Home care packages: Insights into the experiences of older people leading up to the introduction of consumer directed care in Australia

Day, J; Taylor, ACT; Summons, P; Van Der Riet, P; Hunter, S; Maguire, J; Dilworth, S; Bellchambers, H; Jeong, S; Haydon, G; Harris, M; Higgins, I

Home care packages: Insights into the experiences of older people leading up to the introduction of consumer directed care in Australia

Day, J Taylor, ACT Summons, P Van Der Riet, P Hunter, S Maguire, J

Dilworth, S Bellchambers, H Jeong, S Haydon, G Harris, M Higgins, I

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Publication Type:: Journal Article
Citation:: Australian Journal of Primary Health, 2017, 23 (2), pp. 162 - 169
Issue Date:: 2017-01-01

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Field	Value	Language
dc.contributor.author	Day, J	en_US
dc.contributor.author	Taylor, ACT	en_US
dc.contributor.author	Summons, P	en_US
dc.contributor.author	Van Der Riet, P	en_US
dc.contributor.author	Hunter, S	en_US
dc.contributor.author	Maguire, J https://orcid.org/0000-0001-5722-8311	en_US
dc.contributor.author	Dilworth, S	en_US
dc.contributor.author	Bellchambers, H	en_US
dc.contributor.author	Jeong, S	en_US
dc.contributor.author	Haydon, G	en_US
dc.contributor.author	Harris, M	en_US
dc.contributor.author	Higgins, I	en_US
dc.date.available	2016-08-11	en_US
dc.date.issued	2017-01-01	en_US
dc.identifier.citation	Australian Journal of Primary Health, 2017, 23 (2), pp. 162 - 169	en_US
dc.identifier.issn	1448-7527	en_US
dc.identifier.uri	http://hdl.handle.net/10453/118443
dc.description.abstract	© 2017 La Trobe University. This paper reports phase one, conducted from March to June 2015, of a two-phase, qualitative descriptive study designed to explore the perceptions and experiences of older people before and after the introduction of consumer directed care (CDC) to home care packages (HCP) in Australia. Eligible consumers with a local HCP provider were mailed information about the study. Data collection occurred before the introduction of CDC and included face-To-face, in-depth interviews, summaries of interviews, field notes and reflective journaling. Semi-structured questions and 'emotional touchpoints' relating to home care were used to guide the interview conversation. Line-by-line data analysis, where significant statements were highlighted and clustered to reveal emergent themes, was used. Five older people, aged 81 to 91 years, participated in the study. The four emergent themes were: seeking quality and reciprocity in carer relationships; patchworking services; the waiting game; and technology with utility. Continuity of carers was central to the development of a trusting relationship and perceptions of care quality among older consumers. Care coordinators and workers should play a key role in ensuring older people receive timely information about CDC and their rights and responsibilities. Participants' use of contemporary technologies suggests opportunities to improve engagement of HCP clients in CDC.	en_US
dc.relation.ispartof	Australian Journal of Primary Health	en_US
dc.relation.isbasedon	10.1071/PY16022	en_US
dc.subject.classification	Public Health	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Qualitative Research	en_US
dc.subject.mesh	Aged, 80 and over	en_US
dc.subject.mesh	Home Care Services	en_US
dc.subject.mesh	Patient Satisfaction	en_US
dc.subject.mesh	Australia	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.subject.mesh	Interviews as Topic	en_US
dc.subject.mesh	Independent Living	en_US
dc.subject.mesh	Patient Preference	en_US
dc.title	Home care packages: Insights into the experiences of older people leading up to the introduction of consumer directed care in Australia	en_US
dc.type	Journal Article
utslib.citation.volume	2	en_US
utslib.citation.volume	23	en_US
utslib.for	111702 Aged Health Care	en_US
utslib.for	11 Medical and Health Sciences	en_US
utslib.for	16 Studies in Human Society	en_US
utslib.for	17 Psychology and Cognitive Sciences	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
utslib.copyright.status	closed_access
pubs.issue	2	en_US
pubs.publication-status	Published	en_US
pubs.volume	23	en_US

Abstract:

© 2017 La Trobe University. This paper reports phase one, conducted from March to June 2015, of a two-phase, qualitative descriptive study designed to explore the perceptions and experiences of older people before and after the introduction of consumer directed care (CDC) to home care packages (HCP) in Australia. Eligible consumers with a local HCP provider were mailed information about the study. Data collection occurred before the introduction of CDC and included face-To-face, in-depth interviews, summaries of interviews, field notes and reflective journaling. Semi-structured questions and 'emotional touchpoints' relating to home care were used to guide the interview conversation. Line-by-line data analysis, where significant statements were highlighted and clustered to reveal emergent themes, was used. Five older people, aged 81 to 91 years, participated in the study. The four emergent themes were: seeking quality and reciprocity in carer relationships; patchworking services; the waiting game; and technology with utility. Continuity of carers was central to the development of a trusting relationship and perceptions of care quality among older consumers. Care coordinators and workers should play a key role in ensuring older people receive timely information about CDC and their rights and responsibilities. Participants' use of contemporary technologies suggests opportunities to improve engagement of HCP clients in CDC.

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http://hdl.handle.net/10453/118443