Impact of consumer‐directed care on quality of life in the community aged care sector

Bulamu, Norma; Kaambwa, Billingsley; Gill, Liz; Cameron, Ian D.; McKechnie, Sue; Fiebig, Jeff; Grady, Robin; Ratcliffe, Julie

doi:10.1111/ggi.12872

Cited by 17 publications

(18 citation statements)

References 22 publications

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“…The reasons for these differences are not entirely clear. In a related study, our team found that CDC was associated with improved levels of control, and older people who were newly initiated to CDC at lower levels of care demonstrated a stronger tendency to participate in the direction and delivery of their own care than early transitions . Hence, it may be that as service providers and consumers became more familiar and comfortable with CDC and as it became more embedded as an established service model, the volume and frequency of administration and care co‐ordination expenses reduced.…”

Section: Discussionmentioning

confidence: 96%

“…Daily care services 19 (12) 19 (10,27) 21 (9) 18 (15,26) . to participate in the direction and delivery of their own care than early transitions.…”

Section: Continuous Variables Mean (Sd) Median (Iqr)mentioning

confidence: 99%

“…to participate in the direction and delivery of their own care than early transitions. 26 Hence, it may be that as service providers and consumers became more familiar and comfortable with CDC and as it became more embedded as an established service model, the volume and frequency of administration and care co-ordination expenses reduced. It is important to note, however, that at higher levels of care (HCP level 3/4), this pattern was not repeated; older people in receipt of CDC services for <12 months spent more on administration and care co-ordination than those in receipt of CDC services for more than 12 months.…”

Section: Continuous Variables Mean (Sd) Median (Iqr)mentioning

confidence: 99%

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An early investigation of individual budget expenditures in the era of consumer‐directed care

et al. 2019

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Objectives To identify the key categories of consumer expenditures following the introduction of consumer‐directed care (CDC) in the Australian community aged care sector. Methods Income and expenditure data were extracted from monthly budget statements and categorised. Expenditures by category were examined by home care package level, length of time receiving CDC and socio‐demographic characteristics. Results A total of 150 older people in receipt of CDC in South Australia and New South Wales were approached, of whom 95 (63%) consented to participate. Hours of formal care support received was a key driver of expenditure. On average, approximately 53% of total expenditure was allocated to care services, 20% to administration and 17% to case management. Conclusions This study was undertaken during the initial stages of the transition to CDC. Further research should investigate the longer‐term budgetary impacts of the transition to CDC for consumers and the sector.

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Section: Discussionmentioning

confidence: 96%

“…Daily care services 19 (12) 19 (10,27) 21 (9) 18 (15,26) . to participate in the direction and delivery of their own care than early transitions.…”

Section: Continuous Variables Mean (Sd) Median (Iqr)mentioning

confidence: 99%

Section: Continuous Variables Mean (Sd) Median (Iqr)mentioning

confidence: 99%

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An early investigation of individual budget expenditures in the era of consumer‐directed care

et al. 2019

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“…These questions were derived from issues identified in the previous research phases which have since been published [ 11 , 20 ]. Questions were designed to explore multiple facets of CDC implementation including the sufficiency of the client’s budget and the procurement of additional services.…”

Section: Methodsmentioning

confidence: 99%

“…Yet, Bowers et al [ 19 ] argue that models of care delivery such as CDC must be based on mutuality and/or reciprocity if older people with high support needs are to live well in later life. Given that the resource implications and costs associated with CDC can be substantial, it has been argued [ 3 , 20 , 21 ] that it is important to specifically identify the health, well-being and quality of life (QOL) gains associated with CDC use compared to Provider Directed Care services (PDC).…”

Section: Introductionmentioning

confidence: 99%

How do clients in Australia experience Consumer Directed Care?

et al. 2018

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BackgroundOur study explored client experience of Australian Consumer Directed Care. This evolving funding model enables consumer autonomy and choice, allowing older people to remain in their community as they age and need support through the creation of a personalised support service. Consumer Directed Care focuses on providing services that the consumer self-determines to meeting their needs including identifying their types of services, from whom, when and how these services are delivered.MethodsSemi-structured in-depth interviews were conducted in two Australian states between August 2015 and April 2016 with 14 participants, preferably in receipt of CDC services for at least the previous 12 months. Questions explored how the participant first learned about this service; the types of services they received; whether services met their needs; and any additional support services they personally purchased. Interviews were transcribed, coded and thematically analysed.ResultsFour main themes related to consumer experience emerged. Knowledge: Unsure what Consumer Directed Care Means. Acceptance: Happily taking any prescriptive service that is offered. Compliance: Unhappily acceding to the prescriptive service that is offered. External Influences: Previous aged care service experience, financial position, and cultural differences.ConclusionOur results suggest that the anticipated outcomes of Consumer Directed Care providing a better service experience were limited by existing client knowledge of these services, how best to utilise their funding allocation, and their acceptance or compliance with what was offered, even if this was not personalised or sufficient. External influences, such as service experience, finances, cultural difference, impacted the way clients managed their allocation. Our study identified that ongoing engagement and discussion with the client is required to ensure that services are specific, directly relevant and effective to achieving a consumer directed care service.Electronic supplementary materialThe online version of this article (10.1186/s12877-018-0838-8) contains supplementary material, which is available to authorized users.

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Chapter Twelve: The Marketisation of Aged Care: The Impact of Aged Care Reform in Australia

Henderson

Willis

2019

Navigating Private and Public Healthcare

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Impact of consumer‐directed care on quality of life in the community aged care sector

Cited by 17 publications

References 22 publications

An early investigation of individual budget expenditures in the era of consumer‐directed care

An early investigation of individual budget expenditures in the era of consumer‐directed care

How do clients in Australia experience Consumer Directed Care?

Chapter Twelve: The Marketisation of Aged Care: The Impact of Aged Care Reform in Australia

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