The effect of home care package allocation reforms on service uptake, use and cessation at a large Australian aged care provider.
80 and over
aged
home care services
long-term care
policy
Journal
Australasian journal on ageing
ISSN: 1741-6612
Titre abrégé: Australas J Ageing
Pays: Australia
ID NLM: 9808874
Informations de publication
Date de publication:
Jun 2020
Jun 2020
Historique:
received:
20
08
2019
revised:
18
11
2019
accepted:
09
12
2019
pubmed:
11
1
2020
medline:
22
6
2021
entrez:
11
1
2020
Statut:
ppublish
Résumé
To utilise routinely collected data to examine changes in the client profile of a large aged care provider before and after commencement of the 2017 policy reforms, whereby home care packages were allocated to individuals rather than providers. Interrupted time series analysis was used to measure changes in service uptake and cessation. Chi-square and t tests were used to compare client profiles in the 12 months before and after policy changes. A total of 4132 people used home care services with the provider between March 2016 and March 2018. Fewer people commenced services post-reforms, and they were more likely to be younger and have a partner. There was no change in the number choosing to terminate services post-reforms. Vulnerable older Australians may experience greater difficulty accessing services under the new system, suggesting greater scrutiny of the reforms in achieving policy objectives is required. Analyses of routinely collected data sets can support this evaluation process.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e210-e214Subventions
Organisme : Australian Research Council
ID : LP120200814
Informations de copyright
© 2020 AJA Inc.
Références
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