The development of a framework for high-quality, sustainable and accessible rural private therapy under the Australian National Disability Insurance Scheme

Dew, Angela; Barton, Rebecca; Ragen, Jo; Bulkeley, Kim; Iljadica, Alexandra; Chedid, Rebecca Jean; Brentnall, Jennie; Bundy, Anita; Lincoln, Michelle; Gallego, Gisselle; Veitch, Craig

doi:10.3109/09638288.2015.1129452

Cited by 18 publications

(17 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, it is uncertain how they will respond to the potential increase in demand under a shortage of allied health professionals and with small markets such as those in rural areas (Dew et al . ). As fewer service providers find it profitable to provide services in rural areas, there is a higher likelihood of market failure.…”

Section: Discussionmentioning

confidence: 97%

Access to therapy services for people with disability in rural Australia: a carers’ perspective

Gallego

Dew

Lincoln

et al. 2016

Health Soc Care Community

Self Cite

View full text Add to dashboard Cite

In Australia and around the world, people with disability and their carers living in rural areas face additional challenges compared to their urban-dwelling counterparts. This cross-sectional study explored current access to therapy services for people with disability living in western New South Wales as reported by their primary carers. Data were collected using an online and paper survey distributed to carers, from December 2012 until June 2013. Information was sought about the carers, the person they care for, access to physiotherapy, speech pathology, occupational therapy and psychology services. A total of 166 carers participated. Respondents were mostly the carers of a son or daughter (83.6%) , the person they care for had an average age of 17.6 years (range 1-69 years) and more than half were males (56%). The majority of people with disability (73.5%) had received therapy services in the last 2 years. Waiting time and distance travelled to access physiotherapy, speech and occupational therapy services varied. People with disability had to wait an average of 6.6 months to receive speech pathology and had to travel an average of 2.6 hours to receive physiotherapy. The main provider of all services was the specialist disability government department, except for psychology, which is mainly provided in the private sector. From the carers' perspective, availability and accessibility to services are limited. Carers noted that availability of services was more restricted once people with disability reached adulthood. Lack of choice and frustration with the lack of availability of specialist disability services was reported frequently. Carers believed that timely allied health intervention prevented the development of more severe or complicated conditions that had a greater impact on carers, families, communities and the person with disabilities.

show abstract

Section: Discussionmentioning

confidence: 97%

Access to therapy services for people with disability in rural Australia: a carers’ perspective

Gallego

Dew

Lincoln

et al. 2016

Health Soc Care Community

Self Cite

View full text Add to dashboard Cite

show abstract

“…Block funding used within place‐based approaches described by Greenwood and Levin (2007) could foster collaboration between stakeholders in the rural locale and harness local knowledge in service development work. Rural providers negligibly impacted, such as hospitals and particularly allied health professionals working within private allied health practices, as noted by Dew et al's (2016), could have further capacity to provide NDIS services in rural areas. These providers could be supported to engage with the NDIS, to respond to rural service demand and expand their service range, perhaps through the provision of business supports and information on service price increases and rule changes that allow billing for some non‐direct activities, such as case notes (NDIA 2019b).…”

Section: Discussionmentioning

confidence: 99%

“…These strategies, although somewhat reactive in nature, may support a broader range of rural providers to provide services to rural NDIS participants. However, a rural proofing approach to policy development, drawing on Dew et al's (2016) framework for developing rural NDIS services provided by therapists, may support policymakers to engage rural stakeholders to explore the areas of need and develop NDIS policy to equitably benefit rural people with disability alongside their metropolitan counterparts.…”

Section: Discussionmentioning

confidence: 99%

“…However, the latter response by rural providers could have pronounced consequences for rural people with disability who may be unable to access timely services, considering rural markets may already be “thin” (Carey et al 2017:198), and state government‐funded services may be unavailable (Mavromaras et al 2018). Rural providers can determine the extent of their NDIS participation, although they may also shoulder some responsibility to ensure services are available for rural people with disability (Dew et al 2014; Gallego et al 2015; Dew et al 2016).…”

Section: Framework Of Rural and Remote Healthmentioning

confidence: 99%

See 1 more Smart Citation

Rural Victorian service provider responses to the National Disability Insurance Scheme

Quilliam

Bourke

2020

Aust J Social Issues

View full text Add to dashboard Cite

The National Disability Insurance Scheme (NDIS) has transformed the nature of funding available to health and human service organisations to provide services to people with disability in Australia. However, there is relatively scant literature on the rural implementation of the NDIS, particularly how rural NDIS service providers are affected by the NDIS. Researchers conducted semi‐structured interviews with 20 health professionals employed by rural providers, and analysed data using rural and remote health and organisational change frameworks to understand how rural providers were impacted by and responded to the NDIS. The findings suggest rural providers were impacted to differing extents and responded to the NDIS in different ways. Participants reported that disability and community health services were affected more than hospitals and private allied health practices. Impacted rural providers responded by changing the nature and types of services, service processes and their workforce, and redefining organisational characteristics. Impacted rural providers may require additional support to continue providing services, and those less impacted may require other incentives to better engage with the NDIS. Rural proofing of NDIS policy could reveal suitable supports and incentives to ensure rural people with disability can access required services.

show abstract

“…The more generalist nature of clinical practice in rural and remote areas suggests that not only would the thin workforce contribute to inequitable services but the generalist clinician would be less likely to be able to deliver best practice disability services in every situation because of their broad‐ranging caseloads and, in many cases, limited specialised disability knowledge and skills (Dew et. al, 2016).…”

Section: Introductionmentioning

confidence: 95%

Principles of disability support in rural and remote Australia: Lessons from parents and carers

Johnson

Lincoln

Cumming

2020

Health Soc Care Community

Self Cite

View full text Add to dashboard Cite

This study describes the understanding, experiences and expectations of families living in rural and remote Australia regarding core concepts relating to disability service provision, including person-centred practice (PCP), family-centred practice (FCP), transdisciplinary practice (TDP), choice, control, inclusion, and equity. Thirteen parents or carers, each with a child with an intellectual disability aged between 6 and 16 years, living in rural and remote areas as described by the Australian Standard Geographical Classification-Remoteness Area (ASGC-RA) and Modified Monash Model (MMM)-were recruited through distribution of flyers (hard copies or by email) to clinicians, schools, and advocacy agencies. Semi-structured interviews were conducted with participants either in-person or via telephone between July and October 2015. Data were analysed using thematic analysis. Participants reported that their understanding of many of the disability principles (PCP, FCP, choice, control, inclusion, and equity) was different from providers, and that many providers struggled to understand families, and therefore they did not share meaning of the principles of best practice disability supports. Families did not identify transdisciplinary practice as a core issue or tenet of effective service delivery. Families also reported experiences of missing out on services, feeling a sense of isolation in their communities, struggling to access skilled therapists, and difficulty finding supports and goals that were relevant to their child. The quality of supports that these families accessed was often below the standard that they expected. They did not expect that support standards will change in rural and remote Australia, so many have very low expectations of the National Disability Insurance Scheme (NDIS) in the future. Although more data will need to be collected as the NDIS and its markets mature, these data show that many rural and remote participants and their supporters have a variety of concerns about how they will access quality allied health services through the Scheme.

show abstract

The development of a framework for high-quality, sustainable and accessible rural private therapy under the Australian National Disability Insurance Scheme

Cited by 18 publications

References 12 publications

Access to therapy services for people with disability in rural Australia: a carers’ perspective

Access to therapy services for people with disability in rural Australia: a carers’ perspective

Rural Victorian service provider responses to the National Disability Insurance Scheme

Principles of disability support in rural and remote Australia: Lessons from parents and carers

Contact Info

Product

Resources

About