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Centre for Policy on Ageing | |
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Self-directed community services for older Australians
— a stepped capacity-building approach | | Author(s) | Goetz Ottmann, Mohammedreza Mohebbi |
| Journal title | Health and Social Care in the Community, vol 22, no 6, November 2014 |
| Publisher | Wiley Blackwell, November 2014 |
| Pages | pp 598-611 |
| Source | wileyonlinelibrary.com/journals/hsc |
| Keywords | Domiciliary services ; Community care ; Needs [elderly] ; Projects ; Australia. |
| Annotation | Consumer-directed care (CDC) is an increasingly widespread aged care service option in Organisation for Economic Co-operation and Development (OECD) countries. Yet, the evidence base regarding the programmatic and contextual factors that affect the outcome of CDC interventions including their uptake rates is surprisingly small. As a result, policy makers have only limited information at their disposal when designing CDC programmes. This paper examines this issue by reporting on the outcomes of a stepped capacity-building-focused self-directed care (SDC) project designed for older Australians with complex care needs. It provides an overview of the outcomes for domiciliary aged care (hereafter 'community aged care') recipients and highlights key obstacles in the way of older people benefiting from SDC arrangements. The paper suggests that a stepped, SDC approach that focuses on capacity building may be more acceptable to older people and has the potential to improve older people's sense of satisfaction, control over care options, their perceived standard of living and outlook on what they can achieve in life. The evaluation suggests that while only a very small segment of older people is interested in a voucher or cash option, a substantially larger group would like to have greater say over and more direct access to their care, without, however, assuming administrative and financial responsibilities. (RH). |
| Accession Number | CPA-150619248 A |
| Classmark | N: PA: IK: 3E: 7YA |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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