aged Care ◽  
Care Quality ◽  
Care Providers ◽  
Community Based ◽  
Care Services

Abstract Background Measuring person-centred outcomes and using this information to improve service delivery is a challenge for many care providers. We aimed to identify predictors of QoL among older adults receiving community-based aged care services and examine variation across different community care service outlets.Methods A retrospective sample of 1141 Australians aged ≥ 60 years receiving community-based care services from a large service provider within 19 service outlets. Clients’ QoL was captured using the ICEpop CAPability Index. QoL scores and predictors of QoL (i.e.sociodemographic, social participation and service use) were extracted from clients’ electronic records and examined using multivariable regression.Funnel plots were used to examine variation in risk-adjusted QoL scores across service outlets.Results Mean age was 81.5 years (SD = 8) and 75.5% were women. Clients had a mean QoL score of 0.81 (range 0–1, SD = 0.15). After accounting for other factors, being older (p < 0.01), having lower-level care needs (p < 0.01), receiving services which met needs for assistance with activities of daily living (p < 0.01), and having higher levels of social participation (p < 0.001) were associated with higher QoL scores. Of the 19 service outlets, 21% (n = 4) had lower mean risk-adjusted QoL scores than expected (< 95% control limits) and 16% (n = 3) had higher mean scores than expected.Conclusion Using QoL as an indicator to compare care quality may be feasible, with appropriate risk adjustment. Implementing QoL tools allows providers to measure and monitor their performance and service outcomes, as well as identify clients with poor quality of life who may need extra support.Trial registration: Australian and New Zealand clinical trial registry number: ACTRN12617001212347. Registered 18/08/2017

Navigating the marketisation of community aged care services in rural Australia

2020 ◽  
Vol 4 (3) ◽  
pp. 377-393
Author(s):  
Suzanne Hodgkin ◽  
Pauline Savy ◽  
Samantha Clune ◽  
Anne-Marie Mahoney
Keyword(s):  
Free Market ◽  
Aged Care ◽  
Care Programme ◽  
For Profit ◽  
Care Services ◽  
Not For Profit ◽  
Service Organisation ◽  
Rural Australia ◽  
Community Aged Care

The aged care policies of many Organisation for Economic Co-operation and Development countries reflect free-market principles. In Australia, the recently introduced Consumer Directed Care programme centres on markets in which a range of organisations compete to provide services to community-living elders. As consumers, older people are allocated government funding with which they select and purchase items from their chosen service organisation. This article presents findings from a case study that explored the impacts of this programme on a group of rurally based, not-for-profit providers and consumers. The findings portray the challenges and advantages associated with providing and accessing services in limited rural markets.

scholarly journals Ageing well: evaluation of social participation and quality of life tools to enhance community aged care (study protocol)

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Lindsey Brett ◽  
Andrew Georgiou ◽  
Mikaela Jorgensen ◽  
Joyce Siette ◽  
Grace Scott ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Study Protocol ◽  
Social Participation ◽  
Aged Care ◽  
Care Study ◽  
Community Aged Care

New ways to provide community aged care services

2015 ◽  
Vol 34 (3) ◽  
pp. 199-200 ◽  
Author(s):  
Chris Taylor ◽  
Jed Donoghue
Keyword(s):  
Aged Care ◽  
Care Services ◽  
Community Aged Care
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