Managers' experiences of providing end-of-life care under the Home Care Package Program.

Simonetti, S; Parker, D; Mack, HA; Wise, S

Managers' experiences of providing end-of-life care under the Home Care Package Program.

Simonetti, S

Parker, D

Mack, HA Wise, S

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Publisher:: WILEY
Publication Type:: Journal Article
Citation:: Australas J Ageing, 2023, 42, (3), pp. 527-534
Issue Date:: 2023-09

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Field	Value	Language
dc.contributor.author	Simonetti, S https://orcid.org/0000-0003-3464-9935
dc.contributor.author	Parker, D https://orcid.org/0000-0003-2552-8613
dc.contributor.author	Mack, HA
dc.contributor.author	Wise, S https://orcid.org/0000-0003-3513-3471
dc.date.accessioned	2023-11-01T01:08:45Z
dc.date.available	2022-12-05
dc.date.available	2023-11-01T01:08:45Z
dc.date.issued	2023-09
dc.identifier.citation	Australas J Ageing, 2023, 42, (3), pp. 527-534
dc.identifier.issn	1440-6381
dc.identifier.issn	1741-6612
dc.identifier.uri	http://hdl.handle.net/10453/172936
dc.description.abstract	OBJECTIVE: The study explored the experiences of Australian aged care providers in supporting clients on a home care package to die at home. METHODS: Semistructured interviews were conducted with 13 aged care managers responsible for delivering services under the Home Care Package Program. Interviews were analysed thematically. RESULTS: Four themes emerged that illuminated managers' experiences: struggling to meet a preference to die at home; lack of opportunities to build workforce capacity in end-of-life care; challenges in negotiating fragmented funding arrangements between health and aged care providers; and mixed success in collaborating across sectors. CONCLUSIONS: Aged care providers want to support older Australians who prefer to stay at home at the end of life. However, most clients are admitted to a residential facility when their care needs exceed a home care budget long before a specialist palliative care team will intervene. Budgets for health and aged care providers must be sufficient and flexible to support timely access to end-of-life care, to reward collaboration across sectors and to invest in building palliative care skills in the nursing and personal care workforce.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	WILEY
dc.relation.ispartof	Australas J Ageing
dc.relation.isbasedon	10.1111/ajag.13171
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	11 Medical and Health Sciences, 16 Studies in Human Society, 17 Psychology and Cognitive Sciences
dc.subject.classification	Gerontology
dc.subject.classification	3202 Clinical sciences
dc.subject.classification	4203 Health services and systems
dc.subject.classification	4205 Nursing
dc.subject.mesh	Humans
dc.subject.mesh	Aged
dc.subject.mesh	Australia
dc.subject.mesh	Terminal Care
dc.subject.mesh	Home Care Services
dc.subject.mesh	Palliative Care
dc.subject.mesh	Workforce
dc.subject.mesh	Humans
dc.subject.mesh	Palliative Care
dc.subject.mesh	Terminal Care
dc.subject.mesh	Aged
dc.subject.mesh	Home Care Services
dc.subject.mesh	Australia
dc.subject.mesh	Workforce
dc.title	Managers' experiences of providing end-of-life care under the Home Care Package Program.
dc.type	Journal Article
utslib.citation.volume	42
utslib.location.activity	Australia
utslib.for	11 Medical and Health Sciences
utslib.for	16 Studies in Human Society
utslib.for	17 Psychology and Cognitive Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/DVC (Research)
pubs.organisational-group	/University of Technology Sydney/DVC (Research)/lnstitute for Public Policy and Governance
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHERE - Centre for Health Economics Research and Evaluation
pubs.organisational-group	/University of Technology Sydney/Strength - CHT - Health Technologies
pubs.organisational-group	/University of Technology Sydney/Centre for Health Technologies (CHT)
utslib.copyright.status	open_access	*
dc.date.updated	2023-11-01T01:08:44Z
pubs.issue	3
pubs.publication-status	Published
pubs.volume	42
utslib.citation.issue	3

Abstract:

OBJECTIVE: The study explored the experiences of Australian aged care providers in supporting clients on a home care package to die at home. METHODS: Semistructured interviews were conducted with 13 aged care managers responsible for delivering services under the Home Care Package Program. Interviews were analysed thematically. RESULTS: Four themes emerged that illuminated managers' experiences: struggling to meet a preference to die at home; lack of opportunities to build workforce capacity in end-of-life care; challenges in negotiating fragmented funding arrangements between health and aged care providers; and mixed success in collaborating across sectors. CONCLUSIONS: Aged care providers want to support older Australians who prefer to stay at home at the end of life. However, most clients are admitted to a residential facility when their care needs exceed a home care budget long before a specialist palliative care team will intervene. Budgets for health and aged care providers must be sufficient and flexible to support timely access to end-of-life care, to reward collaboration across sectors and to invest in building palliative care skills in the nursing and personal care workforce.

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http://hdl.handle.net/10453/172936