scholarly journals Challenges to the provision of community aged care services across rural Australia: perceptions of service managers

2017 ◽  
Vol 17 (2) ◽  
Author(s):  
Pauline Savy ◽  
Jeni Warburton ◽  
Suzanne Hodgkin
Keyword(s):  
Aged Care ◽  
Care Services ◽  
Service Managers ◽  
Rural Australia ◽  
Community Aged Care

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 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

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

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

Stabilising the aged care workforce: an analysis of worker retention and intention

2012 ◽  
Vol 36 (1) ◽  
pp. 83 ◽  
Author(s):  
Anna L. Howe ◽  
Debra S. King ◽  
Julie M. Ellis ◽  
Yvonne D. Wells ◽  
Zhang Wei ◽  
...  
Keyword(s):  
Policy Development ◽  
Community Care ◽  
Care Service ◽  
Quality Care ◽  
Aged Care ◽  
Driver Model ◽  
Factors Affecting ◽  
Care Services ◽  
Data Investigation ◽  
Community Aged Care

Concerns about the capacity of the aged care industry to attract and retain a workforce with the skills required to deliver high quality care are widespread, but poor conceptualisation of the problem can result in strategies to address turnover being poorly targeted. A census of residential and community aged care services conducted by the National Institute of Labour Studies (NILS) in 2007 provided a comprehensive empirical account of the workforce, and estimated turnover on the basis of retention: that is, the proportion of the workforce who had been in their job for 1 year or less. This paper adds the dimension of intention: that is, workers’ expectations as to whether in 1 year’s time, they would still be working in the same aged care service. The dual driver model that takes both retention and intention into account was applied in further analysis of the 2007 NILS data. Investigation of relationships between workforce instability and 13 variables covering worker attributes, organisational attributes and structural attributes of the industry demonstrated the usefulness of the dual driver model for reconceptualising and analysing stability and, in turn, refining strategies to address turnover. What is known about the topic? Widespread concerns about turnover in the aged care workforce are based on estimates of 25% turnover per annum in both residential and community care workforces reported by NILS in 2007. This rate is low compared to US reports averaging ~50%. What does this paper add? Application of the dual-driver model to the analysis of 13 variables covering worker, organisational and structural attributes clarifies the nature of instability and shows that drivers affecting retention and workers’ intentions to stay or leave the job operate differently in the residential and community care workforces. What are the implications for practitioners? Those involved in workforce management and policy development in aged care should give more attention to identifying and realising workers’ intentions to stay, addressing factors affecting retention, and developing more refined strategies to address instability rather than focusing primarily on recruitment.

scholarly journals Screening for Cognitive Impairment among Community-Dwelling Older Adults: A Comparison of 2 Screening Instruments

2021 ◽  
Vol 12 ◽  
pp. 215013272110292
Author(s):  
Breanne Hobden ◽  
Jamie Bryant ◽  
Megan Freund ◽  
Matthew Clapham ◽  
Rob Sanson-Fisher
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Case Manager ◽  
Aged Care ◽  
Community Dwelling ◽  
Screening Tools ◽  
Survey Study ◽  
Care Providers ◽  
Care Services ◽  
Community Aged Care

Introduction Community aged care services provide support to older adults living in their own homes. Cognitive impairment may increase the complexity of the support required. There is a need to ensure suitable brief screening tools are available to community aged care providers to assess possible cognitive impairment. This study aimed to examine the agreement between 2 validated cognitive impairment screening tools, the Mini-Cog, and Abbreviated Mental Test Score (AMTS), and the perceptions the individuals case manager of Case Manager’s. Methods A cross-sectional survey study was undertaken with clients of a community aged care provider. Clients were administered both the screening tools via an electronic survey by their Case Manager. Results In total, 158 (54%) eligible participants consented to participate. There was a 70% agreement between the Mini-Cog and AMTS measures, indicating a moderate agreement which was not statistically different from chance (Kappa 0.08, 95% CI −0.04-0.19). Case Managers identified 37% (n = 48/130) of participants as possibly having cognitive impairment, of which, 15% (n = 20) were also identified via a screening tool. Conclusions The findings indicate poor agreement across the 3 measures. To ensure adequate supports are offered to those with cognitive impairment, the use of validated tools that can be administered by non-medical staff in a community setting is a priority. This study highlights a need for further work to determine the most suitable tool for use by community-based aged care services.

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